Yıl: 2023 Cilt: 12 Sayı: 2 Sayfa Aralığı: 49 - 54 Metin Dili: İngilizce DOI: 10.33880/ejfm.2023120201 İndeks Tarihi: 27-07-2023

Ulnar Neuropathy at The Elbow: What Can Be Done in Primary Care?

Öz:
Ulnar neuropathy at the elbow is a common entrapment mononeuropathy. Leaning the elbow on hard floors for a long time, frequent and strong elbow movements, and chronic diseases such as diabetes mellitus may be the risk factors for ulnar neuropathy. Patients often present with sensory abnormalities in the fourth/fifth finger and weakness in the hand muscles innervated by the ulnar nerve. The disease can be mild or cause severe weakness that limits daily activities. Therefore, diagnosis, treatment, and follow-up of patients are important. The diagnosis of ulnar neuropathy can be made by clinical features, electrodiagnostic tests, and imaging methods. Since chronic diseases such as diabetes mellitus and thyroid disease can be seen together with ulnar neuropathy, biochemical tests including blood glucose and thyroid tests should be applied to patients. Treatment of ulnar neuropathy includes medical, physical therapy practices, and surgery.
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  • 1. Cambon-Binder A. Ulnar neuropathy at the elbow. Orthop Traumatol Surg Res 2021;107(1S):102754. doi: 10.1016/j.otsr.2020.102754
  • 2. Campbell WW, Carroll C, Landau ME. Ulnar neuropathy at the elbow: five new things. Neurol Clin Pract 2015;5(1):35-41. doi: 10.1212/CPJ.0000000000000097
  • 3. Robertson C, Saratsiotis J. A review of compressive ulnar neuropathy at the elbow. J Manipulative Physiol Ther 2005;28(5):345. doi: 10.1016/j.jmpt.2005.04.005
  • 4. Landau ME, Campbell WW. Clinical and electrodiagnosis of ulnar neuropathies. Phys Med Rehabil Clin N Am 2013;24(1):49-66. doi:10.1016/j.pmr.2012.08.019
  • 5. American Association of Electrodiagnostic Medicine. Guidelines in electrodiagnostic medicine. Practice parameter for electrodiagnostic studies in ulnar neuropathy at the elbow. Muscle Nerve Suppl 1999;8:S171- S205. PMID: 16921634
  • 6. Gonzalez NL, Hobson-Webb LD. Neuromuscular ultrasound in clinical practice: A review. Clin Neurophysiol Pract 2019;12(4):148-63. doi:10.1016/j.cnp.2019.04.006
  • 7. Omejec G, Podnar S. Normative values for short-segment nerve conduction studies and ultrasonography of the ulnar nerve at the elbow. Muscle Nerve 2015;51(3):370-7. doi: 10.1002/mus.24328
  • 8. Chhabra A, Andreisek G, Soldatos T, Wang KC. MR neurography: past, present, and future. Am J Roent 2011;197(3):583-91. doi: 10.2214/AJR.10.6012
  • 9. Polatsch DB, Melone Jr CP, Beldner S, Incorvaia A. Ulnar nerve anatomy. Hand Clin 2007;23(3):283-9. doi: 10.1016/j.hcl.2007.05.001
  • 10. Mondelli M, Giannini F, Ballerini M, Ginanneschi F, Martorelli E. Incidence of ulnar neuropathy at the elbow in the province of Siena (Italy). J Neurol Sci 2005;234(1-2):5-10. doi: 10.1016/j.jns.2005.02.010
  • 11. Ashworth NL, Huang C, Chan KM. Laterality and risk factors for ulnar neuropathy at the elbow. Muscle Nerve 2020;61(1):101-4. doi:10.1002/mus.26737
  • 12. Landau ME, Barner KC, Campbell WW. Effect of body mass index on ulnar nerve conduction velocity, ulnar neuropathy at the elbow, and carpal tunnel syndrome. Muscle Nerve 2005;32(3):360-3. doi: 10.1002/mus.20345
  • 13. Bartels RHMA, Verbeek ALM. Risk factors for ulnar nerve compression at the elbow: a case-control study. Acta Neurochir (Wien) 2007;149(7):669-74. doi: 10.1007/s00701-007-1166-5
