Froment's sign with cubital tunnel sydrome

[julian]

Recently I had a fairly serious case of cubital Tunnel Syndrome with symptoms of hand clawing and Froment's sign. However I have been told Froment's sign never happens with cubital tunnel syndrome. However the book "Anatomic Basis of Neurologic Diagnosis" states that Froment's sign is a cardinal feature of cubital tunnel syndrome. This book published in 2009 has been described by the "American Association of Neurological Surgeons" as "Superbly written" and the book description reads "...book that places special emphasis on the paramount importance of signs and symptoms for the accurate diagnosis of neurologic disorder."

What am I a supposed to think of this? Obviously I know Froment's happened with me but can someone explain why people would say Froment's sign wouldn't happen with cubital tunnel syndrome?

 

[SteamKing]

Who are these unnamed 'people'? Are they doctors or other clinicians? Why would you place more credence in what may be an unsubstantiated rumor over a book published by an association of neurological surgeons? Who knows why people say things? People have all kinds of moon-bat opinions. It does not mean they are better informed than actual experts.

 

[berkeman]

Have you been tested for Froment's sign?

 

[julian]

Hi SteamKing. Wiki says Froment's sign is a specific test of the wrist (cubital tunnel syndrome is happens at the elbow) It references to "Ulnar Nerve - Wheeless' Textbook of Orthopaedics" in which they talk about how "division of ulnar nerve at wrist results in paralysis of all small muscles of hand". I know Froment's sign is to do with paralysis of the adductor pollicis muscle in your hand.

But there seem to be a lot of people that think Froment's sign does happen with cubital tunnel syndrome including departments and centers of Neurosurgery and consultant neurophisologists and such. Also found clinical trials where they find Froment's in people with cubital tunnel syndrome. But I can't seem to find on the internet a debate on it.

Hi Berkeman. My doctor didn't test for Froment's sign but it is easy to test yourself - when you try to hold a piece of card between you thumb and index finger in a pinch grip your thumb bends up and your pinch grip is weakened. By the time of the nerve conduction tests and seeing the specialist my symptons had improved and I didn't have Froment's sign any more and the nerve conduction tests said I had serious compression of the ulnar nerve at the elbow and so cubital tunnel syndrome.

 

[Evo]

If you haven't actually been diagnosed with something, self diagnosis is the same as none. We don't diagnose, we don't comment on a diagnosis, sorry. We don't know anything about you. You say you are searching online for people to comment, sorry, that's not something we do here. I suggest you ask these questions of your doctor.

I hope you get better soon.