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Ulnar Neuropathy

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Diagnosis and grading of carpal tunnel syndrome with quantitative ultrasound: Is it possible?

Tugba Ozsoy-Unubol, Yeliz Bahar-Ozdemir, Ilker Yagci,

The recent diagnostic tools for carpal tunnel syndrome (CTS) include nerve conduction studies (NCS) and ultrasound (US). Quantitative US (QUS) can be used for demonstrating muscle changes according to denervation. The aim of this study was to evaluate if QUS can diagnose and grade the severity of CTS. In this ... Read more >>

J Clin Neurosci (Journal of clinical neuroscience : official journal of the Neurosurgical Society of Australasia)
[2020, :]

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Utility of nerve conduction studies and ultrasonography in ulnar neuropathies at the elbow of different severity.

Gregor Omejec, Simon Podnar,

OBJECTIVE:To report the sensitivity and the ability to precisely localize ulnar neuropathies at the elbow (UNE) of different severity by ultrasonography (US) and compare it to standard 10-cm nerve conduction studies (NCSs), and 2-cm short-segment NCSs (SSNCSs) across the elbow. METHODS:In a group of consecutive UNE patients, a prospective and ... Read more >>

Clin Neurophysiol (Clinical neurophysiology : official journal of the International Federation of Clinical Neurophysiology)
[2020, :]

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Epitheloid hemangioendothelioma of the ulnar artery presenting with neuropathy.

Syed Intakhab Alam, Pankaj Nepal, Sadia Sajid, Issam Al I-Bozo, Mohamed Marshad Salah, Ahmed Muneer,

We present a rare case of epithelioid hemangioendothelioma arising from the wall of ulnar artery in distal forearm. The presentation was interesting in a 34-year-old man, with progressively worsening symptoms of ulnar neuropathy. A mass was seen arising from the ulnar artery on imaging with ultrasound and magnetic resonance imaging ... Read more >>

Ann Vasc Surg (Annals of vascular surgery)
[2020, :]

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Comparison of the effectiveness of circumferential versus non-circumferential spread in median and ulnar nerve blocks. A double-blind randomized clinical trial.

Paula Dieguez-Garcia, Servando Lopez-Alvarez, Jorge Juncal, Ana M Lopez, Xavier Sala-Blanch,

BACKGROUND AND OBJECTIVES:Circumferential (C) spread of local anesthetic around the nerve is recommended for a successful nerve block. We tested the hypothesis that C spread produces a more complete block than non-circumferential (NC) spread. METHODS:We randomized 124 patients undergoing open carpal tunnel syndrome surgery to receive C or NC spread ... Read more >>

Reg Anesth Pain Med (Regional anesthesia and pain medicine)
[2020, :]

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The optimum hand temperature to study nerve conduction in patients with carpal tunnel syndrome.

Evangelia Gavanozi, Dimitra Veltsista, Panagiotis Polychronopoulos, Elisabeth Chroni,

To define the skin temperature at which diseased nerves are better differentiated from the healthy. Motor and sensory conduction of median and ulnar nerve were evaluated in 52 patients with carpal tunnel syndrome (CTS) and 52 matched healthy controls at environmental skin temperature (mean 32-33 °C), after warming by an average ... Read more >>

J Electromyogr Kinesiol (Journal of electromyography and kinesiology : official journal of the International Society of Electrophysiological Kinesiology)
[2020, 51:102410]

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The needle electromyography findings in the neurophysiological classification of ulnar neuropathy at the elbow.

Halit Fidanci, Ilker Öztürk, Ahmet Candan Köylüoğlu, Mehmet Yildiz, Şencan Buturak, Zülfikar Arlier,

BACKGROUND/AIM:Although ulnar neuropathy at the elbow (UNE) is the second most common entrapment mononeuropathy, there are few reports on its neurophysiological classification. In this study, we tried to find out the role of needle electromyography (EMG) in the neurophysiological classification of UNE. MATERIALS AND METHODS:UNE patients who met the clinical ... Read more >>

Turk J Med Sci (Turkish journal of medical sciences)
[2020, :]

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Integrated Chinese and Western Medicine for Acute Guillain-barré Syndrome Treatment.

