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      Relationship between Anconeus Epitrochlearis and Ulnar Motor Nerve Conduction Velocity

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      https://www.riss.kr/link?id=A108429092

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      Objective: To determine the incidence of anconeus epitrochlearis (AE) muscle and evaluate the correlation between AE muscle and ulnar motor nerve conduction velocity (NCV). Method: Forty healthy volunteers (80 arms) were evaluated. Ulnar motor nerve conduction study was performed. NCVs at the forearm and across the elbow were calculated. Ultrasonography (US) was used to obtain a transverse scan view of the cubital tunnel and confirm the presence of the AE muscle. Cross-sectional areas (CSAs) of following structures were obtained: ulnar nerve (UNCSA), cubital tunnel (CTCSA), and AE (AECSA). AECSA was divided by CTCSA to obtain the AE/CT ratio. Pearson correlation coefficient (PCC) was calculated to evaluate the relationship between NCV across elbow and each variable obtained by US. Results: Sixty-three (78.75%) of eighty arms showed the presence of AE muscle. NCV had no significant correlations with sonographic variables. However, when 17 arms with a relatively low NCV value (≤ 60 m/s) were analyzed, NCV showed significant correlations with AECSA (PCC: r = −0.674, p=0.003) and AE/CT ratio (PCC: r = −0.516, p=0.034). Conclusion: When all 63 cases with AE muscle were analyzed, ulnar NCV showed no significant correlations with sonographic variables. However, when those with NCV value of 60 m/s or less were analyzed, NCV showed significant negative correlations with AECSA and AE/CT ratio.
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      Objective: To determine the incidence of anconeus epitrochlearis (AE) muscle and evaluate the correlation between AE muscle and ulnar motor nerve conduction velocity (NCV). Method: Forty healthy volunteers (80 arms) were evaluated. Ulnar motor nerve c...

      Objective: To determine the incidence of anconeus epitrochlearis (AE) muscle and evaluate the correlation between AE muscle and ulnar motor nerve conduction velocity (NCV). Method: Forty healthy volunteers (80 arms) were evaluated. Ulnar motor nerve conduction study was performed. NCVs at the forearm and across the elbow were calculated. Ultrasonography (US) was used to obtain a transverse scan view of the cubital tunnel and confirm the presence of the AE muscle. Cross-sectional areas (CSAs) of following structures were obtained: ulnar nerve (UNCSA), cubital tunnel (CTCSA), and AE (AECSA). AECSA was divided by CTCSA to obtain the AE/CT ratio. Pearson correlation coefficient (PCC) was calculated to evaluate the relationship between NCV across elbow and each variable obtained by US. Results: Sixty-three (78.75%) of eighty arms showed the presence of AE muscle. NCV had no significant correlations with sonographic variables. However, when 17 arms with a relatively low NCV value (≤ 60 m/s) were analyzed, NCV showed significant correlations with AECSA (PCC: r = −0.674, p=0.003) and AE/CT ratio (PCC: r = −0.516, p=0.034). Conclusion: When all 63 cases with AE muscle were analyzed, ulnar NCV showed no significant correlations with sonographic variables. However, when those with NCV value of 60 m/s or less were analyzed, NCV showed significant negative correlations with AECSA and AE/CT ratio.

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      참고문헌 (Reference)

      1 Pompe SM, "Which ultrasonographic measure has the upper hand in ulnar neuropathy at the elbow" 124 : 190-196, 2013

      2 Cheriyan T, "Velocity drop in anconeus epitrochlearis-associated cubital tunnel syndrome" 43 : 227-229, 2014

      3 Ghanei ME, "Usefulness of combination of grey-scale and color Doppler ultrasound findings in the diagnosis of ulnar nerve entrapment syndrome" 20 : 342-345, 2015

      4 Chalmers J, "Unusual causes of peripheral nerve compression" 10 : 168-175, 1978

      5 Wiesler ER, "Ultrasound in the diagnosis of ulnar neuropathy at the cubital tunnel" 31 : 1088-1093, 2006

      6 Volpe A, "Ultrasound evaluation of ulnar neuropathy at the elbow: correlation with electrophysiological studies" 48 : 1098-1101, 2009

      7 Mondelli M, "Ultrasonography in ulnar neuropathy at the elbow : relationships to clinical and electrophysiological findings" 38 : 217-226, 2008

      8 Bayrak AO, "Ultrasonography in patients with ulnar neuropathy at the elbow : comparison of cross-sectional area and swelling ratio with electrophysiological severity" 41 : 661-666, 2010

      9 van Veen KE, "Ultrasonography and electrodiagnostic studies in ulnar neuropathy : an examination of the sensitivity and specificity and the correlations between both diagnostic tools" 32 : 240-243, 2015

      10 Bathala L, "Ultrasonographic cross-sectional area normal values of the ulnar nerve along its course in the arm with electrophysiological correlations in 100 Asian subjects" 47 : 673-676, 2013

      1 Pompe SM, "Which ultrasonographic measure has the upper hand in ulnar neuropathy at the elbow" 124 : 190-196, 2013

      2 Cheriyan T, "Velocity drop in anconeus epitrochlearis-associated cubital tunnel syndrome" 43 : 227-229, 2014

      3 Ghanei ME, "Usefulness of combination of grey-scale and color Doppler ultrasound findings in the diagnosis of ulnar nerve entrapment syndrome" 20 : 342-345, 2015

