Ultrasonographic cross-sectional area normal values of the ulnar nerve along its course in the arm with electrophysiological correlations in 100 asian subjects
Introduction: Normative cross‐sectional areas (CSAs) have been obtained for the Western population. We obtained CSAs of normal ulnar nerves at predetermined sites and correlate them with electrophysiological variables in Asian subjects. Methods: One hundred healthy volunteers, mean age 39 ± 14 years...
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| Published in | Muscle & nerve Vol. 47; no. 5; pp. 673 - 676 |
|---|---|
| Main Authors | , , , |
| Format | Journal Article |
| Language | English |
| Published |
United States
Blackwell Publishing Ltd
01.05.2013
Wiley Subscription Services, Inc |
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| Online Access | Get full text |
| ISSN | 0148-639X 1097-4598 1097-4598 |
| DOI | 10.1002/mus.23639 |
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| Abstract | Introduction: Normative cross‐sectional areas (CSAs) have been obtained for the Western population. We obtained CSAs of normal ulnar nerves at predetermined sites and correlate them with electrophysiological variables in Asian subjects. Methods: One hundred healthy volunteers, mean age 39 ± 14 years (range, 18–75 years), were recruited for the study after obtaining informed consent. The ulnar nerve was examined ultrasonographically from wrist to axilla, and CSA was measured at predetermined sites. All subjects underwent a simultaneous standardized nerve conduction study. Results: Men had larger CSAs, and CSAs increased with advancing age. There was a statistically significant correlation between CSA at the wrist and distal ulnar motor latency (P = 0.005). Conclusions: Ulnar CSA correlated with age, gender, and distal motor latency. No correlations were observed with height, weight, or body mass index. Muscle Nerve 47: 673–676, 2013 |
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| AbstractList | Introduction
: Normative cross‐sectional areas (CSAs) have been obtained for the Western population. We obtained CSAs of normal ulnar nerves at predetermined sites and correlate them with electrophysiological variables in Asian subjects.
Methods
: One hundred healthy volunteers, mean age 39 ± 14 years (range, 18–75 years), were recruited for the study after obtaining informed consent. The ulnar nerve was examined ultrasonographically from wrist to axilla, and CSA was measured at predetermined sites. All subjects underwent a simultaneous standardized nerve conduction study.
Results
: Men had larger CSAs, and CSAs increased with advancing age. There was a statistically significant correlation between CSA at the wrist and distal ulnar motor latency (
P
= 0.005).
Conclusions
: Ulnar CSA correlated with age, gender, and distal motor latency. No correlations were observed with height, weight, or body mass index. Muscle Nerve 47: 673–676, 2013 Normative cross-sectional areas (CSAs) have been obtained for the Western population. We obtained CSAs of normal ulnar nerves at predetermined sites and correlate them with electrophysiological variables in Asian subjects.INTRODUCTIONNormative cross-sectional areas (CSAs) have been obtained for the Western population. We obtained CSAs of normal ulnar nerves at predetermined sites and correlate them with electrophysiological variables in Asian subjects.One hundred healthy volunteers, mean age 39 ± 14 years (range, 18-75 years), were recruited for the study after obtaining informed consent. The ulnar nerve was examined ultrasonographically from wrist to axilla, and CSA was measured at predetermined sites. All subjects underwent a simultaneous standardized nerve conduction study.METHODSOne hundred healthy volunteers, mean age 39 ± 14 years (range, 18-75 years), were recruited for the study after