Evidence-based guideline: Neuromuscular ultrasound for the diagnosis of ulnar neuropathy at the elbow.
Muscle Nerve
; 65(2): 147-153, 2022 02.
Article
en En
| MEDLINE
| ID: mdl-34921428
ABSTRACT
INTRODUCTION/AIMS:
The purpose of this literature review is to develop an evidence-based guideline for the use of neuromuscular ultrasound in the diagnosis of ulnar neuropathy at the elbow (UNE). The proposed research question was "In patients with suspected UNE, does ulnar nerve enlargement as measured with ultrasound accurately identify those patients with UNE?"METHODS:
A systematic review and meta-analysis was performed, and studies were classified according to American Academy of Neurology criteria for rating articles for diagnostic accuracy.RESULTS:
Based on Class I evidence in four studies, it is probable that neuromuscular ultrasound measurement of the ulnar nerve at the elbow, either of diameter or cross-sectional area (CSA), is accurate for the diagnosis of UNE. RECOMMENDATION For patients with symptoms and signs suggestive of ulnar neuropathy, clinicians should offer ultrasonographic measurement of ulnar nerve cross-sectional area or diameter to confirm the diagnosis and localize the site of compression (Level B).Palabras clave
Texto completo:
1
Banco de datos:
MEDLINE
Asunto principal:
Neuropatías Cubitales
/
Articulación del Codo
Tipo de estudio:
Diagnostic_studies
/
Guideline
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Prognostic_studies
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Systematic_reviews
Límite:
Humans
Idioma:
En
Año:
2022
Tipo del documento:
Article