Ultrasonography in patients with ulnar neuropathy at the elbow: Comparison of cross-sectional area and swelling ratio with electrophysiological severity
The aim of this study was to determine the diagnostic value of ultrasonographic measurements in ulnar neuropathy at the elbow (UNE) and to assess the relationship between the measurements and the electrophysiological severity. The largest anteroposterior diameter (LAPD) and cross‐sectional area (CSA...
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| Veröffentlicht in: | Muscle & nerve 2010-05, Vol.41 (5), p.661-666 |
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| creator | Bayrak, Ayse Oytun Bayrak, Ilkay Koray Turker, Hande Elmali, Muzaffer Nural, Mehmet Selim |
| description | The aim of this study was to determine the diagnostic value of ultrasonographic measurements in ulnar neuropathy at the elbow (UNE) and to assess the relationship between the measurements and the electrophysiological severity. The largest anteroposterior diameter (LAPD) and cross‐sectional area (CSA) measurements of the ulnar nerve were noted at multiple levels along the arm, and the distal‐to‐proximal ratios were calculated. Almost all of the measurements and swelling ratios between patients and controls showed statistically significant differences. The largest CSA, distal/largest CSA ratio, CSA at the epicondyle, and proximal LAPD had larger areas under the curve than other measurements. The sensitivity and specificity in diagnosing UNE were 95% and 71% for the largest CSA, 83% and 85% for the distal/largest CSA ratio, 83% and 81% for the CSA at the epicondyle, and 93% and 43% for the proximal LAPD, respectively. There was a statistically significant correlation between the electrophysiological severity scale score (ESSS) and the largest CSA, the CSA at the epicondyle and 2 cm proximal to the epicondyle, and the LAPD at the level of the epicondyle (P < 0.05). None of the swelling ratios showed a significant correlation with the ESSS. The largest CSA measurement is the most valuable ultrasonographic measurement both for diagnosis and determining the severity of UNE. Muscle Nerve, 2010 |
| doi_str_mv | 10.1002/mus.21563 |
| format | Article |
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The largest anteroposterior diameter (LAPD) and cross‐sectional area (CSA) measurements of the ulnar nerve were noted at multiple levels along the arm, and the distal‐to‐proximal ratios were calculated. Almost all of the measurements and swelling ratios between patients and controls showed statistically significant differences. The largest CSA, distal/largest CSA ratio, CSA at the epicondyle, and proximal LAPD had larger areas under the curve than other measurements. The sensitivity and specificity in diagnosing UNE were 95% and 71% for the largest CSA, 83% and 85% for the distal/largest CSA ratio, 83% and 81% for the CSA at the epicondyle, and 93% and 43% for the proximal LAPD, respectively. There was a statistically significant correlation between the electrophysiological severity scale score (ESSS) and the largest CSA, the CSA at the epicondyle and 2 cm proximal to the epicondyle, and the LAPD at the level of the epicondyle (P < 0.05). None of the swelling ratios showed a significant correlation with the ESSS. The largest CSA measurement is the most valuable ultrasonographic measurement both for diagnosis and determining the severity of UNE. Muscle Nerve, 2010</description><identifier>ISSN: 0148-639X</identifier><identifier>EISSN: 1097-4598</identifier><identifier>DOI: 10.1002/mus.21563</identifier><identifier>PMID: 19941341</identifier><identifier>CODEN: MUNEDE</identifier><language>eng</language><publisher>Hoboken: Wiley Subscription Services, Inc., A Wiley Company</publisher><subject>Adolescent ; Adult ; Aged ; Anthropometry ; Biological and medical sciences ; Cranial nerves. Spinal roots. Peripheral nerves. Autonomic nervous system. Gustation. Olfaction ; Cubital Tunnel