| The Difference of Muscle Atrophy and Denervation Potentials in Patients with an Initial Diagnosis of Carpal and Cubital Tunnel Syndrome |
|
Ung-Seo Chung, Jin-Kyu Lee, Kwang-Hyun Lee |
| 초기 진단시 근위축과 탈신경 전위의 수근관 및 주관 증후군 환자에서의 차이 |
|
정웅서, 이진규, 이광현 |
|
|
|
|
| Abstract |
Purpose
The purpose of this study is to analysis muscle atrophy and denervation potentials in patients with an initial diagnosis of carpal and cubital tunnel syndrome which represent common compressive neuropathies of the upper extremity. Materials and Methods: From 2005 to 2007, We retrospectively analyzed 200 cases with carpal and cubital tunnel syndrome which had been treated by the operation. The medical records of 167 patients with carpal tunnel syndrome and 33 patients with cubital tunnel syndrome were reviewed for age, gender, diabetes, the duration of symptom, muscle atrophy on a physical examination and denervation potentials on an electromyography. Results: The mean age of patients with carpal tunnel syndrome was 55.9 years and the mean age of patients with cubital tunnel syndrome was 50.1 years (p=0.003). The mean period after the development of initial symptoms was 30 months (0.5~360) in patients with carpal tunnel syndrome, 12 months (0.5~60) in patients with cubital tunnel syndrome (p=0.043). Multiple logistic regression revealed that cubital tunnel diagnosis (odd ratio, 5.66) was the factor significantly associated with muscle atrophy, that diagnosis (odd ratio, 9.72) and age (odd ratio, 2.54) were factors significantly associated with denervation potentials. Conclusion: Patients with cubital tunnel syndrome are more likely to present with muscle atrophy and denervation potentials, reflecting advanced nerve damage. The operation for carpal and cubital tunnel syndrome should be considered in patients with denervation potentials despite of no muscle atrophy. |
| |
|
PDF Links
Full text via DOI
Download Citation