obtaining informed consent. The ulnar nerve was examined ultrasonographically from wrist to axilla, and CSA was measured at predetermined sites. All subjects underwent a simultaneous standardized nerve conduction study.Men had larger CSAs, and CSAs increased with advancing age. There was a statistically significant correlation between CSA at the wrist and distal ulnar motor latency (P = 0.005).RESULTSMen had larger CSAs, and CSAs increased with advancing age. There was a statistically significant correlation between CSA at the wrist and distal ulnar motor latency (P = 0.005).Ulnar CSA correlated with age, gender, and distal motor latency. No correlations were observed with height, weight, or body mass index.CONCLUSIONSUlnar CSA correlated with age, gender, and distal motor latency. No correlations were observed with height, weight, or body mass index. Introduction: Normative cross-sectional areas (CSAs) have been obtained for the Western population. We obtained CSAs of normal ulnar nerves at predetermined sites and correlate them with electrophysiological variables in Asian subjects. Methods: One hundred healthy volunteers, mean age 39 plus or minus 14 years (range, 18-75 years), were recruited for the study after obtaining informed consent. The ulnar nerve was examined ultrasonographically from wrist to axilla, and CSA was measured at predetermined sites. All subjects underwent a simultaneous standardized nerve conduction study. Results: Men had larger CSAs, and CSAs increased with advancing age. There was a statistically significant correlation between CSA at the wrist and distal ulnar motor latency (P = 0.005). Conclusions: Ulnar CSA correlated with age, gender, and distal motor latency. No correlations were observed with height, weight, or body mass index. Muscle Nerve 47: 673-676, 2013 Normative cross-sectional areas (CSAs) have been obtained for the Western population. We obtained CSAs of normal ulnar nerves at predetermined sites and correlate them with electrophysiological variables in Asian subjects. One hundred healthy volunteers, mean age 39 ± 14 years (range, 18-75 years), were recruited for the study after obtaining informed consent. The ulnar nerve was examined ultrasonographically from wrist to axilla, and CSA was measured at predetermined sites. All subjects underwent a simultaneous standardized nerve conduction study. Men had larger CSAs, and CSAs increased with advancing age. There was a statistically significant correlation between CSA at the wrist and distal ulnar motor latency (P = 0.005). Ulnar CSA correlated with age, gender, and distal motor latency. No correlations were observed with height, weight, or body mass index. Introduction: Normative cross‐sectional areas (CSAs) have been obtained for the Western population. We obtained CSAs of normal ulnar nerves at predetermined sites and correlate them with electrophysiological variables in Asian subjects. Methods: One hundred healthy volunteers, mean age 39 ± 14 years (range, 18–75 years), were recruited for the study after obtaining informed consent. The ulnar nerve was examined ultrasonographically from wrist to axilla, and CSA was measured at predetermined sites. All subjects underwent a simultaneous standardized nerve conduction study. Results: Men had larger CSAs, and CSAs increased with advancing age. There was a statistically significant correlation between CSA at the wrist and distal ulnar motor latency (P = 0.005). Conclusions: Ulnar CSA correlated with age, gender, and distal motor latency. No correlations were observed with height, weight, or body mass index. Muscle Nerve 47: 673–676, 2013 Introduction: Normative cross-sectional areas (CSAs) have been obtained for the Western population. We obtained CSAs of normal ulnar nerves at predetermined sites and correlate them with electrophysiological variables in Asian