Liu Yang, Xiumin Zhao,

Introduction:Guillain-Barré syndrome (GBS) is a worldwide demyelinating polyradiculopathy and polyneuropathy. Currently, there is no specific drug for GBS, and established treatment is generally based on immune-modulating treatment with plasma exchange or intravenous immunoglobulin in combination with supportive care. This study aimed to investigate the efficiency of integrated Chinese and Western ... Read more >>

Transl Neurosci (Translational neuroscience)
[2020, 11:38-47]

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Bilateral Kienböck's disease concomitant with gouty arthritis.

Deepak Chouhan, Vivek Shankar, Mohammed Tahir Ansari,

A 38-year-old man presented with a 2-month history of pain and stiffness in the bilateral wrist. The pain in right wrist was disabling and severe enough to restrict the daily life activities. After the evaluation of clinical and radiological features, the patient was diagnosed with Kienböck's disease Lichtman stage IIIB ... Read more >>

BMJ Case Rep (BMJ case reports)
[2020, 13(3):]

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Laterality of the ulnar neuropathy at the elbow.

Simon Podnar,

Muscle Nerve (Muscle & nerve)
[2020, 61(4):E30-E31]

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Occupational Activities: Factors That Tip the Balance From Bone Accrual to Bone Loss.

Mary F Barbe, Steven N Popoff,

It is commonly assumed that beneficial adaptations in bone occur with vigorous exercise, yet any adaptive re/modeling in bone undergoing persistent overloading can be counteracted by superimposed inflammatory, compressive, and tensile loading-induced damage responses above thresholds of tissue fatigue failure and repair. This leads to a tenuous balance between achieving ... Read more >>

Exerc Sport Sci Rev (Exercise and sport sciences reviews)
[2020, 48(2):59-66]

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Neuropathy Caused by Metal Hypersensitivity after Placement of Stainless Steel Plate.

Sunyarn Niempoog, Seksan Kukreja,

Metal hypersensitivity is a rare complication for implants especially with neuropathy involvement. There was not any previous report suggesting metal hypersensitivity manifested in the form of neuropathy or tendinopathy from metal plate implantation. Here, we present a case of a 42-year-old female with chronic ulnar wrist pain and unremarkable physical ... Read more >>

Case Rep Orthop (Case reports in orthopedics)
[2020, 2020:9789021]

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Validity of computed tomographic measurements and morphological comparison of cubital tunnel in idiopathic cubital tunnel syndrome.

Sang Ki Lee, Seok Young Hwang, Won Sik Choy,

BACKGROUND:Ulnar neuropathy is a common reason for referral to hand surgeons, and 10 to 30% of cubital tunnel syndrome (CuTS) is idiopathic. We hypothesized that the cause of idiopathic CuTS is in the bony structure. METHODS:We analyzed 79 elbows (39 idiopathic CuTS and 40 without CuTS symptom) using computed tomography ... Read more >>

BMC Musculoskelet Disord (BMC musculoskeletal disorders)
[2020, 21(1):76]

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Cubital tunnel syndrome: a surgical modification to in situ decompression to improve results.

Raymond B Kessler, Robert G Thompson, Gary M Lourie,

Background:The gold standard for surgical treatment of cubital tunnel syndrome is in situ decompression. However, this procedure does not come without complications. Subluxation of the ulnar nerve and ulnar nerve neuritis from adhesion formation remain 2 potential complications after this procedure. It has been shown in the literature that young, ... Read more >>

JSES Int (JSES International)
[2020, 4(1):15-20]

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Reply.

Nigel Ashworth,

Muscle Nerve (Muscle & nerve)
[2020, 61(4):E31-E32]

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Ultrasound elastography as a potential method to evaluate entrapment neuropathies in elite athletes: a mini-review.

