Diagnostic value of ultrasonography and magnetic resonance imaging in ulnar neuropathy at the elbow.
Aim. To evaluate the diagnostic value of ultrasonography and magnetic resonance imaging (MRI) in patients with ulnar neuropathy at the elbow (UNE). Methods. We prospectively performed electrodiagnostic, ultrasonographic, and MRI studies in UNE patients and healthy controls. Three cross-sectional area (CSA) measurements of the ulnar nerve at multiple levels along the arm and maximum CSA(-max) were recorded. Results. The ulnar nerve CSA measurements were different between the UNE severity grades (P < 0.05). CSA-max had the greatest sensitivity (93%) and specificity (68%). Moreover, CSA-max ≥10 mm(2) defined the severe UNE cases (sensitivity/specificity: 82%/72%). In MRI, ulnar nerve hyperintensity had the greatest sensitivity (90%) and specificity (80%). Conclusion. Ultrasonography using CSA-max is sensitive and specific in UNE diagnosis and discriminating the severe UNE cases. Furthermore, MRI particularly targeting at increased signal of the ulnar nerve can be a useful diagnostic test of UNE.
Neuroscience Research Center, Tabriz University of Medical Sciences, Tabriz 51666-14756, Iran.
Hormoz
H
Ayromlou
Mohammad K
MK
Tarzamni
Mohammad Hossein
MH
Daghighi
Mohammad Zakaria
MZ
Pezeshki
Mohammad
M
Yazdchi
Elyar
E
Sadeghi-Hokmabadi
Ehsan
E
Sharifipour
Kamyar
K
Ghabili