  • 14. Rubin G, Orbach H, Bor N, Rozen N. Tardy ulnar nerve palsy. J Am Acad Orthop Surg 2019;27(19):717-25. doi: 10.5435/JAAOS-D-18-00138
  • 15. Werner CO, Ohlin P, Elmqvist D. Pressures recorded in ulnar neuropathy. Acta Orthop Scand 1985;56(5):404-6. doi: 10.3109/17453678508994358
  • 16. Rota E, Morelli N. Entrapment neuropathies in diabetes mellitus. World J Diabetes 2016;7(17):342-53. doi: 10.4239/wjd.v7.i17.342
  • 17. Gupta N, Arora M, Sharma R, Arora KS. Peripheral and central nervous system involvement in recently diagnosed cases of hypothyroidism: an electrophysiological study. Ann Med Health Sci Res 2016;6(5):261-6. doi: 10.4103/amhsr.amhsr_39_16
  • 18. Mouthon L, Halimi C, Muller GP, Cayre-Castel M, Begue T, Masquelet AC, et al. Systemic scleroderma associated with bilateral ulnar nerve entrapment at the elbow. Rheumatology 2000;39(6):682-3. doi: 10.1093/rheumatology/39.6.682
  • 19. Attarian S, Fatehi F, Rajabally YA, Pareyson D. Hereditary neuropathy with liability to pressure palsies. J Neurol 2020;267(8):2198-206. doi: 10.1007/s00415-019-09319-8
  • 20. Omejec G, Podnar S. Precise localization of ulnar neuropathy at the elbow. Clin Neurophysiol 2015;126(12):2390-6. doi: 10.1016/j.clinph.2015.01.023
  • 21. Fidancı H, Öztürk İ, Köylüoğlu AC, Yıldız M, Buturak Ş, Arlıer Z. The needle electromyography findings in the neurophysiological classification of ulnar neuropathy at the elbow. Turk J Med Sci 2020;50(4):804-10. doi: 10.3906/sag-1910-59
  • 22. Goldman SB, Brininger TL, Schrader JW, Curtis R, Koceja DM. Analysis of clinical motor testing for adult patients with diagnosed ulnar neuropathy at the elbow. Arch Phys Med Rehabil 2009;90(11):1846-52. doi: 10.1016/j.apmr.2009.06.007
  • 23. Beekman R, Schreuder AHCML, Rozeman CAM, Koehler PJ, Uitdehaag BMJ. The diagnostic value of provocative clinical tests in ulnar neuropathy at the elbow is marginal. J Neurol Neurosurg Psychiatry 2009;80(12):1369-74. doi: 10.1136/jnnp.2009.180844
  • 24. Novak CB, Lee GW, Mackinnon SE, Lay L. Provocative testing for cubital tunnel syndrome. J Hand Surg Am 1994;19(5):817-20. doi: 10.1016/0363-5023(94)90193-7
  • 25. Howe FA, Filler AG, Bell BA. Magnetic resonance neurography. Magn Reson Med 1992;28(2):328-38. doi: 10.1002/mrm.1910280215
  • 26. Beekman R, Van Der Plas JP, Uitdehaag BM, Schellens RL, Visser LH. Clinical, electrodiagnostic, and sonographic studies in ulnar neuropathy at the elbow. Muscle Nerve 2004;30(2):202-8. doi: 10.1002/mrm.1910280215
  • 27. Omejec G, Podnar S. Proposal for electrodiagnostic evaluation of patients with suspected ulnar neuropathy at the elbow. Clin Neurophysiol 2016;127:1961-7. doi: 10.1016/j.clinph.2016.01.011
  • 28. Azrieli Y, Weimer L, Lovelace R, Gooch C. The utility of segmental nerve conduction studies in ulnar mononeuropathy at the elbow. Muscle Nerve 2003;27(1):46-50. doi: 10.1002/mus.10293
  • 29. Padua L, Aprile I, Mazza O, Padua R, Pietracci E, Caliandro P, et al. Neurophysiological classification of ulnar entrapment across the elbow. Neurol Sci 2001;22(1):11-6. doi: 10.1007/s100720170030
  • 30. Visser LH, Beekman R, Franssen H. Short-segment nerve conduction studies in ulnar neuropathy at the elbow. Muscle Nerve 2005;31(3):331-8. doi: 10.1002/mus.20248
  • 31. Levine DW, Simmons BP, Koris MJ, Daltroy LH, Hohl GG, Fossel AH, et al. A self-administered questionnaire for the assessment of severity of symptoms and functional status in carpal tunnel syndrome. J Bone Joint Surg Am 1993;75(11):1585–92. doi: 10.2106/00004623-199311000-00002
