Application of ulnar nerve diameter changes examined by HRUS in patients with cubital tunnel syndrome.
10.12200/j.issn.1003-0034.2023.06.009
- Author:
Guang-Hui ZHANG
1
;
Zhi ZHANG
1
;
Qing-Lin ZHANG
1
;
Ming-Tong HAN
1
;
Lei ZHANG
2
Author Information
1. Department of Hand and Foot Surgery, Affiliated Hospital of Jining Medical University, Jining 272011, Shandong, China.
2. Jining Medical University, Jining 272011, Shandong, China.
- Publication Type:Journal Article
- Keywords:
Cubital tunnel syndrome;
High-resolution ultrasonography;
Ulnar nerve
- MeSH:
Male;
Female;
Humans;
Adult;
Middle Aged;
Aged;
Cubital Tunnel Syndrome/surgery*;
Ulnar Nerve/surgery*;
Neurosurgical Procedures/methods*;
Decompression, Surgical/methods*;
Prognosis
- From:
China Journal of Orthopaedics and Traumatology
2023;36(6):550-553
- CountryChina
- Language:Chinese
-
Abstract:
OBJECTIVE:To evaluate the value of high-resolution ultrasound the diagnosis and prognosis of cubital tunnel syndrome.
METHODS:From January 2018 to June 2019, 47 patients with cubital tunnel syndrome were treated with ulnar nerve release and anterior subcutaneous transposition. There were 41 males and 6 females, aged from 27 to 73 years old. There were 31 cases on the right, 15 cases on the left, and 1 case on both sides. The diameter of ulnar nerve was measured by high-resolution ultrasound pre-and post-operatively, and measured directly during the operation. The recovery status of the patients was evaluated by the trial standard of ulnar nerve function assessment, and the satisfaction of the patients was assessed.
RESULTS:All the 47 cases were followed up for an average of 12 months and the incisions healed well. The diameter of ulnar nerve at the compression level was (0.16±0.04) cm pre-operatively, and the diameter of ulnar nerve was (0.23±0.04) cm post-operatively. The evaluation of ulnar nerve function:excellent in 16 cases, good in 18 cases and fair in 13 cases. Twelve months post-operatively, 28 patients were satisfied, 10 patients were general and 9 patients were dissatisfied.
CONCLUSION:The preoperative examination of ulnar nerve by high-resolution ultrasound is consistent with the intuitive measurement during operation, and the result of postoperative examination of ulnar nerve by high-resolution ultrasound is consistent with follow-up results. High-resolution ultrasound is an effective auxiliary method for the diagnosis and treatment of cubital tunnel syndrome.
