Preliminary Study on the Lesion Location and Prognosis of Cubital Tunnel Syndrome by Motor Nerve Conduction Studies

作     者：Zhu Liu Zhi-Rong Jia Ting-Ting Wang Xin Shi Wei Liang Liu Zhu;Jia Zhi-Rong;Wang Ting-Ting;Shi Xin;Liang Wei

作者机构：Department of Neurology The First Hospital of Peking University Beijing 100034 China 

出 版 物：《Chinese Medical Journal》 (中华医学杂志（英文版）)

年 卷 期：2015年第128卷第9期

页      面：1165-1170页

核心收录：

学科分类：0711[理学-系统科学] 07[理学] 08[工学] 080203[工学-机械设计及理论] 080401[工学-精密仪器及机械] 0804[工学-仪器科学与技术] 080402[工学-测试计量技术及仪器] 0802[工学-机械工程] 

主　　题：Cubital Tunnel Syndrome Electrophysiology Short-segment Nerve Conduction Studies Ulnar Nerve 

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 ***-six patients who diagnosed CubTS clinically were performed bilaterally by routine MNCSs and ***-up for 1-year,the information of brief complaints,clinical symptoms,and physical examination were ***：Sixty-six patients were included,88 of nerves was abnormal by MNCS,while 105 was abnormal by the inching *** epicondyle to 2 cm above medial epicondyle is the most common segment to be detected abnormally （59.09％）,P ***-two patients were followed-up,17 patients＇ symptoms were *** of the patients were treated with drugs and modification of bad ***：（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 *** study suggests that SSNCSs is a practical method in detecting ulnar nerve compressed neuropathy,and sensitive in diagnosing *** compound muscle action potentials by SSNCSs may predict prognosis of CubTS.