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March 28, 1980

Postoperative Ulnar Neuropathy

JAMA. 1980;243(12):1233. doi:10.1001/jama.1980.03300380015010

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To the Editor.—  I was disappointed when, at the close of the article by Miller and Camp, "Postoperative Ulnar Neuropathy" (242:1636, 1979), they mention only the operating room table and its hardware as possible culprits in the cubital tunnel syndrome. A far more common hard object, the anesthetist's stethoscope head, is often taped, strapped, or otherwise pressed into the cubital fossa, after which, a series of perhaps 50 blood pressure readings are taken in a typical four-hour surgery.Surely this study should have correlated location of the blood pressure cuff and stethoscope head with the lateralization of ulnar neuropathies. These data are easily incorporated into the anesthesia form.