Agnieszka Dąbrowska-Thing, Jakub Zakrzewski, Oleg Nowak, Żaneta Nitek,

Entrapment neuropathies constitute a significant albeit still neglected problem in athletes. Currently available diagnostic options in patients with suspected neuropathies, nerve conduction studies, and magnetic resonance imaging have some drawbacks, mostly related to their invasive character, high cost, and limited availability. This paper reviews published articles documenting the use of ... Read more >>

Pol J Radiol (Polish journal of radiology)
[2019, 84:e625-e629]

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Successful and Complete Recovery of the Ulnar Nerve After Eight Years of Chronic Injury Through Local Steroid Injections: A Case Report.

Diab A Bani Hani, Khaled Z Alawneh, Abdelwahab J Aleshawi, Akram I Ahmad, Liqaa A Raffee, Ala A A Alhowary, Majdi AlQawasmeh, Bashar Abuzayed,

Peripheral neuropathy is a common neurodegenerative disease, with vastness of inducers and causalities. The acquired form peripheral neuropathy can be caused by traumatic injuries caused by nerve lacerations or compressions. Such injuries are usually followed by Wallerian degeneration, and inflammatory reaction. We present a case of a 33-year-old female with ... Read more >>

Pain Ther (Pain and therapy)
[2020, :]

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Modern treatment of perineuriomas: a case-series and systematic review.

Anne-Kathrin Uerschels, Christos Krogias, Andreas Junker, Ulrich Sure, Karsten H Wrede, Oliver Gembruch,

BACKGROUND:Perineuriomas are rare benign peripheral nerve sheath tumours of perineurial cell origin and can be classified into intraneural and extraneural perineuriomas. They most commonly present a mononeuropathy of gradual onset and slow progression, resulting in progressive neurological deficits like hypoesthesia or motor weakness. Therapy is still variable. Aim of the ... Read more >>

BMC Neurol (BMC neurology)
[2020, 20(1):55]

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Ultrasonography of the ulnar nerve in the elbow: video article.

Ferdinando Draghi, Chandra Bortolotto, Daniela Ballerini, Lorenzo Preda,

Disorders affecting the ulnar nerve in the elbow are common in clinical practice. The diagnosis is based on clinical evaluation and electrodiagnostic tests, but imaging examinations are frequently necessary, particularly for the identification of the structures associated with nerve compression. The purpose of this video article is to review the ... Read more >>

J Ultrasound (Journal of ultrasound)
[2020, :]

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Ulnar Neuropathy at the Upper Arm after Parallel-Bars Swinging Exercise.

Yong Kyun Kim, In Woo Park, Suho Ro, Yun Hyeong Jeong, Bum Chun Suh,

J Clin Neurol (Journal of clinical neurology (Seoul, Korea))
[2020, 16(1):177-178]

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Nerve Entrapments.

Lauren Jacobson, Jana Dengler, Amy M Moore,

There are more than 2 dozen nerve entrapment syndromes in the body. Generally, these occur at sites of fibroosseous or fibromuscular tunnels. Any insult that leads to an increase in the size of the nerve or a decrease in the volume of the tunnel will cause compression. Resultant nerve ischemia ... Read more >>

Clin Plast Surg (Clinics in plastic surgery)
[2020, 47(2):267-278]

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Electrophysiological features of chronic inflammatory demyelinating polyradiculoneuropathy associated with IgG4 antibodies targeting neurofascin 155 or contactin 1 glycoproteins.

