High-resolution ultrasound in ulnar neuropathy at the elbow: A prospective study
ABSTRACT Introduction We examined the role of ultrasound in diagnosing and localizing ulnar neuropathy (UN) at the elbow. Methods Forty‐one patients referred for UN and 43 healthy subjects were included. Cross‐sectional area (CSA) of the ulnar nerve was measured by ultrasound at 5 locations across t...
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| Published in | Muscle & nerve Vol. 52; no. 5; pp. 759 - 766 |
|---|---|
| Main Authors | , , , , |
| Format | Journal Article |
| Language | English |
| Published |
United States
Blackwell Publishing Ltd
01.11.2015
Wiley Subscription Services, Inc |
| Subjects | |
| Online Access | Get full text |
| ISSN | 0148-639X 1097-4598 |
| DOI | 10.1002/mus.24638 |
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| Abstract | ABSTRACT
Introduction
We examined the role of ultrasound in diagnosing and localizing ulnar neuropathy (UN) at the elbow.
Methods
Forty‐one patients referred for UN and 43 healthy subjects were included. Cross‐sectional area (CSA) of the ulnar nerve was measured by ultrasound at 5 locations across the elbow and at the wrist. Patients underwent near‐nerve conduction studies (N‐NCS).
Results
Ultrasound (US) had a sensitivity of 80.5%, N‐NCS had a sensitivity of 70.7%, and combined sensitivity was 85.4% in diagnosing UN. Using N‐NCS as a reference standard, US reached a sensitivity of 93.1% and a specificity of 50.0% in diagnosing UN, and a sensitivity of 77.3% and a specificity of 42.9% in localizing UN at the elbow. There was a reduction in mean CSA at 3‐month follow‐up.
Conclusions
N‐NCS and US are complementary methods and have the potential to increase the sensitivity for diagnosing and localizing UN at the elbow. Muscle Nerve 52: 759–766, 2015 |
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| AbstractList | INTRODUCTIONWe examined the role of ultrasound in diagnosing and localizing ulnar neuropathy (UN) at the elbow.METHODSForty-one patients referred for UN and 43 healthy subjects were included. Cross-sectional area (CSA) of the ulnar nerve was measured by ultrasound at 5 locations across the elbow and at the wrist. Patients underwent near-nerve conduction studies (N-NCS).RESULTSUltrasound (US) had a sensitivity of 80.5%, N-NCS had a sensitivity of 70.7%, and combined sensitivity was 85.4% in diagnosing UN. Using N-NCS as a reference standard, US reached a sensitivity of 93.1% and a specificity of 50.0% in diagnosing UN, and a sensitivity of 77.3% and a specificity of 42.9% in localizing UN at the elbow. There was a reduction in mean CSA at 3-month follow-up.CONCLUSIONSN-NCS and US are complementary methods and have the potential to increase the sensitivity for diagnosing and localizing UN at the elbow. ABSTRACT Introduction We examined the role of ultrasound in diagnosing and localizing ulnar neuropathy (UN) at the elbow. Methods Forty‐one patients referred for UN and 43 healthy subjects were included. Cross‐sectional area (CSA) of the ulnar nerve was measured by ultrasound at 5 locations across the elbow and at the wrist. Patients underwent near‐nerve conduction studies (N‐NCS). Results Ultrasound (US) had a sensitivity of 80.5%, N‐NCS had a sensitivity of 70.7%, and combined sensitivity was 85.4% in diagnosing UN. Using N‐NCS as a reference standard, US reached a sensitivity of 93.1% and a specificity of 50.0% in diagnosing UN, and a sensitivity of 77.3% and a specificity of 42.9% in localizing UN at the elbow. There was a reduction in mean CSA at 3‐month follow‐up. Conclusions N‐NCS and US are complementary methods and have the potential to increase the sensitivity for diagnosing and localizing UN at the elbow. Muscle Nerve 52: 759–766, 2015 We examined the role of ultrasound in diagnosing and localizing ulnar neuropathy (UN) at the elbow. Forty-one patients referred for UN and 43 healthy subjects were included. Cross-sectional area (CSA) of the ulnar nerve was measured by ultrasound at 5 locations across the elbow and at the wrist. Patients underwent near-nerve conduction studies (N-NCS). Ultrasound (US) had a sensitivity of 80.5%, N-NCS had a sensitivity of 70.7%, and combined