Rapid ultrasonographic diagnosis of radial entrapment neuropathy at the spiral groove

J Neurol Sci. 2008 Aug 15;271(1-2):75-9. doi: 10.1016/j.jns.2008.03.014. Epub 2008 May 12.

Abstract

Background: Entrapment neuropathy of the radial nerve at the spiral groove region is relatively common. However, its localization may be technically challenging.

Objective: To evaluate the use of ultrasound (US), in relation to electrophysiological testing, for this purpose.

Methods: We studied 32 normal controls to obtain US parameters of the radial nerve. In addition, 10 patients with suspected radial neuropathy were tested using US and electrophysiological techniques.

Results: US examination correctly identified all 6 patients with radial neuropathy. The other 4 patients with alternate diagnoses did not show US abnormalities exceeding that of normal controls. US examination required a significantly shorter time than electrophysiological testing.

Conclusions: US is of value as a rapid diagnostic adjunct for the localization of radial nerve entrapment.

MeSH terms

  • Action Potentials / physiology
  • Action Potentials / radiation effects
  • Adult
  • Age Factors
  • Aged
  • Electric Stimulation
  • Electromyography / methods
  • Female
  • Functional Laterality
  • Humans
  • Male
  • Middle Aged
  • Nerve Compression Syndromes / diagnostic imaging*
  • Nerve Compression Syndromes / pathology*
  • Nerve Compression Syndromes / physiopathology
  • Neural Conduction / physiology
  • Radial Nerve / physiopathology*
  • Radial Nerve / radiation effects
  • Ultrasonography