Ludivine Kouton, José Boucraut, Jérome Devaux, Yusuf A Rajabally, David Adams, Jean Christophe Antoine, Frédéric Bourdain, Alexandre Brodovitch, Jean-Philippe Camdessanché, Cécile Cauquil, Jonathan Ciron, Thierry Dubard, Andoni Echaniz-Laguna, Aude-Marie Grapperon, Raul Juntas-Morales, Laurent Kremer, Thierry Kuntzer, Céline Labeyrie, Luca Lanfranco, Jean-Marc Léger, Thierry Maisonobe, Nicolas Mavroudakis, Sylvie Mecharles-Darrigol, Philippe Merle, Jean-Baptiste Noury, Violaine Rouaud, Céline Tard, Marie Théaudin, Jean-Michel Vallat, Karine Viala, Shahram Attarian, Emilien Delmont,

OBJECTIVE:Chronic inflammatory demyelinating polyradiculoneuropathies (CIDP) with antibodies against neurofascin 155 (Nfasc155) or contactin-1 (CNTN1) have distinctive clinical features. Knowledge on their electrophysiological characteristics is still scarce. In this study, we are investigating whether these patients have specific electrophysiological characteristics. METHODS:The electrophysiological data from 13 patients with anti-Nfasc155 IgG4 antibodies, 9 ... Read more >>

Clin Neurophysiol (Clinical neurophysiology : official journal of the International Federation of Clinical Neurophysiology)
[2020, 131(4):921-927]

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Impact of technical variations on the ring-finger test for carpal tunnel syndrome.

Daniel Gregor Schulze, Karl-Christian Nordby, Milada Cvancarova Småstuen, Thomas Clemm, Margreth Grotle, John Anker Zwart, Kristian Bernhard Nilsen,

Objective:To assess if recording the sensory latencies of the median and ulnar nerves one-by-one (consecutive) or at the same time (simultaneous) in the ring-finger test for carpal tunnel syndrome (CTS) will show equivalent results or if it will lead to a different clinical classification of patients. Methods:We assessed the limits ... Read more >>

Clin Neurophysiol Pract (Clinical neurophysiology practice)
[2020, 5:23-29]

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Ultrasound elastography in the evaluation of peripheral neuropathies: a systematic review of the literature.

Jakub Zakrzewski, Katarzyna Zakrzewska, Katarzyna Pluta, Oleg Nowak, Anna Miłoszewska-Paluch,

Peripheral neuropathy is associated with an increase in intraneural pressure, and hence ultrasound elastography seems to be an ideal method to detect early stages of this condition based on changes in the affected nerve stiffness. The aim of this systematic review was to analyse the applicability of strain elastography (SE) ... Read more >>

Pol J Radiol (Polish journal of radiology)
[2019, 84:e581-e591]

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The utility of sural-sparing pattern in the electrodiagnosis of regional subtypes of Guillain-Barré Syndrome.

Thirugnanam Umapathi, Jasmine S Koh, Y J Cheng, Eunice J H Goh, Christen S J Lim,

Objective:We present an exemplar patient, illustrating utility of the sural-sparing pattern in diagnosis of Guillain-Barré Syndrome (GBS). We then present data that sheds light on the pathophysiology of sural-sparing. Method and results:We describe a case of complex ophthalmoplegia that exemplifies the challenge of diagnosing regional subtypes of Guillain-Barré Syndrome, and ... Read more >>

Clin Neurophysiol Pract (Clinical neurophysiology practice)
[2020, 5:43-45]

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Electrodiagnostic Findings in 441 Patients with Ulnar Neuropathy - a Retrospective Study.

Seyed Ahmad Raeissadat, Parisa Youseffam, Leila Bagherzadeh, Seyed Mansoor Rayegani, Mohammad Hasan Bahrami, Dariush Eliaspour,

Purpose:Ulnar neuropathy (UN) is the second most common focal neuropathy in the upper extremities. Electrodiagnostic studies (EDx), including nerve conduction study (NCS) and electromyography (EMG), are reliable tools for the diagnosis of ulnar neuropathy. We aimed to retrospectively analyze the medical records of patients diagnosed with ulnar neuropathy in a ... Read more >>

Orthop Res Rev (Orthopedic research and reviews)
[2019, 11:191-198]

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