Prevalence and Causes of Ulnar Neuropathy in the Electrodiagnosis Clinic of Shohada-e-Tajrish Medical Center
Men's Health Journal,
Vol. 5 No. 1 (2021),
6 January 2021
,
Page e36
https://doi.org/10.22037/mhj.v5i1.36408
Abstract
Background: The prevalence of ulnar nerve mono neuropathy has increased in recent years. Upper limb involvement by ulnar neuropathy results in motor and sensory disability and this disability imposes significant physical, psychological and financial burdens on patients. We aimed to assess the prevalence and causes of ulnar neuropathy in the Electrodiagnosis clinic of Shohada-e-Tajrish medical center. Materials and Methods: In this cross-sectional study we extracted the electronic files of all patients referred to the clinic during 2009-2013. Patients with ulnar neuropathies were selected and required data were obtained. 62 patients with ulnar nerve lesions were included and their data (include age, sex, involved side, cause of lesion, severity and location of involvement) were analyzed. Results: Of the 62 patients enrolled, 42(67.7\%) were men and 20 (32.3\%) were women with a mean age of 41.63 years (range: 17-79 years). There was a significant relationship between age and disease prevalence. The highest prevalence rate of the disease was observed in the 20–39year-old age group and the lowest in the below 20-year-old age group. Trauma was a more frequent cause than entrapment. Elbow was the most frequent location of injury. Conclusion:Ulnar neuropathy was more prevalent in young and middle-aged individuals than those above 60 years. Considering the potential disability caused by this nerve damage, more attention is needed to evaluate patients and initiate proper treatment and rehabilitation in those ulnar nerve lesion.
- Ulnar neuropathies
- Prevalence, Electrodiagnosis
How to Cite
References
Daniel B. Polatsch , Charles P. Melone Jr , Steven Beldner , Angelo Incorvaia . Ulnar Nerve Anatomy, Hand Clinics, Volume 23, Issue 3, 2007August, Pages 283-289
Bozentka DJ. Cubital tunnel syndrome pathophysiology. Clin OrthopRelat Res. 1998 Jun. 90-4.
Green JR Jr, Rayan GM. The cubital tunnel: anatomic, histologic, and biomechanical study. J Shoulder Elbow Surg. 1999 Sep-Oct. 8(5):466-70.
McPherson SA, Meals RA. Cubital tunnel syndrome. Orthop Clin North Am. 1992 Jan. 23(1):111-23.
Hobson-Webb LD, Juel VC. Common Entrapment Neuropathies. Continuum (MinneapMinn). 2017 Apr. 23 (2, Selected Topics in Outpatient Neurology):487-511.
Campbell WW, Pridgeon RM, Riaz G, Astruc J, Sahni KS. Variations in anatomy of the ulnar nerve at the cubital tunnel: pitfalls in the diagnosis of ulnar neuropathy at the elbow. Muscle Nerve. 1991 Aug. 14(8):733-8.
Foucher G, Berard V, Snider G, et al. Distal ulnar nerve entrapment due to tumors of Guyon's canal. A series of ten cases. HandchirMikrochirPlastChir 1993; 25:61.
Aguiar PH, Bor-Seng-Shu E, Gomes-Pinto F, Almeida- Leme RJ, Freitas AB, Martins RS, et al. Surgical management of Guyon's canal syndrome, an ulnar nerve entrapment at the wrist: report of two cases. ArqNeuropsiquiatr. 2001 Mar. 59(1):106-11.
Ching-Yu Lan, Huey-Yuan Tien , Yu-Te Lin, Chun-Cheng Hsu, Cheng-Hung Lin, Shih-Heng Chen. Prognosis of Traumatic Ulnar Nerve Injuries: A Systematic Review. Ann Plast Surg. 2019 Jan;82(1S Suppl 1):S45-S52.
10.Rota E, Zavaroni D, Parietti L, Iafelice I, De Mitri P, Terlizzi E, Morelli N, Immovilli P, Guidetti D. Ulnar entrapment neuropathy in patients with type 2 diabetes mellitus: an electrodiagnostic study. Diabetes Res ClinPract. 2014 Apr;104(1):73-8
Spinner M, Spencer PS. Nerve compression lesions of the upper extremity. A clinical and experimental review. ClinOrthopRelat Res. 1974 Oct. 46-67.
FeindelW, Stratford J. The role of the cubital tunnel in tardy ulnar palsy.Can J Surg. 1958 Jul. 1(4):287-300.
Bahram Samadi Rad, ArashBabaiGhazani, Bina Eftekhar Sadat, Vida Mamaghani, BehnazBaybourdi, Seyyed Kazem Shakuri, Ali Ashraf Seif Farshad, Maryam BeigomYasini. Study of frequency of peripheral nerve injuries in traumatic patients referred to East Azarbaijan Legal Medicine Center in 2011.scientific journal of forensic medicine. 2016, 21(4): 283-290
Jenniffer Megan M Patterson. High ulnar nerve injuries: Nerve transfer to restore function. Hand Clinics. May 2016
Watchmaker GP, Lee G, Mackinnon SE. Intraneural topography of the ulnar nerve in the cubital tunnel facilitates anterior transposition. J Hand Surg Am. 1994 Nov. 19(6):915-22.