Syndrome - diagnostic imaging ; Cubital Tunnel Syndrome - pathology ; Cubital Tunnel Syndrome - physiopathology ; Decision Support Techniques ; Disability Evaluation ; Edema - diagnostic imaging ; Edema - pathology ; Edema - physiopathology ; elbow ; Electrodiagnosis ; Electromyography ; electrophysiology ; entrapment ; Female ; Humans ; Male ; Medical sciences ; Middle Aged ; Nervous system (semeiology, syndromes) ; Neural Conduction - physiology ; Neurology ; Predictive Value of Tests ; Reaction Time - physiology ; Reference Values ; Sensitivity and Specificity ; Severity of Illness Index ; Ulnar Nerve - diagnostic imaging ; Ulnar Nerve - pathology ; Ulnar Nerve - physiopathology ; ulnar neuropathy ; Ultrasonography ; Young Adult</subject><ispartof>Muscle & nerve, 2010-05, Vol.41 (5), p.661-666</ispartof><rights>Copyright © 2009 Wiley Periodicals, Inc.</rights><rights>2015 INIST-CNRS</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c4243-b15a059d2ba853d4017846ca2286d4e897b94d3f0afd363495f32004fc12bc9f3</citedby><cites>FETCH-LOGICAL-c4243-b15a059d2ba853d4017846ca2286d4e897b94d3f0afd363495f32004fc12bc9f3</cites></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.21563$$EPDF$$P50$$Gwiley$$H</linktopdf><linktohtml>$$Uhttps://onlinelibrary.wiley.com/doi/full/10.1002%2Fmus.21563$$EHTML$$P50$$Gwiley$$H</linktohtml><link.rule.ids>314,780,784,1417,27924,27925,45574,45575</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=22701481$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/19941341$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Bayrak, Ayse Oytun</creatorcontrib><creatorcontrib>Bayrak, Ilkay Koray</creatorcontrib><creatorcontrib>Turker, Hande</creatorcontrib><creatorcontrib>Elmali, Muzaffer</creatorcontrib><creatorcontrib>Nural, Mehmet Selim</creatorcontrib><title>Ultrasonography in patients with ulnar neuropathy at the elbow: Comparison of cross-sectional area and swelling ratio with electrophysiological severity</title><title>Muscle & nerve</title><addtitle>Muscle Nerve</addtitle><description>The aim of this study was to determine the diagnostic value of ultrasonographic measurements in ulnar neuropathy at the elbow (UNE) and to assess the relationship between the measurements and the electrophysiological severity. The largest anteroposterior diameter (LAPD) and cross‐sectional area (CSA) measurements of the ulnar nerve were noted at multiple levels along the arm, and the distal‐to‐proximal ratios were calculated. Almost all of the measurements and swelling ratios between patients and controls showed statistically significant differences. The largest CSA, distal/largest CSA ratio, CSA at the epicondyle, and proximal LAPD had larger areas under the curve than other measurements. The sensitivity and specificity in diagnosing UNE were 95% and 71% for the largest CSA, 83% and 85% for the distal/largest CSA ratio, 83% and 81% for the CSA at the epicondyle, and 93% and 43% for the proximal LAPD, respectively. There was a statistically significant correlation between the electrophysiological severity scale score (ESSS) and the largest CSA, the CSA at the epicondyle and 2 cm proximal to the epicondyle, and the LAPD at the level of the epicondyle (P < 0.05). None of the swelling ratios showed a significant correlation with the ESSS. The largest CSA measurement is the most valuable ultrasonographic measurement both for diagnosis and determining the severity of UNE. Muscle Nerve, 2010</description><subject>Adolescent</subject><subject>Adult</subject><subject>Aged</subject><subject>Anthropometry</subject><subject>Biological and medical sciences</subject><subject>Cranial nerves. Spinal roots. Peripheral nerves. Autonomic nervous system. Gustation. Olfaction</subject><subject>Cubital Tunnel Syndrome - diagnostic imaging</subject><subject>Cubital Tunnel Syndrome - pathology</subject><subject>Cubital Tunnel Syndrome - physiopathology</subject><subject>Decision Support Techniques</subject><subject>Disability