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An electrodiagnostic grading system for ulnar neuropathy at the elbow
Lawrence A Zeidman1, Dilip K Pandey2
1Department of Neurology, Loyola University Medical Center, Maywood, Illinois.
Muscle & Nerve
|August 29, 2020
Summary
A new grading system for ulnar neuropathy at the elbow (UNE) effectively categorizes severity based on electrodiagnostic findings. This system correlates well with symptoms, physical exams, and treatment choices for UNE patients.
Area of Science:
- Neurology
- Electromyography
- Nerve Conduction Studies
Background:
- Ulnar neuropathy at the elbow (UNE) is a common entrapment neuropathy.
- Standardized electrodiagnostic grading is needed for UNE severity assessment.
Purpose of the Study:
- To develop and validate a grading system for electrodiagnostic severity of UNE.
- To analyze the correlation between clinical presentation, electrodiagnostic findings, and treatment in UNE.
Main Methods:
- Retrospective analysis of 112 EMG reports for UNE.
- Classification of UNE severity into mild, moderate, and severe grades based on electrodiagnostic criteria.
- Statistical analysis of associations between symptoms, physical exam findings, treatment, and electrodiagnostic grade.
Main Results:
- 15.2% mild, 71.4% moderate, and 13.4% severe UNE cases identified.
- Significant associations found between presenting symptoms (P = .016), physical exam findings (P < .001), and treatment type (P = .043) with UNE electrodiagnostic grade.
Conclusions:
- The developed UNE grading system demonstrates significant correlation with clinical presentation and treatment selection.
- This grading system may serve as a valuable tool for quantifying UNE electrodiagnostic severity.
Keywords:
EMGentrapment neuropathygrading systemulnar nerveulnar neuropathyulnar neuropathy treatmentMore Related Videos
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