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Ulnar Neuropathy Around the Mid-Arm Combined with Martin-Gruber Anastomosis

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주제분류재활의학

초록

This study reports a rare case of ulnar neuropathy around the arm with Martin-Gruber anastomosis of a moderate conduction block in the forearm segment and a severe conduction block in the arm segment. Inching tests and ultrasonography showed a lesion between 12 and 14 cm from the medial epicondyle. It is concluded that axilla stimulation may provide diagnostic clues, and inching tests and ultrasonography may be helpful for localizing a lesion.

Abstract

This study reports a rare case of ulnar neuropathy around the arm with Martin-Gruber anastomosis of a moderate conduction block in the forearm segment and a severe conduction block in the arm segment. Inching tests and ultrasonography showed a lesion between 12 and 14 cm from the medial epicondyle. It is concluded that axilla stimulation may provide diagnostic clues, and inching tests and ultrasonography may be helpful for localizing a lesion.

참고문헌 (9)

  1. Dawson DM, "Entrapment neuropathies, 3rd ed", pp.134~135 (1999), Lippincott-Raven
  2. Whitaker CH, "Apparent conduction block in patients with ulnar neuropathy at the elbow and proximal Martin-Gruber anastomosis", Muscle Nerve, 30, pp.808~811 (2004)
  3. Marras C, "Proximal Martin-Gruber anastomosis mimicking ulnar neuropathy at the elbow", Muscle Nerve, 22, pp.1132~1135 (1999)
  4. Stewart JD, "Focal peripheral neuropathies, 4th ed", pp.196~198 (2010), JBJ Publishing
  5. Amoiridis G, "Verification of the median-to-ulnar and ulnar-to-median nerve motor fiber anastomosis in the forearm: an electrophysiological study", Clin Neurophysiol, 114, pp.94~98 (2003)
  6. Lee KS, "An anatomic study of the Martin-Gruber anastomosis: electrodiagnostic implications", Muscle Nerve, 31, pp.95~97 (2005)
  7. Hatice Rana Erdem, "Electrophysiological Evaluation of the Incidence of Martin-Gruber Anastomosis in Healthy Subjects", Yonsei Medical Journal, 43(3), pp.291~295 (2002), 연세대학교의과대학
  8. Rodriguez-Niedenfuhr M, "Martin-Gruber anastomosis revisited", Clin Anat, 15, pp.129~134 (2002)
  9. Kim DH, "Martin-Gruber anastomosis in ulnar neuropathy around the elbow", J Korean EMG Electrodiagn Med, 4, pp.97~100 (2002)

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