Ulnar and Median Nerve Palsy in Long-distance Cyclists

@article{Patterson2003UlnarAM,
  title={Ulnar and Median Nerve Palsy in Long-distance Cyclists},
  author={J. Megan M. Patterson and Marissa M Jaggars and Martin I. Boyer},
  journal={The American Journal of Sports Medicine},
  year={2003},
  volume={31},
  pages={585 - 589}
}
Background Although case reports have identified the presence of distal ulnar nerve sensory and motor dysfunction in long-distance cyclists, the actual incidence of this condition, referred to as “cyclist's palsy,” is unknown. Purpose To determine the incidence of distal ulnar nerve compression in cyclists. Study Design Prospective study. Methods Twenty-five road or mountain bike riders responded to a questionnaire and were then physically examined and interviewed before and after a 600-km… 
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Ulnar Neuropathy in Cyclists.
TLDR
The majority of compression neuropathies in cyclists resolve after appropriate rest and conservative treatment; however, should symptoms persist, nerve decompression may be indicated.
The influence of glove and hand position on pressure over the ulnar nerve during cycling.
TLDR
The hand pressure magnitudes and loading patterns seen in steady-state cycling are of sufficient magnitude to induce ulnar nerve damage if maintained for long periods, which is both important to mitigate risk for Cyclist's Palsy during extended rides.
Ulnar nerve lesion at the wrist and sport: A report of 8 cases compared with 45 non-sport cases.
  • P. Seror
  • Medicine, Engineering
    Annals of physical and rehabilitation medicine
  • 2015
Guyon Canal Syndrome: lack of management in a case of unresolved handlebar palsy.
TLDR
Although treatment for Guyon Canal Syndrome can be as easy as cessation from cycling until symptoms subside, other treatment options could be utilized to help manage ulnar nerve compression injuries in cyclists.
Ulnar Tunnel Syndrome (Guyon Canal)
TLDR
Treatment consists first of nonsurgical management; however surgical decompression may be warranted for failure of nons surgical treatment or for persistent and/or worsening symptoms.
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Four cases of cyclist's palsy -- a distal compression syndrome of the ulnar nerve which can develop after long cycling tours -- are described and it is demonstrated that a functionally significant paresis of the hand muscles can persist for several months.
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