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Evidence checklist

Ulnar Nerve Entrapment (Cubital Tunnel Syndrome)

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
EMG/nerve conduction study confirming ulnar nerve entrapmentCritical

Electrodiagnostic testing showing slowed ulnar nerve conduction velocity across the elbow and/or denervation in ulnar-innervated intrinsic hand muscles.

Private provider · independent opinion
Nexus opinion linking ulnar nerve entrapment to service ("at least as likely as not")Critical

Medical opinion connecting ulnar nerve entrapment to repetitive elbow flexion during military duties, direct elbow trauma, or a service-connected elbow condition.

Private provider · independent opinion
Neurological examination documenting intrinsic hand weakness and sensory lossCritical

Examination documenting ring/little finger numbness and tingling, hypothenar and interossei muscle wasting, grip strength deficit, and Froment's sign.

Private provider · independent opinion
02

Treatment records

0 of 2 collected
Documentation of dominant vs. non-dominant armCritical

Medical records noting which arm is dominant. Under DC 8516 (ulnar nerve), the major (dominant) extremity receives a higher rating.

VA or private records · written request
Treatment records (elbow padding, splinting, surgical transposition)

Records of conservative treatment and ulnar nerve transposition or medial epicondylectomy surgery with postoperative functional results.

VA or private records · written request
03

Lay statements

0 of 2 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 →
Personal statement describing symptoms and functional impact

Your own written account of how this condition affects your daily activities, work, and relationships. Describe your worst days.

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

VA standardized form for DC 8516 (ulnar nerve) capturing sensory loss distribution, intrinsic hand strength, and functional impairment.

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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