Evaluation of Elbow Flexion and Tinel Tests for Cubital Tunnel Syndrome in Asymptomatic Individuals

Kuschner, Stuart H.; Ebramzadeh, Edward; Mitchell, S.

doi:10.3928/01477447-20060401-06

Cited by 15 publications

(5 citation statements)

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“…The patient's symptoms and the symptom's durations are asked with anamnesis. In physical examination, elbow flexion test is the most diagnostic test (9). In addition, tinel test and froment's sign positivity are used (10).…”

Section: Discussionmentioning

confidence: 99%

Factors that have an influence on cubital tunnel syndrome and its treatment: assessment of 31 cases / Kubital tunel sendromuna etki eden faktorler ve tedavisi: 31 olgunun degerlendirilmesi

Çıraklı¹,

Ulusoy²,

Ekinci³

2016

J Turgut Ozal Med Cent

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Objective: The purpose of this study was to evaluate the factors which influenced Cubital Tunnel Syndrome and the cases that were treated. Materials and Methods: 34 hands of 31 cases who had been treated (operated/non-operated) between January 2011 and January 2016 due to Cubital Tunnel Syndrome and who had sufficient follow-ups were included in the study. The cases were analyzed in terms of their clinical and demographic characteristics. The data obtained were analyzed through SPSS system. Shapiro-Wilk test was used to find out whether the data were normally distributed. The data which were normally distributed were expressed as average±standard deviation and those which were not normally distributed were expressed as mean (min-max). Results: 18 (58.1%) of the cases were women, while 13 (41.9%) were men and the average age was 43.54±16.50 years. The majority of the cases consisted of workers (12-38.7%) and housewives (11-35.5%). 6 (19.4%) cases had hypertension, 3 (9.7%) cases had diabetes, 3 (9.7%) cases had hyperlipidemia and 3 (9.7%) cases had metabolic syndrome. Entrapment was located at the left elbow in 21 (61.8%) cases, at the right elbow in 13 (38.2%) cases, at the dominant extremity in 15 (44.1%) cases, and located 2 cm. up in 21 (61.8%) cases and 2 cm. down in 10 (29.4%) cases. 3 (9.7%) cases who did not respond to conservative treatment and who had advanced stage symptoms and complaints were operated. Improvement was seen in the cases who were followed for an average of 15 (3-60) months. Conclusion: According to the results of the study, we are of the opinion that treatment success will increase by planning the treatment after finding out the factors that influence Cubital Tunnel Syndrome.

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Section: Discussionmentioning

confidence: 99%

Factors that have an influence on cubital tunnel syndrome and its treatment: assessment of 31 cases / Kubital tunel sendromuna etki eden faktorler ve tedavisi: 31 olgunun degerlendirilmesi

Çıraklı¹,

Ulusoy²,

Ekinci³

2016

J Turgut Ozal Med Cent

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“…Patients were diagnosed with CBTS if they described small ± ring finger paresthesias, with or without subjective clumsiness, weakness, and decreased fine motor function and showed one or more positive results on provocative testing such as elbow flexion-compression test and percussion (Tinel) test at the elbow. 7,14-17 Cubital tunnel syndrome–specific signs like clawing of the small and ring fingers, Wartenberg or Froment signs, and intrinsic, hypothenar, or first web space atrophy were considered signs of advanced disease. 1,5,7,18…”

Section: Methodsmentioning

confidence: 99%

Nerve Conduction Studies in Surgical Cubital Tunnel Syndrome Patients

Shubert

Prud'homme

Sraj

2019

Hand (New York, N,Y.)

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Background: Electrodiagnostic studies (EDX) serve a prominent role in the diagnostic workup of cubital tunnel syndrome (CBTS), but their reported sensitivity varies widely. The goals of our study were to determine the sensitivity of EDX in a cohort of patients who responded well to surgical cubital tunnel release (CBTR), and whether the implementation of the Association of Neuromuscular and Electrodiagnostic Medicine (AANEM) criteria improves the sensitivity. Methods: We identified 118 elbows with clinical CBTS who had preoperative EDX and underwent CBTR. The EDX diagnoses were CBTS, ulnar neuropathy (UN), and normal ulnar nerves. We divided the 118 elbows into those that received above-elbow stimulation (XE group) and those that did not (non-XE group). We calculated the sensitivities for all groups and reinterpreted the results according to the AANEM guidelines. Results: Cubital tunnel release provided significant relief in 93.6% of the elbows. Based on the EDX reports, 11% patients had clear CBTS, 23% had UN, and 66% showed no UN. The sensitivities were 11.7% for CBTS and 34.2% for any UN. In the XE group, the sensitivity of the EDX reports for CBTS and UN climbed to 33.3% and 58.3%, respectively. When we calculated the across-elbow motor nerve conduction velocity, the sensitivity for CBTS and UN was 87.5% and 100%, respectively. The XE and non-XE groups showed no difference except for sex, bilaterality, concomitant carpal tunnel release, and obesity ( P < .05). Conclusion: Implementing AANEM guidelines results in significant improvement in correlation of clinical and electrodiagnostic findings of CBTS.

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“… 37 A similar study conducted by Beekman et al 38 found the sensitivity and specificity of Tinel sign to be 0.62 and 0.53, respectively. Furthermore, Kuschner et al 39 demonstrated a positive Tinel sign in 34% of elbows at 180 seconds when examining 200 asymptomatic patients. All aforementioned studies concluded that the diagnostic value of provocative clinical tests in ulnar neuropathy is inadequate for confirming the diagnosis.…”

Section: Cubital Tunnel and Ulnar Tunnel Syndromementioning

confidence: 99%

Diagnostic Considerations in Compressive Neuropathies

McGurk,

Tracey,

Daley

et al. 2023

Journal of Hand Surgery Global Online

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Evaluation of Elbow Flexion and Tinel Tests for Cubital Tunnel Syndrome in Asymptomatic Individuals

Cited by 15 publications

References 0 publications

Factors that have an influence on cubital tunnel syndrome and its treatment: assessment of 31 cases / Kubital tunel sendromuna etki eden faktorler ve tedavisi: 31 olgunun degerlendirilmesi

Factors that have an influence on cubital tunnel syndrome and its treatment: assessment of 31 cases / Kubital tunel sendromuna etki eden faktorler ve tedavisi: 31 olgunun degerlendirilmesi

Nerve Conduction Studies in Surgical Cubital Tunnel Syndrome Patients

Diagnostic Considerations in Compressive Neuropathies

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