ULTRASONOGRAPHY IN ULNAR NEUROPATHY AT THE ELBOW: A CRITICAL REVIEW

被引：104
作者：
Beekman, Roy [1 ]
Visser, Leo H. [2 ]
Verhagen, Wim Im [3 ]
机构：
[1] Atrium Med Ctr, Dept Neurol, NL-6401 CX Heerlen, Netherlands
[2] Sint Elisabeth Hosp, Dept Neurol, Tilburg, Netherlands
[3] Canisius Wilhelmina Hosp Nijmegen, Dept Neurol, Nijmegen, Netherlands
来源：
MUSCLE & NERVE | 2011年 / 43卷 / 05期
关键词：
cubital tunnel syndrome; diagnosis; nerve conduction studies; ulnar neuropathy; ultrasonography; CUBITAL TUNNEL-SYNDROME; CROSS-SECTIONAL AREA; NERVE-CONDUCTION VELOCITY; PERIPHERAL-NERVES; EXPERIMENTAL ERROR; SWELLING RATIO; ULTRASOUND; DIAGNOSIS; COMPRESSION; DISLOCATION;
D O I：
10.1002/mus.22019
中图分类号：
R74 [神经病学与精神病学];
学科分类号：
摘要：
Introduction: Ultrasonography of the ulnar nerve has been recommended as a useful additional test in ulnar neuropathy at the elbow (UNE). Methods: We searched the literature and systemically reviewed all clinical trials in UNE. We also looked for articles about the normal sonoanatomy and specific causes of UNE. Results: Seven of 14 clinical trials in UNE were suitable for further analysis. Ultrasonographic ulnar nerve size measurement appears to be a test with good diagnostic accuracy. The most frequently reported abnormality was an increased cross-sectional area of the ulnar nerve at the elbow. However, several studies had methodological flaws. In addition, the ultrasonographic techniques and study designs differed among the studies. There were a few other uncontrolled studies about the underlying causes of UNE. Discussion: The role of ultrasonography in UNE seems promising but could not be firmly established. More prospective studies are needed, and we make several recommendations for further research. Muscle Nerve 43: 627-635, 2011
引用
收藏
页码：627 / 635
页数：9
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