  • 32. Burns PB, Kim HM, Gaston RG, Haase SC, Hammert WC, Lawton JN, et al. Predictors of functional outcomes after simple decompression for ulnar neuropathy at the elbow: a multicenter study by the SUN study group. Arch Phys Med Rehabil 2014;95(4):680-5. doi: 10.1016/j.apmr.2013.10.028
  • 33. Mondelli M, Padua L, Giannini F, Bibbo G, Aprile I, Rossi S. A self-administered questionnaire of ulnar neuropathy at the elbow. Neurol Sci 2006;27(6):402-11. doi: 10.1007/s10072-006-0719-3
  • 34. Paiva Filho HR, Pedroso FLC, Bueno FB, Paiva VGN, Oliveira EF, Rocha MA. Prevalence of anxiety and depression symptoms in people with carpal tunnel syndrome. Rev Bras Ortop 2020;55(4):438-44. doi: 10.1055/s-0039-3400517
  • 35. Buturak Ş, Fidancı H, Köylüoğlu AC, Yıldız M, Arlıer Z. The relationship between fatigue, neuropathic pain, and neurophysiological featıres in carpal tunnel syndrome. J Contemp Med 2022;12(6):907-11. doi: 10.16899/jcm1166959
  • 36. Bennett M. The LANSS pain scale: the Leeds assessment of neuropathic symptoms and signs. Pain 2001;92:147–57. doi: 10.1016/S0304-3959(00)00482-6
  • 37. Doughty CT, Bowley MP. Entrapment neuropathies of the upper extremity. Med Clin North Am 2019;103(2):357-70. doi: 10.1016/j.mcna.2018.10.012
  • 38. Van Es MA, Hardiman O, Chio A, Al-Chalabi A, Pasterkamp RJ, Veldink JH, et al. Amyotrophic lateral sclerosis. Lancet 2017;390(10107):2084-98. doi: 10.1038/nrdp.2017.71
APA Fidancı İ (2023). Ulnar Neuropathy at The Elbow: What Can Be Done in Primary Care?. , 49 - 54. 10.33880/ejfm.2023120201
Chicago Fidancı İzzet Ulnar Neuropathy at The Elbow: What Can Be Done in Primary Care?. (2023): 49 - 54. 10.33880/ejfm.2023120201
MLA Fidancı İzzet Ulnar Neuropathy at The Elbow: What Can Be Done in Primary Care?. , 2023, ss.49 - 54. 10.33880/ejfm.2023120201
AMA Fidancı İ Ulnar Neuropathy at The Elbow: What Can Be Done in Primary Care?. . 2023; 49 - 54. 10.33880/ejfm.2023120201
Vancouver Fidancı İ Ulnar Neuropathy at The Elbow: What Can Be Done in Primary Care?. . 2023; 49 - 54. 10.33880/ejfm.2023120201
IEEE Fidancı İ "Ulnar Neuropathy at The Elbow: What Can Be Done in Primary Care?." , ss.49 - 54, 2023. 10.33880/ejfm.2023120201
ISNAD Fidancı, İzzet. "Ulnar Neuropathy at The Elbow: What Can Be Done in Primary Care?". (2023), 49-54. https://doi.org/10.33880/ejfm.2023120201
APA Fidancı İ (2023). Ulnar Neuropathy at The Elbow: What Can Be Done in Primary Care?. Eurasian Journal of Family Medicine, 12(2), 49 - 54. 10.33880/ejfm.2023120201
Chicago Fidancı İzzet Ulnar Neuropathy at The Elbow: What Can Be Done in Primary Care?. Eurasian Journal of Family Medicine 12, no.2 (2023): 49 - 54. 10.33880/ejfm.2023120201
MLA Fidancı İzzet Ulnar Neuropathy at The Elbow: What Can Be Done in Primary Care?. Eurasian Journal of Family Medicine, vol.12, no.2, 2023, ss.49 - 54. 10.33880/ejfm.2023120201
AMA Fidancı İ Ulnar Neuropathy at The Elbow: What Can Be Done in Primary Care?. Eurasian Journal of Family Medicine. 2023; 12(2): 49 - 54. 10.33880/ejfm.2023120201
Vancouver Fidancı İ Ulnar Neuropathy at The Elbow: What Can Be Done in Primary Care?. Eurasian Journal of Family Medicine. 2023; 12(2): 49 - 54. 10.33880/ejfm.2023120201
IEEE Fidancı İ "Ulnar Neuropathy at The Elbow: What Can Be Done in Primary Care?." Eurasian Journal of Family Medicine, 12, ss.49 - 54, 2023. 10.33880/ejfm.2023120201
ISNAD Fidancı, İzzet. "Ulnar Neuropathy at The Elbow: What Can Be Done in Primary Care?". Eurasian Journal of Family Medicine 12/2 (2023), 49-54. https://doi.org/10.33880/ejfm.2023120201