Clinical Features and Electrodiagnosis of Ulnar Neuropathies

被引：53
作者：
Landau, Mark E. [1 ]
Campbell, William W. [2 ]
机构：
[1] Walter Reed Natl Mil Med Ctr, Dept Neurol, Bethesda, MD 20815 USA
[2] Uniformed Serv Univ Hlth Sci, Dept Neurol, Bethesda, MD 20814 USA
来源：
PHYSICAL MEDICINE AND REHABILITATION CLINICS OF NORTH AMERICA | 2013年 / 24卷 / 01期
关键词：
Ulnar neuropathy; Electrodiagnosis; EMG; Sensitivity; Specificity; NERVE-CONDUCTION VELOCITY; FLEXOR CARPI ULNARIS; CUBITAL TUNNEL-SYNDROME; BODY-MASS INDEX; ANTERIOR TRANSPOSITION; EXPERIMENTAL ERROR; MOTOR CONDUCTION; ELBOW; LESIONS; ENTRAPMENT;
D O I：
10.1016/j.pmr.2012.08.019
中图分类号：
R49 [康复医学];
学科分类号：
100215 ;
摘要：
In this review, we delineate clinical, electrodiagnostic, and radiographic features of ulnar mononeuropathies. Ulnar neuropathy at the elbow (UNE) is most commonly due to lesions at the level of the retroepicondylar groove (RTC), with approximately 25% at the humeroulnar arcade (HUA). The term 'cubital tunnel syndrome' should be reserved for the latter. The diagnostic accuracy of nerve conduction studies is limited by biological (e.g. low elbow temperature) and technical factors. Across-elbow distance measurements greater than 10 cm improve diagnostic specificity at the expense of decreased sensitivity. Short-segment incremental studies can differentiate lesions at the HUA from those at the RTC.
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页码：49 / +
页数：19
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