Is medial elbow pain correlated with cubital tunnel syndrome? An electrodiagnostic study.

Autor: Speach DP; Department of Orthopaedic Surgery, University of Rochester Medical Center, 601 Elmwood Avenue, Box 665, Rochester, New York, 14642, USA., Lee DJ; Department of Orthopaedic Surgery, University of Rochester Medical Center, 601 Elmwood Avenue, Box 665, Rochester, New York, 14642, USA., Reed JD; Department of Orthopaedic Surgery, University of Rochester Medical Center, 601 Elmwood Avenue, Box 665, Rochester, New York, 14642, USA., Palmer BA; Center for Orthopedics, St. Clair Hospital, Pittsburgh, Pennsylvania, USA., Abt P; Department of Orthopaedic Surgery, University of Rochester Medical Center, 601 Elmwood Avenue, Box 665, Rochester, New York, 14642, USA., Elfar JC; Department of Orthopaedic Surgery, University of Rochester Medical Center, 601 Elmwood Avenue, Box 665, Rochester, New York, 14642, USA.
Jazyk: angličtina
Zdroj: Muscle & nerve [Muscle Nerve] 2016 Feb; Vol. 53 (2), pp. 252-4. Date of Electronic Publication: 2015 Jun 19.
DOI: 10.1002/mus.24719
Abstrakt: Introduction: Medial elbow pain is often considered to be a symptom associated with ulnar neuropathy at the elbow (UNE). We examined the relationship between medial elbow pain and a positive electrodiagnostic (EDx) test result for UNE.
Methods: We performed a retrospective review of 884 patients referred for EDx evaluation of UNE. Regression models were used to determine the odds ratios between clinical findings and a positive EDx result for UNE.
Results: Patients reported medial elbow pain in 44.3% of cases. Clinical factors that correlated with a positive EDx study result for UNE included male gender, small and ring finger numbness, ulnar intrinsic weakness, and age. Medial elbow pain was negatively correlated with a positive EDx result.
Conclusions: This study demonstrates a negative correlation between medial elbow pain and a positive EDx result for UNE. Medial elbow pain should not be considered a clear diagnostic symptom of UNE.
(© 2015 Wiley Periodicals, Inc.)
Databáze: MEDLINE
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