Anatomic considerations in evaluation of the proximal ulnar nerve.

Knowledge of general ulnar anatomy aids in the understanding of the possible site of ulnar nerve entrapment and the rationale for differential diagnosis possibilities. Understanding of internal nerve topography sheds light on reasons for ulnar nerve susceptibility at the elbow region and offers an explanation for the sparing of forearm muscles in ulnar neuropathy at the elbow. Dynamic anatomy or biomechanics of the elbow help elucidate the pathophysiology of ulnar nerve compression at the elbow. The anatomy interface with electrodiagnosis illustrates rationale for particular methods employed and particular tests used in evaluating the ulnar nerve. Electrodiagnostic testing enhances localization of ulnar nerve lesions, excludes other causes in the differential diagnosis, and may aid with surgical selection.