Relationship between ultrasonographic hand muscle thickness measurements and muscle strength following median or ulnar nerve reconstruction

Introduction The aim of this study was to assess the relationship between ultrasonographic hand muscle thickness measurements and hand muscle strength in patients who underwent median or ulnar nerve reconstruction. Methods In this prospective, cross‐sectional study, intrinsic hand muscle thicknesses...

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Veröffentlicht in:Muscle & nerve 2021-03, Vol.63 (3), p.351-356
Hauptverfasser: Misirlioglu, Tugce Ozekli, Palamar, Deniz, Taskiran, Ozden Ozyemisci, Terlemez, Rana, Akgun, Kenan
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container_start_page 351
container_title Muscle & nerve
container_volume 63
creator Misirlioglu, Tugce Ozekli
Palamar, Deniz
Taskiran, Ozden Ozyemisci
Terlemez, Rana
Akgun, Kenan
description Introduction The aim of this study was to assess the relationship between ultrasonographic hand muscle thickness measurements and hand muscle strength in patients who underwent median or ulnar nerve reconstruction. Methods In this prospective, cross‐sectional study, intrinsic hand muscle thicknesses were measured using ultrasound with a 4‐ to 13‐MHz linear‐array probe. Measurements of hand strength were performed using a dynamometer and a pinchmeter. Results In the median nerve group (n = 11), a moderate correlation (r = 0.694; P = .018) was observed between lateral pinch strength and transverse thenar thickness. In the ulnar nerve group (n = 11), longitudinal thenar thickness below the flexor pollicis longus tendon was moderate to highly correlated with pinch and handgrip strengths (r = 0.726‐0.893; P 
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Methods In this prospective, cross‐sectional study, intrinsic hand muscle thicknesses were measured using ultrasound with a 4‐ to 13‐MHz linear‐array probe. Measurements of hand strength were performed using a dynamometer and a pinchmeter. Results In the median nerve group (n = 11), a moderate correlation (r = 0.694; P = .018) was observed between lateral pinch strength and transverse thenar thickness. In the ulnar nerve group (n = 11), longitudinal thenar thickness below the flexor pollicis longus tendon was moderate to highly correlated with pinch and handgrip strengths (r = 0.726‐0.893; P &lt; .05); whole transverse thenar thickness was moderate to highly correlated with pinch strengths (r = 0.724‐0.836; P &lt; .05). Discussion Sonographic measurements of intrinsic hand muscle thickness may be a useful tool for the assessment and follow‐up of patients with median or ulnar nerve injury.</description><identifier>ISSN: 0148-639X</identifier><identifier>EISSN: 1097-4598</identifier><identifier>DOI: 10.1002/mus.27129</identifier><identifier>PMID: 33244767</identifier><language>eng</language><publisher>Hoboken, USA: John Wiley &amp; Sons, Inc</publisher><subject>Adolescent ; Adult ; Correlation ; Cross-Sectional Studies ; Elbow ; Female ; Forearm Injuries - physiopathology ; Forearm Injuries - surgery ; Hand - innervation ; Hand Strength - physiology ; Hands ; Humans ; Male ; Median nerve ; Median Nerve - injuries ; Median Nerve - surgery ; median nerve, muscle strength, muscle thickness, muscle ultrasound, peripheral nerve injury, ulnar nerve, upper extremity ; Middle Aged ; Muscle Strength ; Muscle Strength Dynamometer ; Muscle, Skeletal - diagnostic imaging ; Muscle, Skeletal - pathology ; Muscle, Skeletal - physiopathology ; Neurosurgical Procedures ; Organ Size ; Peripheral Nerve Injuries - physiopathology ; Peripheral Nerve Injuries - surgery ; Pinch Strength - physiology ; Prospective Studies ; Reconstruction ; Reconstructive Surgical Procedures ; Recovery of Function ; Thickness measurement ; Treatment Outcome ; Ulnar Nerve - injuries ; Ulnar Nerve - surgery ; Ultrasound ; Young Adult</subject><ispartof>Muscle &amp; nerve, 2021-03, Vol.63 (3), p.351-356</ispartof><rights>2020 Wiley Periodicals LLC</rights><rights>2020 Wiley Periodicals LLC.</rights><rights>2021 Wiley Periodicals, LLC.