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Doppler sonography for ulnar neuropathy at the elbow. | LitMetric

Doppler sonography for ulnar neuropathy at the elbow.

Muscle Nerve

Department of Ultrasound in Medicine, Fudan University affiliated Huashan Hospital, 12 Urumqi Middle Road, Shanghai, 200012, China.

Published: August 2016

Introduction: The aim of this study was to determine the value of Doppler sonography for evaluation of ulnar neuropathy at the elbow (UNE).

Methods: A total of 102 patients with a clinical suspicion of UNE and 50 healthy controls were examined by Doppler and gray-scale sonography.

Results: Intraneural vascularization was found in 31 (46.3%) of 67 patients with confirmed UNE and in 3 (6.0%) of 50 healthy controls. Combining gray-scale sonography measurement of nerve size and the presence of intraneural vascularization increased sensitivity by 3%, but decreased the specificity. Patients with intraneural vascularization had more severe disease than those without intraneural vascularization (P < 0.05). The variables obtained by Doppler sonography were associated with the severity of UNE (P < 0.05).

Conclusions: Doppler sonography is not helpful for diagnosing UNE but can be used to assess the severity of UNE. Muscle Nerve 54: 258-263, 2016.

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http://dx.doi.org/10.1002/mus.25022DOI Listing

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