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- W1946244865 abstract "Introduction: Electromyography (EMG) of the ulnar nerve may be normal when tested in patients despite a good history for ulnar nerve compression neuropathy. The aim of this study was to determine if patients with normal electrophysiology who went on to have operative treatment for cubital tunnel syndrome showed improvement at follow up.Methods: We reviewed all patients referred from one surgeon's clinic for ulnar nerve EMG testing during a five year period (2007-11). All patients who had normal EMG results but subsequently went on to have operative decompression for on-going symptoms of nerve compression and a 'classical' clinical picture were identified. All case notes were reviewed and patients followed up with a telephone questionnaire to determine if there was symptomatic improvement or not despite the normal EMG results.Results: 207 sets of notes for patients referred for ulnar nerve electromyography were reviewed. 31 patients who had normal electrophysiology subsequently had operative decompression of the nerve. All of these patients except one showed symptomatic improvement post operatively at follow up at 3 and 6 weeks.Conclusion: Patients who present with a good history and clinical signs of cubital tunnel syndrome do not necessarily have abnormal findings on EMG. They may well go on to have operative decompression of the ulnar nerve and show symptomatic improvement as a result. This may in part be because cubital tunnel syndrome is a dynamic phenomenon with maximal compression when the elbow is fully flexed. Ulnar nerve electromyography is often performed with the elbow in extension or only mild flexion and thus may not show the true extent of any neuropathy. As a result patients with normal EMG may still benefit from cubital tunnel release." @default.
- W1946244865 created "2016-06-24" @default.
- W1946244865 creator A5003292321 @default.
- W1946244865 date "2015-06-01" @default.
- W1946244865 modified "2023-10-14" @default.
- W1946244865 title "Ulnar Nerve Compression Neuropathy: what is the Role of Electromyography?" @default.
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- W1946244865 doi "https://doi.org/10.15406/mojs.2015.02.00024" @default.
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