subjects. Methods: One hundred healthy volunteers, mean age 39 ± 14 years (range, 18-75 years), were recruited for the study after obtaining informed consent. The ulnar nerve was examined ultrasonographically from wrist to axilla, and CSA was measured at predetermined sites. All subjects underwent a simultaneous standardized nerve conduction study. Results: Men had larger CSAs, and CSAs increased with advancing age. There was a statistically significant correlation between CSA at the wrist and distal ulnar motor latency (P = 0.005). Conclusions: Ulnar CSA correlated with age, gender, and distal motor latency. No correlations were observed with height, weight, or body mass index. Muscle Nerve 47: 673-676, 2013 [PUBLICATION ABSTRACT] |
| Author | Bathala, Lokesh Visser, Leo H. Kumar, Pavan Kumar, Krishna |
| Author_xml | – sequence: 1 givenname: Lokesh surname: Bathala fullname: Bathala, Lokesh email: lokeshbdvt@yahoo.co.in organization: Department of Neurology, Narayana medical college and hospital, Andhra Pradesh, 524002, Nellore, India – sequence: 2 givenname: Pavan surname: Kumar fullname: Kumar, Pavan organization: Department of Neurology, Narayana medical college and hospital, Andhra Pradesh, 524002, Nellore, India – sequence: 3 givenname: Krishna surname: Kumar fullname: Kumar, Krishna organization: Department of Neurology, Narayana medical college and hospital, Andhra Pradesh, 524002, Nellore, India – sequence: 4 givenname: Leo H. surname: Visser fullname: Visser, Leo H. organization: Departments of Neurology and Clinical Neurophysiology, St. Elisabeth Hospital, Tilburg, The Netherlands |
| BackLink | https://www.ncbi.nlm.nih.gov/pubmed/23401025$$D View this record in MEDLINE/PubMed |
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| Cites_doi | 10.1097/WNP.0b013e31824d969c 10.1016/j.apmr.2006.12.020 10.1002/mus.21009 10.1016/j.clinph.2003.10.022 10.1016/S0301-5629(98)00187-2 10.1111/j.1468-1331.2004.00773.x 10.1371/journal.pntd.0000498 10.1016/j.clinph.2009.10.014 10.7863/jum.2009.28.9.1201 10.1016/j.clinph.2007.03.011 10.1002/mus.21431 10.1212/01.WNL.0000113733.62689.0D 10.1212/01.wnl.0000169179.67764.30 |
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| References | Padua L, Hobson-Webb LD, Martinoli C. Nerve conduction and ultrasound: will the wedding give birth to new morpho-functional measures?Clin Neurophysiol 2010;121:130-131. Heinemeyer O, Reimers CD. Ultrasound of radial, ulnar, median, and sciatic nerves in healthy subjects and patients with hereditary motor and sensory neuropathies. Ultrasound Med Biol 1999;25:481-485. Bathala L, Kumar K, Pathapati R, Jain S, Visser LH. Ulnar neuropathy in Hansen's disease: clinical, high resolution ultrasound and electrophysiologic correlations. J Clin Neurophysiol 2012;29:190-193. Beekman R, Schoemaker MC, Van Der Plas JP, Van Den Berg LH, Franssen H, Wokke JH, et al. Diagnostic value of high-resolution sonography in ulnar neuropathy at the elbow. Neurology 2004;62:767-773. Cartwright MS, Passmore LV, Yoon JS, Brown ME, Caress JB, Walker FO. Cross-sectional area reference values for nerve ultrasonography. Muscle Nerve 2008;37:566-571. Elias J Jr, Nogueira-Barbosa MH, Feltrin LT, Furini RB, Foss NT, Marques W Jr, et al. Role of ulnar nerve sonography in leprosy neuropathy with electrophysiologic correlation. J Ultrasound Med 2009;28:1201-1209. Walker FO, Cartwright MS, Wiesler ER, Caress J. Ultrasound of nerve and muscle. Clin Neurophysiol. 