Ultrasonographic swelling ratio in the diagnosis of ulnar neuropathy at the elbow

Joon Shik Yoon, Francis O. Walker, Michael S. Cartwright

Research output: Contribution to journalArticlepeer-review

90 Citations (Scopus)

Abstract

High-resolution ultrasound can demonstrate focal nerve enlargement in entrapment neuropathies. We hypothesized that a ratio between the nerve cross-sectional area at the site of maximal enlargement and at an unaffected site may improve diagnostic accuracy in ulnar neuropathy at the elbow (UNE), when compared to a single measurement at the site of maximal enlargement. Ultrasound was used to measure the cross-sectional area of the ulnar nerve at three sites in 30 normal, healthy controls and 26 individuals with UNE. In individuals with UNE, the ratio was 2.9:1 when the site of maximal swelling was compared with a distal ulnar nerve site and 2.8:1 when compared with a proximal site. This represented a significant increase compared with the ratio of 1.1:1 for both comparisons in controls (P < 0.0001). This type of ratio may be particularly useful for assessing entrapment in those with polyneuropathy or obesity, both of which can cause diffuse nerve enlargement.

Original languageEnglish
Pages (from-to)1231-1235
Number of pages5
JournalMuscle and Nerve
Volume38
Issue number4
DOIs
Publication statusPublished - 2008 Oct

Keywords

  • Elbow
  • Entrapment
  • Nerve conduction studies
  • Ulnar neuropathy
  • Ultrasound

ASJC Scopus subject areas

  • Physiology
  • Clinical Neurology
  • Cellular and Molecular Neuroscience
  • Physiology (medical)

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