Pechan J, Julis I. The pressure measurement in the ulnar nerve. A contribution to the pathophysiology of the cubital tunnel syndrome. J Biomech. 1975 Jan. 8(1):75-9.
Charness ME. Unique upper extremity disorders of musicians. Millender, ed. Occupational Disorders of the Upper Extremity. New York, NY: Churchill Livingstone; 1992. 227-52.
Rettig AC, Ebben JR. Anterior subcutaneous transfer of the ulnar nerve in the athlete. Am J Sports Med. 1993 Nov-Dec. 21(6):836-9; discussion 839-40.
Frost P, Johnsen B, Fuglsang-Frederiksen A, Svendsen SW. Lifestyle risk factors for ulnar neuropathy and ulnar neuropathy-like symptoms. Muscle Nerve 2013; 48:507.
Bartels RH, Verbeek AL. Risk factors for ulnar nerve compression at the elbow: a case control study. ActaNeurochir (Wien) 2007; 149:669.
Alexis Descatha, , Annette Leclerc, Jean-François Chastang, Yves Roquelaure.Incidence of ulnar nerve entrapment at the elbow in repetitive work.ScandJ Work Environ Health. 2004 Jun; 30(3): 234–240
Malone PS, Hutchinson CE, Kalson NS, Twining CJ, Terenghi G, Lees VC. Subluxation-related ulnar neuropathy (SUN) syndrome related to distal radioulnar joint instability. J Hand SurgEur Vol. 2012 Sep;37(7):652-64.
Werner RA, Franzblau A, Evanoff B, Ulin S. Ulnar Neuropathy among Active Workers Based Upon Hand Diagram Ratings. PM R. 2015 Jun;7(6):571-5
Nainzadeh NK, Ilizarov S, Piligian G, Dropkin J, Breyre A. Ulnar neuropathy at the elbow in computer keyboard operators. Work. 2011;39(2):93-101
Burnham RS, Steadward RD. Upper extremity peripheral nerve entrapments among wheelchair athletes: prevalence, location, and risk factors. Arch Phys Med Rehabil 1994; 75:519.
Murata K, Shih JT, Tsai TM. Causes of ulnar tunnel syndrome: a retrospective study of 31 subjects. J Hand Surg Am 2003; 28:647.
F. Torkaan , S.M. Raayegani, M.H. Bahrami. Cervical root lesion and peripheral nerve injury in Iranian wrestlers. RJMS 2001, 8(24): 142-145
Hulkkonen S, Lampainen K, Auvinen J, Miettunen J, KarppinenJ,Ryhänen J. Incidence and operations of median, ulnar and radial neuropathies in Finland: a nationwide register study. The Journal of Hand Surgery, European VolumeNovember 2019; 45(3)
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
Halac G, Topaloglu P, Demir S, et al. Ulnar nerve entrapment neuropathy at the elbow: relationship between the electrophysiological findings and neuropathic pain. J Phys Ther Sci. 2015; 27(7):2213–2216. doi:10.1589/jpts.27.2213
Adeyemi-Doro HO. Pattern of peripheral traumatic neuropathy of the upper limb in Lagos. Injury. 1988;19(5):329–332. doi:10.1016/0020-1383(88)90105-2
Chang C-W, Wang Y-C, Chu C-H. Increased carrying angle is a risk factor for nontraumatic ulnar neuropathy at the elbow. Clin OrthopRelat Res. 2008;466(9):2190. doi:10.1007/s11999-008-0308-2
Contreras MG, Warner MA, Charboneau WJ, Cahill DR. Anatomy of the ulnar nerve at the elbow: potential relationship of acute ulnar neuropathy to gender differences. Clin Anat. 1998;11(6):372–378. doi:10.1002/(ISSN)1098-235331.
Roquelaure Y. et al. Epidemiologic surveillance of upper-extremity musculoskeletal disorders in the working population. Arthritis Rheum. 55, 765–778 (2006).
Latinovic, R., Gulliford, M. C. & Hughes, Ra. C. Incidence of common compressive neuropathies in primary care. J. Neurol. Neurosurg. Psychiatr. 77, 263–265 (2006)
Eser F, Aktekin LA, Bodur H, Atan C. Etiological factors of traumatic peripheral nerve injuries. Neurol India. 2009;57(4):434–437. doi:10.4103/0028-3886.55614
Kouyoumdjian JA, Graça CR, Ferreira VF. Peripheral nerve injuries: a retrospective survey of 1124 cases. Neurol India. 2017;65(3):551. doi:10.4103/neuroindia.NI_987_16
Raeissadat S.A, et al. Electrodiagnostic Findings in 441 Patients with Ulnar Neuropathy - a Retrospective Study.Orthopedic Research and Reviews 2019:11 191–198
Eliaspour D, et al. The pattern of muscle involvement in ulnar neuropathy at the elbow. Neurol India. 2012;60(1):36. doi:10.4103/0028-3886.93586
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