2004;115:495-507. Beekman R, van den Berg LH, Franssen H, Visser LH, van Asseldonk JT, Wokke JH. Ultrasonography shows extensive nerve enlargements in multifocal motor neuropathy. Neurology 2005;65:305-307. Padua L, Aprile I, Pazzaglia C, Frasca G, Caliandro P, Tonali P, et al. Contribution of ultrasound in a neurophysiological lab in diagnosing nerve impairment: A one-year systematic assessment. Clin Neurophysiol 2007;118:1410-1416. Cartwright MS, Shin HW, Passmore LV, Walker FO. Ultrasonographic findings of the normal ulnar nerve in adults. Arch Phys Med Rehabil 2007;88:394-396. Jain S, Visser LH, Praveen TL, Rao PN, Surekha T, Ellanti R, et al. High-resolution sonography: a new technique to detect nerve damage in leprosy. PLoS Negl Trop Dis 2009;3:e498. Beekman R, Visser LH. High-resolution sonography of the peripheral nervous system -- a review of the literature. Eur J Neurol 2004;11:305-314. Zaidman CM, Al-Lozi M, Pestronk A. Peripheral nerve size in normals and patients with polyneuropathy: an ultrasound study. Muscle Nerve 2009;40:960-966. 2004; 11 2007; 118 2004; 115 2004; 62 2009; 40 1999; 25 2010; 121 2008; 37 2005; 65 2012; 29 2009; 3 2007; 88 2009; 28 e_1_2_7_6_1 e_1_2_7_5_1 e_1_2_7_4_1 e_1_2_7_3_1 e_1_2_7_9_1 e_1_2_7_8_1 e_1_2_7_7_1 e_1_2_7_2_1 e_1_2_7_14_1 e_1_2_7_13_1 e_1_2_7_12_1 e_1_2_7_11_1 e_1_2_7_10_1 |
| References_xml | – reference: Beekman R, van den Berg LH, Franssen H, Visser LH, van Asseldonk JT, Wokke JH. Ultrasonography shows extensive nerve enlargements in multifocal motor neuropathy. Neurology 2005;65:305-307. – reference: Beekman R, Schoemaker MC, Van Der Plas JP, Van Den Berg LH, Franssen H, Wokke JH, et al. Diagnostic value of high-resolution sonography in ulnar neuropathy at the elbow. Neurology 2004;62:767-773. – reference: Bathala L, Kumar K, Pathapati R, Jain S, Visser LH. Ulnar neuropathy in Hansen's disease: clinical, high resolution ultrasound and electrophysiologic correlations. J Clin Neurophysiol 2012;29:190-193. – reference: Heinemeyer O, Reimers CD. Ultrasound of radial, ulnar, median, and sciatic nerves in healthy subjects and patients with hereditary motor and sensory neuropathies. Ultrasound Med Biol 1999;25:481-485. – reference: Jain S, Visser LH, Praveen TL, Rao PN, Surekha T, Ellanti R, et al. High-resolution sonography: a new technique to detect nerve damage in leprosy. PLoS Negl Trop Dis 2009;3:e498. – reference: Cartwright MS, Shin HW, Passmore LV, Walker FO. Ultrasonographic findings of the normal ulnar nerve in adults. Arch Phys Med Rehabil 2007;88:394-396. – reference: Walker FO, Cartwright MS, Wiesler ER, Caress J. Ultrasound of nerve and muscle. Clin Neurophysiol. 2004;115:495-507. – reference: Elias J Jr, Nogueira-Barbosa MH, Feltrin LT, Furini RB, Foss NT, Marques W Jr, et al. Role of ulnar nerve sonography in leprosy neuropathy with electrophysiologic correlation. J Ultrasound Med 2009;28:1201-1209. – reference: Padua L, Aprile I, Pazzaglia C, Frasca G, Caliandro P, Tonali P, et al. Contribution of ultrasound in a neurophysiological lab in diagnosing nerve impairment: A one-year systematic assessment. Clin Neurophysiol 2007;118:1410-1416. – reference: Cartwright MS, Passmore LV, Yoon JS, Brown ME, Caress JB, Walker FO. 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Muscle Nerve 2009;40:960-966. – volume: 115 start-page: 495 year: 2004 end-page: 507 article-title: Ultrasound of nerve and muscle publication-title: Clin Neurophysiol. – volume: 118 start-page: 1410 year: 2007 end-page: 1416 article-title: Contribution of ultrasound in a neurophysiological lab in diagnosing nerve impairment: A one‐year systematic assessment publication-title: Clin Neurophysiol – volume: 3 start-page: e498 year: 2009 article-title: High‐resolution sonography: a new technique to detect nerve damage in leprosy publication-title: PLoS Negl Trop Dis – volume: 37 start-page: 566 year: 2008 end-page: 571 article-title: Cross‐sectional area reference values for nerve ultrasonography publication-title: Muscle Nerve – volume: 40 start-page: 960 year: 2009 end-page: 966 article-title: Peripheral nerve size in normals and patients with polyneuropathy: an ultrasound study publication-title: Muscle Nerve – volume: 11 start-page: 305 year: 2004 end-page: 314 