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Short segment stimulation of the anterior transposed ulnar nerve at the elbow.
Arch Phys Med Rehabil. 2001 Sep; 82(9):1171-5.AP

Abstract

OBJECTIVE

To determine whether short segment stimulation after anterior subcutaneous transposition of the ulnar nerve reaches normal values and correlates with postoperative clinical findings.

DESIGN

Comparative cross-sectional study.

SETTING

Outpatient clinic of a university department of physical medicine and rehabilitation.

PATIENTS

Nineteen patients (15 men, 4 women) with 21 surgically treated ulnar neuropathies at the elbow; and 19 healthy controls (11 men, 8 women) with 24 measured nerves.

INTERVENTIONS

Assessed motor function of ulnar innervated muscles and staged into 4 categories; used questionnaire to assess clinical course of the nerve lesion and graded into 5 categories; took electrophysiologic recordings to measure motor conduction velocity and compound muscle action potentials; and studied short segment stimulation across elbow and lower arm.

MAIN OUTCOME MEASURES

Mean +/- standard deviation of ulnar short segment conduction time across the elbow, amplitude and motor conduction velocity; grading of ulnar nerve lesions; grading of the course of disease after surgery; and logistic regression and correlation (Spearman's correlation coefficient) for electrophysiologic and clinical parameters.

RESULTS

Sixteen nerves showed focal conduction slowing in patients. No significant correlation between the course of disease and electrophysiologic parameters was seen. For stepwise logistic regression, there was a significant effect between grade of nerve lesion and amplitude, but no significant effect between the course of disease and electrophysiologic parameters.

CONCLUSION

A focal conduction slowing across the elbow after anterior subcutaneous transposition does not correlate with postoperative clinical findings.

Authors+Show Affiliations

Department of Physical Medicine and Rehabilitation, University of Vienna, Vienna, Austria. Tatjana.Pasternostro-Sluga@akh-wien.ac.atNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Journal Article

Language

eng

PubMed ID

11552186

Citation

Paternostro-Sluga, T, et al. "Short Segment Stimulation of the Anterior Transposed Ulnar Nerve at the Elbow." Archives of Physical Medicine and Rehabilitation, vol. 82, no. 9, 2001, pp. 1171-5.
Paternostro-Sluga T, Ciovika R, Turkof E, et al. Short segment stimulation of the anterior transposed ulnar nerve at the elbow. Arch Phys Med Rehabil. 2001;82(9):1171-5.
Paternostro-Sluga, T., Ciovika, R., Turkof, E., Zauner-Dungl, A., Posch, M., & Fialka-Moser, V. (2001). Short segment stimulation of the anterior transposed ulnar nerve at the elbow. Archives of Physical Medicine and Rehabilitation, 82(9), 1171-5.
Paternostro-Sluga T, et al. Short Segment Stimulation of the Anterior Transposed Ulnar Nerve at the Elbow. Arch Phys Med Rehabil. 2001;82(9):1171-5. PubMed PMID: 11552186.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Short segment stimulation of the anterior transposed ulnar nerve at the elbow. AU - Paternostro-Sluga,T, AU - Ciovika,R, AU - Turkof,E, AU - Zauner-Dungl,A, AU - Posch,M, AU - Fialka-Moser,V, PY - 2001/9/12/pubmed PY - 2001/10/5/medline PY - 2001/9/12/entrez SP - 1171 EP - 5 JF - Archives of physical medicine and rehabilitation JO - Arch Phys Med Rehabil VL - 82 IS - 9 N2 - OBJECTIVE: To determine whether short segment stimulation after anterior subcutaneous transposition of the ulnar nerve reaches normal values and correlates with postoperative clinical findings. DESIGN: Comparative cross-sectional study. SETTING: Outpatient clinic of a university department of physical medicine and rehabilitation. PATIENTS: Nineteen patients (15 men, 4 women) with 21 surgically treated ulnar neuropathies at the elbow; and 19 healthy controls (11 men, 8 women) with 24 measured nerves. INTERVENTIONS: Assessed motor function of ulnar innervated muscles and staged into 4 categories; used questionnaire to assess clinical course of the nerve lesion and graded into 5 categories; took electrophysiologic recordings to measure motor conduction velocity and compound muscle action potentials; and studied short segment stimulation across elbow and lower arm. MAIN OUTCOME MEASURES: Mean +/- standard deviation of ulnar short segment conduction time across the elbow, amplitude and motor conduction velocity; grading of ulnar nerve lesions; grading of the course of disease after surgery; and logistic regression and correlation (Spearman's correlation coefficient) for electrophysiologic and clinical parameters. RESULTS: Sixteen nerves showed focal conduction slowing in patients. No significant correlation between the course of disease and electrophysiologic parameters was seen. For stepwise logistic regression, there was a significant effect between grade of nerve lesion and amplitude, but no significant effect between the course of disease and electrophysiologic parameters. CONCLUSION: A focal conduction slowing across the elbow after anterior subcutaneous transposition does not correlate with postoperative clinical findings. SN - 0003-9993 UR - https://www.unboundmedicine.com/medline/citation/11552186/Short_segment_stimulation_of_the_anterior_transposed_ulnar_nerve_at_the_elbow_ L2 - https://linkinghub.elsevier.com/retrieve/pii/S0003-9993(01)75403-2 DB - PRIME DP - Unbound Medicine ER -