This observational study investigated ulnar nerve stiffness in 20 healthy baseball players during maximum external rotation of the shoulder. Shear wave elastography assessed nerve stiffness at two entrapment sites: the arcade of Struthers (proximal) and Osborne’s ligament (distal) at various elbow flexion angles (0°, 60°, 90°). Valgus stress applied to the medial elbow showed increased nerve stiffness, particularly at 70 N compared to lower stress levels. Proximally, stiffness was notably higher than distally. These findings underscore the impact of valgus stress on ulnar nerve mechanics, crucial for preventing and managing ulnar neuropathies.
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