Nerve conduction velocity and cross-sectional area in ulnar neuropathy at the elbow

被引:19
作者
Podnar, Simon [1 ]
Omejec, Gregor [1 ]
Bodor, Marko [2 ,3 ,4 ]
机构
[1] Univ Med Ctr Ljubljana, Inst Clin Neurophysiol, SI-1525 Ljubljana, Slovenia
[2] Univ Calif Davis, Dept Phys Med & Rehabil, Sacramento, CA 95817 USA
[3] Univ Calif San Francisco, Dept Neurol Surg, San Francisco, CA 94143 USA
[4] Intervent Spine & Sports Med, Napa, CA USA
关键词
nerve conduction studies; nerve conduction velocity; nerve cross-sectional area; ulnar neuropathy at the elbow; ultrasonography; ULTRASONOGRAPHY; ULTRASOUND; ENLARGEMENTS; LOCALIZATION; SEGMENT;
D O I
10.1002/mus.25655
中图分类号
R74 [神经病学与精神病学];
学科分类号
摘要
IntroductionIn the precise localization of ulnar neuropathy at the elbow (UNE) we have noted discrepancies between electrodiagnostic (EDx) and ultrasonographic (US) findings. We aimed to explore the relationship between the 2 techniques. MethodsFour study-blind examiners took a history and performed neurologic, EDx, and US examinations of a group of prospectively recruited patients with UNE. They assessed the relationship between ulnar nerve cross-sectional area (CSA) and motor nerve conduction velocity (MNCV). ResultsIn 106 patients with UNE at the retrocondylar (RTC) groove, the highest CSA and lowest MNCV were noted in the same short segment. In 54 patients with UNE at the humeroulnar aponeurosis (HUA), the highest CSA and lowest MNCV were noted proximal to the HUA. DiscussionMNCV and CSA were highly correlated in UNE. Ulnar nerve slowing proximal to the entrapment at the HUA was surprising, but consistent with previous studies done on carpal tunnel syndrome. Muscle Nerve56: E65-E72, 2017
引用
收藏
页码:E65 / E72
页数:8
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