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Ulnar nerve entrapment neuropathy at the elbow: relationship between theelectrophysiological findings and neuropathic pain

机译:肘部尺神经截留神经病变:电生理检查结果和神经性疼痛

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摘要

[Purpose] Ulnar nerve neuropathies are the second most commonly seen entrapment neuropathies of the upper extremities after carpal tunnel syndrome. In this study, we aimed to evaluate pain among ulnar neuropathy patients by the Leeds assessment of neuropathic symptoms and signs pain scale and determine if it correlated with the severity of electrophysiologicalfindings. [Subjects and Methods] We studied 34 patients with clinical and electrophysiological ulnar nerve neuropathies at the elbow. After diagnosis of ulnar neuropathy at the elbow, all patients underwent the Turkish version of the Leeds assessment of neuropathic symptoms and signs pain scale. [Results] The ulnar entrapment neuropathy at the elbow was classified as class-2, class-3, class-4, and class-5 (Padua Distal Ulnar Neuropathy classification) for 15, 14, 4, and 1 patient, respectively. No patient included in class-1 was detected. According to Leeds assessment of neuropathic symptoms and signs pain scale, 24 patients scored under 12 points. The number of patients who achieved more than 12 points was 10. Groups were compared by using the χ2 test, and no difference was detected. There was no correlation between the Leeds assessment of neuropathic symptoms and signs pain scale and electromyographic findings. [Conclusion] We found that the severity of electrophysiologic findings of ulnar nerve entrapment at the elbow did not differ between neuropathic and non-neuropathic groups asassessed by the Leeds assessment of neuropathic symptoms and signs pain scale.
机译:[目的]腕神经综合症是继腕管综合症之后第二种最常见的上肢隐匿性神经病。在这项研究中,我们旨在通过利兹对神经病理性症状和体征疼痛程度的评估,评估尺神经病患者的疼痛程度,并确定其是否与电生理发现的严重程度相关。 [对象和方法]我们研究了34例肘部临床和电生理性尺神经神经病变的患者。在确诊肘部尺神经病变后,所有患者均接受了利兹土耳其语版的神经病变症状和体征疼痛评估。 [结果]肘部尺骨压迫神经病分为15、14、4和1例,分别为2级,3级,4级和5级(Padua远端尺神经病分类)。未检测到1级患者。根据利兹评估的神经性症状和体征疼痛量表,有24例患者的得分低于12分。得分超过12分的患者人数为10。使用χ 2 检验比较各组,但未发现差异。利兹神经病性症状和体征的疼痛程度评估与肌电图检查结果之间没有相关性。 [结论]我们发现,神经病组和非神经病组在肘部尺神经截留的电生理学发现的严重程度无差异,因为由利兹评估的神经性症状和体征疼痛量表评估。

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