      4 Chalmers J, "Unusual causes of peripheral nerve compression" 10 : 168-175, 1978

      5 Wiesler ER, "Ultrasound in the diagnosis of ulnar neuropathy at the cubital tunnel" 31 : 1088-1093, 2006

      6 Volpe A, "Ultrasound evaluation of ulnar neuropathy at the elbow: correlation with electrophysiological studies" 48 : 1098-1101, 2009

      7 Mondelli M, "Ultrasonography in ulnar neuropathy at the elbow : relationships to clinical and electrophysiological findings" 38 : 217-226, 2008

      8 Bayrak AO, "Ultrasonography in patients with ulnar neuropathy at the elbow : comparison of cross-sectional area and swelling ratio with electrophysiological severity" 41 : 661-666, 2010

      9 van Veen KE, "Ultrasonography and electrodiagnostic studies in ulnar neuropathy : an examination of the sensitivity and specificity and the correlations between both diagnostic tools" 32 : 240-243, 2015

      10 Bathala L, "Ultrasonographic cross-sectional area normal values of the ulnar nerve along its course in the arm with electrophysiological correlations in 100 Asian subjects" 47 : 673-676, 2013

      11 Byun SD, "Ulnar neuropathy caused by an anconeus epitrochlearis : clinical and electrophysiological findings" 36 : 607-608, 2011

      12 Nellans K, "Ulnar neuropathy as a result of anconeus epitrochlearis" 37 : e743-e745, 2014

      13 Tiong WH, "Ulnar nerve entrapment by anconeus epitrochlearis ligament" 17 : 83-84, 2012

      14 Uscetin I, "Ulnar nerve compression at the elbow caused by the epitrochleoanconeus muscle : a case report and surgical approach" 24 : 266-271, 2014

      15 O’Hara JJ, "Ulnar nerve compression at the elbow caused by a prominent medial head of the triceps and an anconeus epitrochlearis muscle" 21 : 133-135, 1996

      16 Ehler E, "Ulnar nerve at the elbow-normative nerve conduction study" 8 : 2-, 2013

      17 Lleva JMC, "Ulnar Neuropathy" StatPearls 2021

      18 O’Driscoll SW, "The cubital tunnel and ulnar neuropathy" 73 : 613-617, 1991

      19 Wilson TJ, "The anconeus epitrochlearis muscle may protect against the development of cubital tunnel syndrome : a preliminary study" 125 : 1533-1538, 2016

      20 Gervasio O, "Surgical approach to ulnar nerve compression at the elbow caused by the epitrochleoanconeus muscle and a prominent medial head of the triceps" 62 : 186-192, 2008

      21 Maslow JI, "Prevalence and Clinical Manifestations of the Anconeus Epitrochlearis and Cubital Tunnel Syndrome" 15 : 69-74, 2020

      22 구용서 ; Charles S. Cho ; 김병조, "Pitfalls in Using Electrophysiological Studies to Diagnose Neuromuscular Disorders" 대한신경과학회 8 (8): 1-14, 2012

      23 Dellon AL, "Musculotendinous variations about the medial humeral epicondyle" 11 : 175-181, 1986

      24 Kerasnoudis A, "Multifocal motor neuropathy : correlation of nerve ultrasound, electrophysiological, and clinical findings" 19 : 165-174, 2014

      25 Patel VV, "Morphologic changes in the ulnar nerve at the elbow with flexion and extension : a magnetic resonance imaging study with 3-dimensional reconstruction" 7 : 368-374, 1998

      26 Hennessey WJ, "Median and ulnar nerve conduction studies : normative data for young adults" 75 : 259-264, 1994

      27 Husarik DB, "Elbow nerves : MR findings in 60 asymptomatic subjects--normal anatomy, variants, and pitfalls" 252 : 148-156, 2009

      28 Hsu K, "Effect of shoulder and elbow position on ulnar nerve conduction" 60 : 88-90, 2019

      29 김주희 ; 원선재 ; 이원일 ; 박혜정 ; 홍현미, "Diagnostic Cutoff Value for Ultrasonography in the Ulnar Neuropathy at the Elbow" 대한재활의학회 39 (39): 170-175, 2015

      30 Il-Jung Park ; Hyoung-Min Kim ; Jae-Young Lee ; Changhoon Jeong ; Younghoon Kang ; Sunwook Hwang ; Byung-Yoon Sung ; Soo-Hwan Kang, "Cubital Tunnel Syndrome Caused by Anconeus Epitrochlearis Muscle" 대한신경외과학회 61 (61): 618-624, 2018

      31 Babusiaux D, "Contribution of static and dynamic ultrasound in cubital tunnel syndrome" 100 : S209-S212, 2014

      32 Dekelver I, "Bilateral ulnar nerve entrapment by the M. anconeus epitrochlearis. A case report and literature review" 31 : 1139-1142, 2012

      33 Dahners LE, "Anconeus epitrochlearis, a rare cause of cubital tunnel syndrome : a case report" 9 : 579-580, 1984

      34 Erdem Bagatur A, "Anconeus Epitrochlearis Muscle Causing Ulnar Neuropathy at the Elbow : Clinical and Neurophysiological Differential Diagnosis" 39 : e988-91, 2016

      35 Kim N, "Anconeus Epitrochlearis Muscle Associated With Cubital Tunnel Syndrome: A Case Series" 14 : 477-482, 2019

      36 Fernandez J, "A rare cause of ulnar nerve entrapment at the elbow area illustrated by six cases : The anconeus epitrochlearis muscle" 34 : 294-299, 2015

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