Evaluation</subject><subject>Edema - diagnostic imaging</subject><subject>Edema - pathology</subject><subject>Edema - physiopathology</subject><subject>elbow</subject><subject>Electrodiagnosis</subject><subject>Electromyography</subject><subject>electrophysiology</subject><subject>entrapment</subject><subject>Female</subject><subject>Humans</subject><subject>Male</subject><subject>Medical sciences</subject><subject>Middle Aged</subject><subject>Nervous system (semeiology, syndromes)</subject><subject>Neural Conduction - physiology</subject><subject>Neurology</subject><subject>Predictive Value of Tests</subject><subject>Reaction Time - physiology</subject><subject>Reference Values</subject><subject>Sensitivity and Specificity</subject><subject>Severity of Illness Index</subject><subject>Ulnar Nerve - diagnostic imaging</subject><subject>Ulnar Nerve - pathology</subject><subject>Ulnar Nerve - physiopathology</subject><subject>ulnar neuropathy</subject><subject>Ultrasonography</subject><subject>Young Adult</subject><issn>0148-639X</issn><issn>1097-4598</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2010</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNqFkc1u1DAURi0EotPCghdA3iDEIq1_k5gdGkEHqQUhGIHYWE7izBg8drCdDnkTHhdPM5QVYuXFPd-51v0AeILROUaIXOzGeE4wL-k9sMBIVAXjor4PFgizuiip-HICTmP8hhDCdVk9BCdYCIYpwwvwa21TUNE7vwlq2E7QODioZLRLEe5N2sLROhWg02PweZAJlWDaaqht4_cv4dLvBhVMNkDfwzb4GIuo22S8UxaqoBVUroNxr601bgNDlvvZrG3msnU7ReOt35g2J6K-0cGk6RF40Csb9ePjewbWb15_Wq6Kq_eXb5evroqWEUaLBnOFuOhIo2pOO4ZwVbOyVYTUZcd0LapGsI72SPUdLSkTvKcEIda3mDSt6OkZeD57h-B_jDomuTOxzZ9VTvsxyoozzmvM6f9JSnHNEMWZfDGTt-cIupdDMDsVJomRPDQmc2PytrHMPj1ax2anu7_ksaIMPDsCKuYD9UG51sQ7jpDqUPOBu5i5vbF6-vdGeb3--Gd1MSdMTPrnXUKF77KsaMXl53eXcvWBEHq9-iox_Q2UK7-R</recordid><startdate>201005</startdate><enddate>201005</enddate><creator>Bayrak, Ayse Oytun</creator><creator>Bayrak, Ilkay Koray</creator><creator>Turker, Hande</creator><creator>Elmali, Muzaffer</creator><creator>Nural, Mehmet Selim</creator><general>Wiley Subscription Services, Inc., A Wiley Company</general><general>Wiley</general><scope>BSCLL</scope><scope>IQODW</scope><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>7X8</scope><scope>7TK</scope></search><sort><creationdate>201005</creationdate><title>Ultrasonography in patients with ulnar neuropathy at the elbow: Comparison of cross-sectional area and swelling ratio with electrophysiological severity</title><author>Bayrak, Ayse Oytun ; Bayrak, Ilkay Koray ; Turker, Hande ; Elmali, Muzaffer ; Nural, Mehmet Selim</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c4243-b15a059d2ba853d4017846ca2286d4e897b94d3f0afd363495f32004fc12bc9f3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2010</creationdate><topic>Adolescent</topic><topic>Adult</topic><topic>Aged</topic><topic>Anthropometry</topic><topic>Biological and medical sciences</topic><topic>Cranial nerves. Spinal roots. Peripheral nerves. Autonomic nervous system. Gustation. Olfaction</topic><topic>Cubital Tunnel Syndrome - diagnostic imaging</topic><topic>Cubital Tunnel Syndrome - pathology</topic><topic>Cubital Tunnel Syndrome - physiopathology</topic><topic>Decision Support Techniques</topic><topic>Disability Evaluation</topic><topic>Edema - diagnostic imaging</topic><topic>Edema - pathology</topic><topic>Edema - physiopathology</topic><topic>elbow</topic><topic>Electrodiagnosis</topic><topic>Electromyography</topic><topic>electrophysiology</topic><topic>entrapment</topic><topic>Female</topic><topic>Humans</topic><topic>Male</topic><topic>Medical sciences</topic><topic>Middle Aged</topic><topic>Nervous system (semeiology, syndromes)</topic><topic>Neural Conduction - physiology</topic><topic>Neurology</topic><topic>Predictive Value of Tests</topic><topic>Reaction Time - physiology</topic><topic>Reference Values</topic><topic>Sensitivity and Specificity</topic><topic>Severity of Illness Index</topic><topic>Ulnar Nerve - diagnostic imaging</topic><topic>Ulnar Nerve - pathology</topic><topic>Ulnar Nerve - physiopathology</topic><topic>ulnar neuropathy</topic><topic>Ultrasonography</topic><topic>Young Adult</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Bayrak, Ayse Oytun</creatorcontrib><creatorcontrib>Bayrak, Ilkay Koray</creatorcontrib><creatorcontrib>Turker, Hande</creatorcontrib><creatorcontrib>Elmali, Muzaffer</creatorcontrib><creatorcontrib>Nural, Mehmet Selim</creatorcontrib><collection>Istex</collection><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><collection>Neurosciences Abstracts</collection><jtitle>Muscle & nerve</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Bayrak, Ayse Oytun</au><au>Bayrak, Ilkay Koray</au><au>Turker, Hande</au><au>Elmali, Muzaffer</au><au>Nural, Mehmet Selim</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Ultrasonography in patients with ulnar neuropathy at the elbow: Comparison of cross-sectional area and swelling ratio with electrophysiological severity</atitle><jtitle>Muscle & nerve</jtitle><addtitle>Muscle Nerve</addtitle><date>2010-05</date><risdate>2010</risdate><volume>41</volume><issue>5</issue><spage>661</spage><epage>666</epage><pages>661-666</pages><issn>0148-639X</issn><eissn>1097-4598</eissn><coden>MUNEDE</coden><abstract>The aim of this study was to determine the diagnostic value of ultrasonographic measurements in ulnar neuropathy at the elbow (UNE) and to assess the relationship between the measurements and the electrophysiological severity. The largest anteroposterior diameter (LAPD) and cross‐sectional area (CSA) measurements of the ulnar nerve were noted at multiple levels along the arm, and the distal‐to‐proximal ratios were calculated. Almost all of the measurements and swelling ratios between patients and controls showed statistically significant differences. The largest CSA, distal/largest CSA ratio, CSA at the epicondyle, and proximal LAPD had larger areas under the curve than other measurements. The sensitivity and specificity in diagnosing UNE were 95% and 71% for the largest CSA, 83% and 85% for the distal/largest CSA ratio, 83% and 81% for the CSA at the epicondyle, and 93% and 43% for the proximal LAPD, respectively. There was a statistically significant correlation between the electrophysiological severity scale score (ESSS) and the largest CSA, the CSA at the epicondyle and 2 cm proximal to the epicondyle, and the LAPD at the level of the epicondyle (P < 0.05). None of the swelling ratios showed a significant correlation with the ESSS. The largest CSA measurement is the most valuable ultrasonographic measurement both for diagnosis and determining the severity of UNE. Muscle Nerve, 2010</abstract><cop>Hoboken</cop><pub>Wiley Subscription Services, Inc., A Wiley Company</pub><pmid>19941341</pmid><doi>10.1002/mus.21563</doi><tpages>6</tpages></addata></record> |
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| subjects | Adolescent Adult Aged Anthropometry Biological and medical sciences Cranial nerves. Spinal roots. Peripheral nerves. Autonomic nervous system. Gustation. Olfaction Cubital Tunnel Syndrome - diagnostic imaging Cubital Tunnel Syndrome - pathology Cubital Tunnel Syndrome - physiopathology Decision Support Techniques Disability Evaluation Edema - diagnostic imaging Edema - pathology Edema - physiopathology elbow Electrodiagnosis Electromyography electrophysiology entrapment Female Humans Male Medical sciences Middle Aged Nervous system (semeiology, syndromes) Neural Conduction - physiology Neurology Predictive Value of Tests Reaction Time - physiology Reference Values Sensitivity and Specificity Severity of Illness Index Ulnar Nerve - diagnostic imaging Ulnar Nerve - pathology Ulnar Nerve - physiopathology ulnar neuropathy Ultrasonography Young Adult |
| title | Ultrasonography in patients with ulnar neuropathy at the elbow: Comparison of cross-sectional area and swelling ratio with electrophysiological severity |
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