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Evidence checklist

Cubital Tunnel Syndrome (Ulnar Nerve Entrapment at Elbow)

DC 851638 CFR § 4.124aNeurological

Evidence strength

Mark what you already have below and your evidence strength appears here.

Target
Saved locally
01

Specialist opinion

Highest value0 of 3 collected
Neurological evaluation documenting ulnar nerve symptomsCritical

Examination by a neurologist or hand specialist documenting numbness, tingling, and weakness in the ring and little fingers, grip weakness, and positive Tinel sign at the elbow.

Private provider · independent opinion
EMG/nerve conduction study confirming ulnar neuropathy at elbowCritical

Objective electrodiagnostic testing isolating ulnar nerve entrapment at the elbow, documenting severity (mild, moderate, or severe).

Private provider · independent opinion
Nexus opinion linking cubital tunnel syndrome to serviceCritical

A medical opinion stating it is "at least as likely as not" that your ulnar neuropathy is connected to military service, repetitive duties, or a service-connected injury.

Private provider · independent opinion
02

Treatment records

0 of 3 collected
Documentation of dominant vs. non-dominant hand

Medical records noting which hand is dominant — the dominant extremity receives a higher rating under the peripheral nerves schedule.

VA or private records · written request
Imaging studies if structural cause suspected (MRI or ultrasound of elbow)

Imaging to identify bone spurs, cysts, or other structural causes of ulnar nerve compression at the cubital tunnel.

VA or private records · written request
Treatment records (splinting, physical therapy, surgery)

Records showing conservative treatment attempts (night splinting, NSAIDs, activity modification) and any surgical intervention (ulnar nerve transposition or decompression).

VA or private records · written request
03

Lay statements

0 of 1 collected
Buddy statement from spouse, family, or fellow service member

A written statement from someone who can describe observable symptoms and how your condition affects daily life.

You or a witness · VA Form 21-4138 or 21-10210How to get this →
04

Benefits questionnaire

0 of 1 collected
Completed DBQ Peripheral Nerves ConditionsCritical

Standardized form capturing ulnar nerve involvement severity, sensory and motor deficits, and functional impact.

Provider-completed · VA DBQ formHow to get this →
05

Service records

0 of 1 collected
Service treatment records (STRs)Critical

Military medical records showing in-service treatment, complaints, or injuries related to this condition.

NPRC / milConnect · SF-180

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