</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c3889-226eb257fe7d35a9a2086e088553cf8e621b3ab701aff397a0be51d65cb929123</citedby><cites>FETCH-LOGICAL-c3889-226eb257fe7d35a9a2086e088553cf8e621b3ab701aff397a0be51d65cb929123</cites><orcidid>0000-0002-4378-5907</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://onlinelibrary.wiley.com/doi/pdf/10.1002%2Fmus.27129$$EPDF$$P50$$Gwiley$$H</linktopdf><linktohtml>$$Uhttps://onlinelibrary.wiley.com/doi/full/10.1002%2Fmus.27129$$EHTML$$P50$$Gwiley$$H</linktohtml><link.rule.ids>314,776,780,1411,27903,27904,45553,45554</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/33244767$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Misirlioglu, Tugce Ozekli</creatorcontrib><creatorcontrib>Palamar, Deniz</creatorcontrib><creatorcontrib>Taskiran, Ozden Ozyemisci</creatorcontrib><creatorcontrib>Terlemez, Rana</creatorcontrib><creatorcontrib>Akgun, Kenan</creatorcontrib><title>Relationship between ultrasonographic hand muscle thickness measurements and muscle strength following median or ulnar nerve reconstruction</title><title>Muscle &amp; nerve</title><addtitle>Muscle Nerve</addtitle><description>Introduction The aim of this study was to assess the relationship between ultrasonographic hand muscle thickness measurements and hand muscle strength in patients who underwent median or ulnar nerve reconstruction. Methods In this prospective, cross‐sectional study, intrinsic hand muscle thicknesses were measured using ultrasound with a 4‐ to 13‐MHz linear‐array probe. Measurements of hand strength were performed using a dynamometer and a pinchmeter. Results In the median nerve group (n = 11), a moderate correlation (r = 0.694; P = .018) was observed between lateral pinch strength and transverse thenar thickness. In the ulnar nerve group (n = 11), longitudinal thenar thickness below the flexor pollicis longus tendon was moderate to highly correlated with pinch and handgrip strengths (r = 0.726‐0.893; P &lt; .05); whole transverse thenar thickness was moderate to highly correlated with pinch strengths (r = 0.724‐0.836; P &lt; .05). 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Medical Complete (Alumni)</collection><collection>Nursing &amp; Allied Health Premium</collection><collection>MEDLINE - Academic</collection><jtitle>Muscle &amp; nerve</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Misirlioglu, Tugce Ozekli</au><au>Palamar, Deniz</au><au>Taskiran, Ozden Ozyemisci</au><au>Terlemez, Rana</au><au>Akgun, Kenan</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Relationship between ultrasonographic hand muscle thickness measurements and muscle strength following median or ulnar nerve reconstruction</atitle><jtitle>Muscle &amp; nerve</jtitle><addtitle>Muscle Nerve</addtitle><date>2021-03</date><risdate>2021</risdate><volume>63</volume><issue>3</issue><spage>351</spage><epage>356</epage><pages>351-356</pages><issn>0148-639X</issn><eissn>1097-4598</eissn><abstract>Introduction The aim of this study was to assess the relationship between ultrasonographic hand muscle thickness measurements and hand muscle strength in patients who underwent median or ulnar nerve reconstruction. Methods In this prospective, cross‐sectional study, intrinsic hand muscle thicknesses were measured using ultrasound with a 4‐ to 13‐MHz linear‐array probe. Measurements of hand strength were performed using a dynamometer and a pinchmeter. Results In the median nerve group (n = 11), a moderate correlation (r = 0.694; P = .018) was observed between lateral pinch strength and transverse thenar thickness. In the ulnar nerve group (n = 11), longitudinal thenar thickness below the flexor pollicis longus tendon was moderate to highly correlated with pinch and handgrip strengths (r = 0.726‐0.893; P &lt; .05); whole transverse thenar thickness was moderate to highly correlated with pinch strengths (r = 0.724‐0.836; P &lt; .05). Discussion Sonographic measurements of intrinsic hand muscle thickness may be a useful tool for the assessment and follow‐up of patients with median or ulnar nerve injury.</abstract><cop>Hoboken, USA</cop><pub>John Wiley &amp; Sons, Inc</pub><pmid>33244767</pmid><doi>10.1002/mus.27129</doi><tpages>6</tpages><orcidid>https://orcid.org/0000-0002-4378-5907</orcidid><oa>free_for_read</oa></addata></record>
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source MEDLINE; Wiley Online Library Journals Frontfile Complete
subjects Adolescent
Adult
Correlation
Cross-Sectional Studies
Elbow
Female
Forearm Injuries - physiopathology
Forearm Injuries - surgery
Hand - innervation
Hand Strength - physiology
Hands
Humans
Male
Median nerve
Median Nerve - injuries
Median Nerve - surgery
median nerve, muscle strength, muscle thickness, muscle ultrasound, peripheral nerve injury, ulnar nerve, upper extremity
Middle Aged
Muscle Strength
Muscle Strength Dynamometer
Muscle, Skeletal - diagnostic imaging
Muscle, Skeletal - pathology
Muscle, Skeletal - physiopathology
Neurosurgical Procedures
Organ Size
Peripheral Nerve Injuries - physiopathology
Peripheral Nerve Injuries - surgery
Pinch Strength - physiology
Prospective Studies
Reconstruction
Reconstructive Surgical Procedures
Recovery of Function
Thickness measurement
Treatment Outcome
Ulnar Nerve - injuries
Ulnar Nerve - surgery
Ultrasound
Young Adult
title Relationship between ultrasonographic hand muscle thickness measurements and muscle strength following median or ulnar nerve reconstruction
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