sensitivity was 85.4% in diagnosing UN. Using N-NCS as a reference standard, US reached a sensitivity of 93.1% and a specificity of 50.0% in diagnosing UN, and a sensitivity of 77.3% and a specificity of 42.9% in localizing UN at the elbow. There was a reduction in mean CSA at 3-month follow-up. N-NCS and US are complementary methods and have the potential to increase the sensitivity for diagnosing and localizing UN at the elbow. Introduction We examined the role of ultrasound in diagnosing and localizing ulnar neuropathy (UN) at the elbow. Methods Forty-one patients referred for UN and 43 healthy subjects were included. Cross-sectional area (CSA) of the ulnar nerve was measured by ultrasound at 5 locations across the elbow and at the wrist. Patients underwent near-nerve conduction studies (N-NCS). Results Ultrasound (US) had a sensitivity of 80.5%, N-NCS had a sensitivity of 70.7%, and combined sensitivity was 85.4% in diagnosing UN. Using N-NCS as a reference standard, US reached a sensitivity of 93.1% and a specificity of 50.0% in diagnosing UN, and a sensitivity of 77.3% and a specificity of 42.9% in localizing UN at the elbow. There was a reduction in mean CSA at 3-month follow-up. Conclusions N-NCS and US are complementary methods and have the potential to increase the sensitivity for diagnosing and localizing UN at the elbow. Muscle Nerve 52: 759-766, 2015 |
| Author | Johnsen, Birger Ellegaard, Hanne R. Fuglsang-Frederiksen, Anders Hess, Alexander Qerama, Erisela |
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| Keywords | follow-up diagnosis ulnar neuropathy ultrasound nerve conduction studies |
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| References_xml | – reference: Tajika T, Kobayashi T, Yamamoto A, Kaneko T, Takagishi K. Diagnostic utility of sonography and correlation between sonographic and clinical findings in patients with carpal tunnel syndrome. J Ultrasound Med 2013;32:1987-1993. – reference: Frost P, Johnsen B, Fuglsang-Frederiksen A, Svendsen SW. Lifestyle risk factors for ulnar neuropathy and ulnar neuropathy-like symptoms. Muscle Nerve 2013;48:507-515. – reference: Bossuyt PM, Reitsma JB, Bruns DE, Gatsonis CA, Glasziou PP, Irwig LM, et al. Towards complete and accurate reporting of studies of diagnostic accuracy: the STARD initiative. BMJ 2003;326:41-44. – reference: Szabo RM, Kwak C. Natural history and conservative management of cubital tunnel syndrome. Hand Clin 2007;23:311-318, v-vi. – reference: Volpe A, Rossato G, Bottanelli M, Marchetta A, Caramaschi P, Bambara LM, et al. Ultrasound evaluation of ulnar neuropathy at the elbow: correlation with electrophysiological studies. 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| Snippet | ABSTRACT
Introduction
We examined the role of ultrasound in diagnosing and localizing ulnar neuropathy (UN) at the elbow.
Methods
Forty‐one patients referred... We examined the role of ultrasound in diagnosing and localizing ulnar neuropathy (UN) at the elbow. Forty-one patients referred for UN and 43 healthy subjects... Introduction We examined the role of ultrasound in diagnosing and localizing ulnar neuropathy (UN) at the elbow. Methods Forty-one patients referred for UN and... INTRODUCTIONWe examined the role of ultrasound in diagnosing and localizing ulnar neuropathy (UN) at the elbow.METHODSForty-one patients referred for UN and 43... |
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| SubjectTerms | Adult diagnosis Elbow Elbow Joint - diagnostic imaging Female follow-up Follow-Up Studies Humans Male Middle Aged nerve conduction studies Prospective Studies Single-Blind Method Ulnar Nerve - diagnostic imaging Ulnar Neuropathies - diagnostic imaging ulnar neuropathy Ultrasonic imaging Ultrasonography ultrasound |
| Title | High-resolution ultrasound in ulnar neuropathy at the elbow: A prospective study |
| URI | https://api.istex.fr/ark:/67375/WNG-GM5DRP72-1/fulltext.pdf https://onlinelibrary.wiley.com/doi/abs/10.1002%2Fmus.24638 https://www.ncbi.nlm.nih.gov/pubmed/25736843 https://www.proquest.com/docview/1719239823 https://www.proquest.com/docview/1720452596 https://www.proquest.com/docview/1753491257 |
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