article-title: High‐resolution sonography of the peripheral nervous system ‐‐ a review of the literature publication-title: Eur J Neurol – volume: 28 start-page: 1201 year: 2009 end-page: 1209 article-title: Role of ulnar nerve sonography in leprosy neuropathy with electrophysiologic correlation publication-title: J Ultrasound Med – volume: 65 start-page: 305 year: 2005 end-page: 307 article-title: Ultrasonography shows extensive nerve enlargements in multifocal motor neuropathy publication-title: Neurology – volume: 121 start-page: 130 year: 2010 end-page: 131 article-title: Nerve conduction and ultrasound: will the wedding give birth to new morpho‐functional measures? publication-title: Clin Neurophysiol – volume: 29 start-page: 190 year: 2012 end-page: 193 article-title: Ulnar neuropathy in Hansen's disease: clinical, high resolution ultrasound and electrophysiologic correlations publication-title: J Clin Neurophysiol – volume: 62 start-page: 767 year: 2004 end-page: 773 article-title: Diagnostic value of high‐resolution sonography in ulnar neuropathy at the elbow publication-title: Neurology – volume: 25 start-page: 481 year: 1999 end-page: 485 article-title: Ultrasound of radial, ulnar, median, and sciatic nerves in healthy subjects and patients with hereditary motor and sensory neuropathies publication-title: Ultrasound Med Biol – volume: 88 start-page: 394 year: 2007 end-page: 396 article-title: Ultrasonographic findings of the normal ulnar nerve in adults publication-title: Arch Phys Med Rehabil – ident: e_1_2_7_7_1 doi: 10.1097/WNP.0b013e31824d969c – ident: e_1_2_7_12_1 doi: 10.1016/j.apmr.2006.12.020 – ident: e_1_2_7_13_1 doi: 10.1002/mus.21009 – ident: e_1_2_7_2_1 doi: 10.1016/j.clinph.2003.10.022 – ident: e_1_2_7_11_1 doi: 10.1016/S0301-5629(98)00187-2 – ident: e_1_2_7_3_1 doi: 10.1111/j.1468-1331.2004.00773.x – ident: e_1_2_7_10_1 doi: 10.1371/journal.pntd.0000498 – ident: e_1_2_7_5_1 doi: 10.1016/j.clinph.2009.10.014 – ident: e_1_2_7_6_1 doi: 10.7863/jum.2009.28.9.1201 – ident: e_1_2_7_4_1 doi: 10.1016/j.clinph.2007.03.011 – ident: e_1_2_7_14_1 doi: 10.1002/mus.21431 – ident: e_1_2_7_8_1 doi: 10.1212/01.WNL.0000113733.62689.0D – ident: e_1_2_7_9_1 doi: 10.1212/01.wnl.0000169179.67764.30 |
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| Snippet | Introduction: Normative cross‐sectional areas (CSAs) have been obtained for the Western population. We obtained CSAs of normal ulnar nerves at predetermined... Introduction : Normative cross‐sectional areas (CSAs) have been obtained for the Western population. We obtained CSAs of normal ulnar nerves at predetermined... Normative cross-sectional areas (CSAs) have been obtained for the Western population. We obtained CSAs of normal ulnar nerves at predetermined sites and... Introduction: Normative cross-sectional areas (CSAs) have been obtained for the Western population. We obtained CSAs of normal ulnar nerves at predetermined... |
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| SubjectTerms | Adolescent Adult Age Factors Aged cross-sectional area electrophysiologic correlations Female Humans Male Middle Aged Neural Conduction - physiology normative data peripheral nerve ultrasonography Reference Values ulnar nerve Ulnar Nerve - diagnostic imaging Ulnar Nerve - physiology Ultrasonography Wrist - innervation |
| Title | Ultrasonographic cross-sectional area normal values of the ulnar nerve along its course in the arm with electrophysiological correlations in 100 asian subjects |
| URI | https://api.istex.fr/ark:/67375/WNG-Z9C0MRM7-G/fulltext.pdf https://onlinelibrary.wiley.com/doi/abs/10.1002%2Fmus.23639 https://www.ncbi.nlm.nih.gov/pubmed/23401025 https://www.proquest.com/docview/1334950891 https://www.proquest.com/docview/1345515370 https://www.proquest.com/docview/1439227343 |
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