The Use of Preoperative Dynamic Ultrasound to Predict Ulnar Nerve Stability Following In Situ Decompression for Cubital Tunnel Syndrome.
Cubital tunnel
dynamic ultrasound
ulnar nerve
ulnar nerve instability
Journal
The Journal of hand surgery
ISSN: 1531-6564
Titre abrégé: J Hand Surg Am
Pays: United States
ID NLM: 7609631
Informations de publication
Date de publication:
Jan 2019
Jan 2019
Historique:
received:
11
11
2017
revised:
03
09
2018
accepted:
15
10
2018
pubmed:
7
12
2018
medline:
7
1
2020
entrez:
4
12
2018
Statut:
ppublish
Résumé
To assess the use of preoperative, dynamic ultrasound to predict ulnar nerve instability following in situ decompression for cubital tunnel syndrome. Prior to undergoing in situ decompression, 43 consecutive patients underwent dynamic ultrasound to assess the stability of the ulnar nerve during elbow flexion. The dynamic ultrasound findings were compared with the intraoperative assessment of nerve stability following in situ decompression. The preoperative dynamic ultrasound agreed with intraoperative findings in 38 of 43 patients (88%). Physical examination of ulnar nerve stability agreed with the intraoperative findings in 5 of 43 patients (12%). For the 5 of 43 cases in which the dynamic ultrasound did not correlate with the degree of ulnar nerve stability after in situ decompression, dynamic ultrasound overestimated the degree of ulnar nerve stability in 4 cases. Preoperative dynamic ultrasound can be used to accurately predict the degree of ulnar nerve instability following in situ decompression. Diagnostic II.
Identifiants
pubmed: 30502014
pii: S0363-5023(17)31953-6
doi: 10.1016/j.jhsa.2018.10.013
pii:
doi:
Types de publication
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Pagination
35-38Informations de copyright
Copyright © 2019 American Society for Surgery of the Hand. Published by Elsevier Inc. All rights reserved.