Use of hand diagrams in screening for ulnar neuropathy: Comparison with electrodiagnostic studies
Version of Record online: 5 OCT 2012
Copyright © 2012 Wiley Periodicals, Inc.
Muscle & Nerve
Volume 46, Issue 6, pages 885–890, December 2012
How to Cite
Werner, R. A., Chiodo, T., Spiegelberg, T. and Franzblau, A. (2012), Use of hand diagrams in screening for ulnar neuropathy: Comparison with electrodiagnostic studies. Muscle Nerve, 46: 885–890. doi: 10.1002/mus.23452
- Issue online: 26 NOV 2012
- Version of Record online: 5 OCT 2012
- Accepted manuscript online: 7 MAY 2012 06:57AM EST
- Manuscript Accepted: 1 MAY 2012
- electrodiagnostic test;
- nerve conduction studies;
- sensory nerve function;
- ulnar nerve
The objective of this study was to determine whether a hand diagram could be used to predict ulnar mononeuropathy.
This was a prospective study of 117 consecutive patients referred for hand symptoms. Each subject filled out a hand diagram of symptoms and had median and ulnar sensory and motor nerve conduction studies, including ulnar conduction across the elbow.
The best model for predicting an ulnar mononeuropathy included hand diagram scores of definite or possible. The model had a sensitivity of 50% and specificity of 93% with an ROC area of 0.90.
The ulnar hand diagram scoring system can be useful as a screening tool in the electrodiagnostic laboratory or for epidemiologic studies. Muscle Nerve, 2012