Changes in Ultrasound Measurements of the Ulnar Nerve at Different Elbow Joint Positions in Patients with Cubital Tunnel Syndrome
Ultrasound imaging (US) is increasingly being used in the diagnosis of entrapment neuropathies. The aim of the current study was to evaluate changes in stiffness (shear modulus), cross-sectional area (CSA), and trace length (TRACE) of the ulnar nerve in patients with cubital tunnel syndrome (CuTS),...
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MDPI AG
2022-10-01
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| Series: | Sensors |
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| Online Access: | https://www.mdpi.com/1424-8220/22/21/8354 |
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| author | Tomasz Wolny César Fernández-de-las-Peñas Arkadiusz Granek Paweł Linek |
| author_facet | Tomasz Wolny César Fernández-de-las-Peñas Arkadiusz Granek Paweł Linek |
| author_sort | Tomasz Wolny |
| collection | DOAJ |
| description | Ultrasound imaging (US) is increasingly being used in the diagnosis of entrapment neuropathies. The aim of the current study was to evaluate changes in stiffness (shear modulus), cross-sectional area (CSA), and trace length (TRACE) of the ulnar nerve in patients with cubital tunnel syndrome (CuTS), with shear wave elastography (SWE). A total of 31 patients with CuTS were included. CSA, shear modulus, and TRACE examinations were performed in the SWE mode in four positions of the elbow: full extension, 45° flexion, 90° flexion, and maximum flexion. There were significant side-to-side differences in the ulnar nerve elasticity value at 45°, 90°, and maximal elbow flexion (all, <i>p</i> < 0.001) but not at elbow extension (<i>p</i> = 0.36). There were significant side-to-side differences in the ulnar nerve CSA value at each elbow position (all, <i>p</i> < 0.001). There were significant side-to-side differences in the ulnar nerve trace value at each elbow position (all, <i>p</i> < 0.001). The symptomatic ulnar nerve in patients with CuTS exhibited greater stiffness (shear modulus), CSA, and TRACE values, compared with the asymptomatic side. US examinations (shear modulus, CSA, and TRACE evaluation) of the ulnar nerve can be helpful in supporting and supplementing the diagnosis in patients with CuTS. |
| first_indexed | 2024-03-09T18:40:10Z |
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| id | doaj.art-77c7e8b01aa84615bfab80b638753730 |
| institution | Directory Open Access Journal |
| issn | 1424-8220 |
| language | English |
| last_indexed | 2024-03-09T18:40:10Z |
| publishDate | 2022-10-01 |
| publisher | MDPI AG |
| record_format | Article |
| series | Sensors |
| spelling | doaj.art-77c7e8b01aa84615bfab80b6387537302023-11-24T06:46:42ZengMDPI AGSensors1424-82202022-10-012221835410.3390/s22218354Changes in Ultrasound Measurements of the Ulnar Nerve at Different Elbow Joint Positions in Patients with Cubital Tunnel SyndromeTomasz Wolny0César Fernández-de-las-Peñas1Arkadiusz Granek2Paweł Linek3Musculoskeletal Elastography and Ultrasonography Laboratory, Institute of Physiotherapy and Health Sciences, The Jerzy Kukuczka Academy of Physical Education, Mikołowska 72A, 40-065 Katowice, PolandDepartment of Physical Therapy, Occupational Therapy, Rehabilitation and Physical Medicine, Universidad Rey Juan Carlos, 28922 Madrid, SpainHospital of the Ministry of Interior and Administration, 25-316 Kielce, PolandMusculoskeletal Elastography and Ultrasonography Laboratory, Institute of Physiotherapy and Health Sciences, The Jerzy Kukuczka Academy of Physical Education, Mikołowska 72A, 40-065 Katowice, PolandUltrasound imaging (US) is increasingly being used in the diagnosis of entrapment neuropathies. The aim of the current study was to evaluate changes in stiffness (shear modulus), cross-sectional area (CSA), and trace length (TRACE) of the ulnar nerve in patients with cubital tunnel syndrome (CuTS), with shear wave elastography (SWE). A total of 31 patients with CuTS were included. CSA, shear modulus, and TRACE examinations were performed in the SWE mode in four positions of the elbow: full extension, 45° flexion, 90° flexion, and maximum flexion. There were significant side-to-side differences in the ulnar nerve elasticity value at 45°, 90°, and maximal elbow flexion (all, <i>p</i> < 0.001) but not at elbow extension (<i>p</i> = 0.36). There were significant side-to-side differences in the ulnar nerve CSA value at each elbow position (all, <i>p</i> < 0.001). There were significant side-to-side differences in the ulnar nerve trace value at each elbow position (all, <i>p</i> < 0.001). The symptomatic ulnar nerve in patients with CuTS exhibited greater stiffness (shear modulus), CSA, and TRACE values, compared with the asymptomatic side. US examinations (shear modulus, CSA, and TRACE evaluation) of the ulnar nerve can be helpful in supporting and supplementing the diagnosis in patients with CuTS.https://www.mdpi.com/1424-8220/22/21/8354ultrasound imagingshear-wave elastographycubital tunnel syndromeultrasoundentrapment neuropathyrehabilitative ultrasound imaging |
| spellingShingle | Tomasz Wolny César Fernández-de-las-Peñas Arkadiusz Granek Paweł Linek Changes in Ultrasound Measurements of the Ulnar Nerve at Different Elbow Joint Positions in Patients with Cubital Tunnel Syndrome Sensors ultrasound imaging shear-wave elastography cubital tunnel syndrome ultrasound entrapment neuropathy rehabilitative ultrasound imaging |
| title | Changes in Ultrasound Measurements of the Ulnar Nerve at Different Elbow Joint Positions in Patients with Cubital Tunnel Syndrome |
| title_full | Changes in Ultrasound Measurements of the Ulnar Nerve at Different Elbow Joint Positions in Patients with Cubital Tunnel Syndrome |
| title_fullStr | Changes in Ultrasound Measurements of the Ulnar Nerve at Different Elbow Joint Positions in Patients with Cubital Tunnel Syndrome |
| title_full_unstemmed | Changes in Ultrasound Measurements of the Ulnar Nerve at Different Elbow Joint Positions in Patients with Cubital Tunnel Syndrome |
| title_short | Changes in Ultrasound Measurements of the Ulnar Nerve at Different Elbow Joint Positions in Patients with Cubital Tunnel Syndrome |
| title_sort | changes in ultrasound measurements of the ulnar nerve at different elbow joint positions in patients with cubital tunnel syndrome |
| topic | ultrasound imaging shear-wave elastography cubital tunnel syndrome ultrasound entrapment neuropathy rehabilitative ultrasound imaging |
| url | https://www.mdpi.com/1424-8220/22/21/8354 |
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