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Preliminary Study on the Lesion Location and Prognosis of Cubital Tunnel Syndrome by Motor Nerve Conduction Studies
Liu, Zhu; Jia, Zhi-Rong; Wang, Ting-Ting; Shi, Xin; Liang, Wei
关键词Cubital Tunnel Syndrome Electrophysiology Short-segment Nerve Conduction Studies Ulnar Nerve
刊名CHINESE MEDICAL JOURNAL
2015-05-05
DOI10.4103/0366-6999.156100
128期:9页:1165-1170
收录类别SCI
文章类型Article
WOS标题词Science & Technology
类目[WOS]Medicine, General & Internal
研究领域[WOS]General & Internal Medicine
关键词[WOS]ULNAR NEUROPATHY ; ELBOW ; ELECTRODIAGNOSIS
英文摘要

Background: To study lesions location and prognosis of cubital tunnel syndrome (CubTS) by routine motor nerve conduction studies (MNCSs) and short-segment nerve conduction studies (SSNCSs, inching test).

Methods: Thirty healthy subjects were included and 60 ulnar nerves were studied by inching studies for normal values. Sixty-six patients who diagnosed CubTS clinically were performed bilaterally by routine MNCSs and SSNCSs. Follow-up for 1-year, the information of brief complaints, clinical symptoms, and physical examination were collected.

Results: Sixty-six patients were included, 88 of nerves was abnormal by MNCS, while 105 was abnormal by the inching studies. Medial epicondyle to 2 cm above medial epicondyle is the most common segment to be detected abnormally (59.09%), P < 0.01. Twenty-two patients were followed-up, 17 patients symptoms were improved. Most of the patients were treated with drugs and modification of bad habits.

Conclusions: (1) SSNCSs can detect lesions of compressive neuropathy in CubTS more precisely than the routine motor conduction studies. (2) SSNCSs can diagnose CubTS more sensitively than routine motor conduction studies. (3) In this study, we found that medial epicondyle to 2 cm above the medial epicondyle is the most vulnerable place that the ulnar nerve compressed. (4) The patients had a better prognosis who were abnormal in motor nerve conduction time only, but not amplitude in compressed lesions than those who were abnormal both in velocity and amplitude. Our study suggests that SSNCSs is a practical method in detecting ulnar nerve compressed neuropathy, and sensitive in diagnosing CubTS. The compound muscle action potentials by SSNCSs may predict prognosis of CubTS.

语种英语
WOS记录号WOS:000354186800006
引用统计
被引频次:4[WOS]   [WOS记录]     [WOS相关记录]
文献类型期刊论文
条目标识符http://ir.bjmu.edu.cn/handle/400002259/57283
专题北京大学第一临床医学院_神经内科
北京大学第一临床医学院_麻醉科
作者单位Peking Univ, Hosp 1, Dept Neurol, Beijing 100034, Peoples R China
推荐引用方式
GB/T 7714
Liu, Zhu,Jia, Zhi-Rong,Wang, Ting-Ting,et al. Preliminary Study on the Lesion Location and Prognosis of Cubital Tunnel Syndrome by Motor Nerve Conduction Studies[J]. CHINESE MEDICAL JOURNAL,2015,128(9):1165-1170.
APA Liu, Zhu,Jia, Zhi-Rong,Wang, Ting-Ting,Shi, Xin,&Liang, Wei.(2015).Preliminary Study on the Lesion Location and Prognosis of Cubital Tunnel Syndrome by Motor Nerve Conduction Studies.CHINESE MEDICAL JOURNAL,128(9),1165-1170.
MLA Liu, Zhu,et al."Preliminary Study on the Lesion Location and Prognosis of Cubital Tunnel Syndrome by Motor Nerve Conduction Studies".CHINESE MEDICAL JOURNAL 128.9(2015):1165-1170.
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