Length of affected nerve segment in ulnar neuropathies at the elbow.

Autor: Podnar S; Institute of Clinical Neurophysiology, Division of Neurology, University Medical Centre Ljubljana, Slovenia. Electronic address: simon.podnar@kclj.si.
Jazyk: angličtina
Zdroj: Clinical neurophysiology : official journal of the International Federation of Clinical Neurophysiology [Clin Neurophysiol] 2022 Jan; Vol. 133, pp. 104-110. Date of Electronic Publication: 2021 Nov 09.
DOI: 10.1016/j.clinph.2021.10.010
Abstrakt: Objective: To establish length of the affected nerve segment (LANS) in ulnar neuropathy at the elbow (UNE).
Methods: In a group of our previously reported UNE patients we identified 2-cm segments with reduced motor nerve conduction velocity (MNCV) on electrodiagnostic (EDx) studies and increased nerve cross-sectional areas (CSA) on ultrasonographic (US) studies. LANS was obtained by summation of these abnormal 2-cm segments separately for each approach. We also studied effect of selected independent parameters on LANS.
Results: Altogether we studied 189 patients (194 arms). Mean (SD) LANS determined in 171 arms with reduced ulnar MNCV was 4.15 (1.89) cm, and was similar (p = 0. 21) to LANS obtained in 147 arms with increased CSA 4.46 (2.29) cm. Longer LANS were found in right arms, clinically severe UNE, axonal UNE and UNE due to entrapment. The most commonly affected 6 cm segment included 89% of abnormal 2-cm segments, with 50% of included 2-cm segments being normal. By contrast, the whole 10 cm segment included all abnormal 2-cm segments, with 66% of included segments being normal.
Conclusions: In UNE both EDx and US studies revealed average LANS of around 4 cm. LANS was longer in more severe UNE.
Significance: LANS needs to be taken into account in discussion of the mechanisms of UNE and approach to EDx diagnosis of UNE, particularly length of the segment used in nerve conduction studies across the elbow.
Competing Interests: Declaration of Competing Interest The authors declare that they have no known competing financial interests or personal relationships that could have appeared to influence the work reported in this paper.
(Copyright © 2021 International Federation of Clinical Neurophysiology. Published by Elsevier B.V. All rights reserved.)
Databáze: MEDLINE
Externí odkaz: