Evidence Checklist: Ulnar Nerve Entrapment (Cubital Tunnel Syndrome)

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.

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.

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.

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.

Treatment records (elbow padding, splinting, surgical transposition)

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

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.

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.

Completed DBQ Peripheral Nerves ConditionsCritical

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

Service treatment records (STRs)Critical

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