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 |
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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 |
doi_str_mv | 10.1002/mus.27129 |
format | Article |
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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 < .05); whole transverse thenar thickness was moderate to highly correlated with pinch strengths (r = 0.724‐0.836; P < .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 & 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 & 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 & 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 < .05); whole transverse thenar thickness was moderate to highly correlated with pinch strengths (r = 0.724‐0.836; P < .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><subject>Adolescent</subject><subject>Adult</subject><subject>Correlation</subject><subject>Cross-Sectional Studies</subject><subject>Elbow</subject><subject>Female</subject><subject>Forearm Injuries - physiopathology</subject><subject>Forearm Injuries - surgery</subject><subject>Hand - innervation</subject><subject>Hand Strength - physiology</subject><subject>Hands</subject><subject>Humans</subject><subject>Male</subject><subject>Median nerve</subject><subject>Median Nerve - injuries</subject><subject>Median Nerve - surgery</subject><subject>median nerve, muscle strength, muscle thickness, muscle ultrasound, peripheral nerve injury, ulnar nerve, upper extremity</subject><subject>Middle Aged</subject><subject>Muscle Strength</subject><subject>Muscle Strength Dynamometer</subject><subject>Muscle, Skeletal - diagnostic imaging</subject><subject>Muscle, Skeletal - pathology</subject><subject>Muscle, Skeletal - physiopathology</subject><subject>Neurosurgical Procedures</subject><subject>Organ Size</subject><subject>Peripheral Nerve Injuries - physiopathology</subject><subject>Peripheral Nerve Injuries - surgery</subject><subject>Pinch Strength - physiology</subject><subject>Prospective Studies</subject><subject>Reconstruction</subject><subject>Reconstructive Surgical Procedures</subject><subject>Recovery of Function</subject><subject>Thickness measurement</subject><subject>Treatment Outcome</subject><subject>Ulnar Nerve - injuries</subject><subject>Ulnar Nerve - surgery</subject><subject>Ultrasound</subject><subject>Young Adult</subject><issn>0148-639X</issn><issn>1097-4598</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2021</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp10d1qFDEUwPEgit1WL3wBCXhjL6bNx-TrshRtCxXBtuDdkMme2Z2aSbZJxqXP4EubZVsRwatA-PE_IQehd5ScUELY6TTnE6YoMy_QghKjmlYY_RItCG11I7n5foAOc74nhFAt1Wt0wDlrWyXVAv36Bt6WMYa8Hje4h7IFCHj2JdkcQ1wlu1mPDq9tWOI6xnnApV78CJAznsDmOcEEoWT8l8glQViVNR6i93E7hlWly9EGHFNtB5twgPQTcAJXJ5c0u90T3qBXg_UZ3j6dR-ju86fb88vm-uvF1fnZdeO41qZhTELPhBpALbmwxjKiJRCtheBu0CAZ7bntFaF2GLhRlvQg6FIK1xtmKONH6OO-u0nxYYZcumnMDry3AeKcO9ZK0bZSGVrph3_ofZxTqK-rypBaJ4JXdbxXLsWcEwzdJo2TTY8dJd1uQ920y-42VO37p-Lc10_5I59XUsHpHmxHD4__L3Vf7m72yd_CNZ5f</recordid><startdate>202103</startdate><enddate>202103</enddate><creator>Misirlioglu, Tugce Ozekli</creator><creator>Palamar, Deniz</creator><creator>Taskiran, Ozden Ozyemisci</creator><creator>Terlemez, Rana</creator><creator>Akgun, Kenan</creator><general>John Wiley & Sons, Inc</general><general>Wiley Subscription Services, Inc</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7T5</scope><scope>7TK</scope><scope>7TM</scope><scope>7TS</scope><scope>7U7</scope><scope>7U9</scope><scope>C1K</scope><scope>H94</scope><scope>K9.</scope><scope>NAPCQ</scope><scope>7X8</scope><orcidid>https://orcid.org/0000-0002-4378-5907</orcidid></search><sort><creationdate>202103</creationdate><title>Relationship between ultrasonographic hand muscle thickness measurements and muscle strength following median or ulnar nerve reconstruction</title><author>Misirlioglu, Tugce Ozekli ; Palamar, Deniz ; Taskiran, Ozden Ozyemisci ; Terlemez, Rana ; Akgun, Kenan</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c3889-226eb257fe7d35a9a2086e088553cf8e621b3ab701aff397a0be51d65cb929123</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2021</creationdate><topic>Adolescent</topic><topic>Adult</topic><topic>Correlation</topic><topic>Cross-Sectional Studies</topic><topic>Elbow</topic><topic>Female</topic><topic>Forearm Injuries - physiopathology</topic><topic>Forearm Injuries - surgery</topic><topic>Hand - innervation</topic><topic>Hand Strength - physiology</topic><topic>Hands</topic><topic>Humans</topic><topic>Male</topic><topic>Median nerve</topic><topic>Median Nerve - injuries</topic><topic>Median Nerve - surgery</topic><topic>median nerve, muscle strength, muscle thickness, muscle ultrasound, peripheral nerve injury, ulnar nerve, upper extremity</topic><topic>Middle Aged</topic><topic>Muscle Strength</topic><topic>Muscle Strength Dynamometer</topic><topic>Muscle, Skeletal - diagnostic imaging</topic><topic>Muscle, Skeletal - pathology</topic><topic>Muscle, Skeletal - physiopathology</topic><topic>Neurosurgical Procedures</topic><topic>Organ Size</topic><topic>Peripheral Nerve Injuries - physiopathology</topic><topic>Peripheral Nerve Injuries - surgery</topic><topic>Pinch Strength - physiology</topic><topic>Prospective Studies</topic><topic>Reconstruction</topic><topic>Reconstructive Surgical Procedures</topic><topic>Recovery of Function</topic><topic>Thickness measurement</topic><topic>Treatment Outcome</topic><topic>Ulnar Nerve - injuries</topic><topic>Ulnar Nerve - surgery</topic><topic>Ultrasound</topic><topic>Young Adult</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Misirlioglu, Tugce Ozekli</creatorcontrib><creatorcontrib>Palamar, Deniz</creatorcontrib><creatorcontrib>Taskiran, Ozden Ozyemisci</creatorcontrib><creatorcontrib>Terlemez, Rana</creatorcontrib><creatorcontrib>Akgun, Kenan</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>Immunology Abstracts</collection><collection>Neurosciences Abstracts</collection><collection>Nucleic Acids Abstracts</collection><collection>Physical Education Index</collection><collection>Toxicology Abstracts</collection><collection>Virology and AIDS Abstracts</collection><collection>Environmental Sciences and Pollution Management</collection><collection>AIDS and Cancer Research Abstracts</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Nursing & Allied Health Premium</collection><collection>MEDLINE - Academic</collection><jtitle>Muscle & 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 & 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 < .05); whole transverse thenar thickness was moderate to highly correlated with pinch strengths (r = 0.724‐0.836; P < .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 & 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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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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