2023
DOI: 10.1016/j.jhsa.2023.05.014
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Cubital Tunnel Syndrome: Does a Consensus Exist for Diagnosis?

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Cited by 3 publications
(2 citation statements)
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“…Generally, there is no international consensus on the diagnosis of ulnar nerve entrapment since the specific diagnostic criteria may vary with national guidelines and traditions, which also includes the indication for surgery and selection of surgical method. Recently, a US-based study using the Delphi method reported a consensus concerning potential diagnostic criteria for ulnar nerve entrapment despite study limitations [ 52 ]. The authors presented six criteria for diagnosis: (a) paresthesia in ulnar nerve distribution, (b) symptoms increased by elbow flexion and positive elbow flexion test; (c) positive Tinel sign at elbow; (d) atrophy/weakness/late findings (e.g., claw fingers of the ring and small finger and Wartenberg or Froment signs) of ulnar nerve innervated hand muscles; (e) loss of two-point discrimination in the ulnar nerve innervation area; and (f) similar ipsilateral symptoms after successful treatment on the contralateral side [ 52 ].…”
Section: Ulnar Nerve Entrapmentmentioning
confidence: 99%
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“…Generally, there is no international consensus on the diagnosis of ulnar nerve entrapment since the specific diagnostic criteria may vary with national guidelines and traditions, which also includes the indication for surgery and selection of surgical method. Recently, a US-based study using the Delphi method reported a consensus concerning potential diagnostic criteria for ulnar nerve entrapment despite study limitations [ 52 ]. The authors presented six criteria for diagnosis: (a) paresthesia in ulnar nerve distribution, (b) symptoms increased by elbow flexion and positive elbow flexion test; (c) positive Tinel sign at elbow; (d) atrophy/weakness/late findings (e.g., claw fingers of the ring and small finger and Wartenberg or Froment signs) of ulnar nerve innervated hand muscles; (e) loss of two-point discrimination in the ulnar nerve innervation area; and (f) similar ipsilateral symptoms after successful treatment on the contralateral side [ 52 ].…”
Section: Ulnar Nerve Entrapmentmentioning
confidence: 99%
“…Recently, a US-based study using the Delphi method reported a consensus concerning potential diagnostic criteria for ulnar nerve entrapment despite study limitations [ 52 ]. The authors presented six criteria for diagnosis: (a) paresthesia in ulnar nerve distribution, (b) symptoms increased by elbow flexion and positive elbow flexion test; (c) positive Tinel sign at elbow; (d) atrophy/weakness/late findings (e.g., claw fingers of the ring and small finger and Wartenberg or Froment signs) of ulnar nerve innervated hand muscles; (e) loss of two-point discrimination in the ulnar nerve innervation area; and (f) similar ipsilateral symptoms after successful treatment on the contralateral side [ 52 ]. One may argue against such criteria since it involves several criteria related to severity and does not include more sensitive tests for sensation, such as the Semmes-Weinstein monofilament test.…”
Section: Ulnar Nerve Entrapmentmentioning
confidence: 99%