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Journal of Ultrasound in Medicine, Vol 17, Issue 10 643-648, Copyright © 1998 by American Institute of Ultrasound in Medicine
Cubital tunnel syndrome: diagnosis by high-resolution ultrasonography
H. J. Chiou, Y. H. Chou, S. P. Cheng, C. C. Hsu, R. C. Chan, C. M. Tiu, M. M. Teng and C. Y. Chang
Department of Radiology, Veterans General Hospital-Taipei, National Yang Ming University, College of Medicine, Taiwan.
The purpose of this study was to evaluate the morphologic changes in the
ulnar nerve in cubital tunnel syndrome with high-resolution
ultrasonography. The mean values of the short axis (cm) x long axis (cm) at
the arm, epicondyle, and forearm levels were 0.057 +/- 0.01, 0.068 +/-
0.019, and 0.062 +/- 0.01 in control group; 0.069 +/- 0.04, 0.139 +/- 0.06,
and 0.066 +/- 0.023 in the symptomatic side in patients with cubital tunnel
syndrome; and 0.063 +/- 0.029, 0.068 +/- 0.029, and 0.057 +/- 0.012 in the
normal side in patients with cubital tunnel syndrome. No significant
difference was found in the area (short axis x long axis) of the ulnar
nerve at the arm, epicondyle and forearm levels between the left and right
ulnar nerve in the control group and between the control group and the
normal side in symptomatic patients. However, the mean value of the area of
the ulnar nerve at the epicondyle level in symptomatic patients was
significantly larger than that of the control group and that of the
contralateral side in patients, and the P value was less than 0.001. High
resolution ultrasonography can detect morphologic changes in the ulnar
nerve accurately, and it could therefore be useful as a screening and even
follow-up modality in patients with cubital tunnel syndrome.
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