Quantitative muscle ultrasound in upper extremity mononeuropathies.
Quantitative muscle ultrasound in upper extremity mononeuropathies.
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上肢单神经病的定量肌肉超声。
DOI：
10.1002/mus.26481
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发表时间：
2019
期刊：
影响因子：
3.4
通讯作者：
Rutkove,SewardB
中科院分区：
文献类型：
--
作者：
Wang,Yun;Gutierrez,Hilda;Martucci,Maria;Poussaint,Alison;Qi,Kristin;Sanchez,Benjamin;Rutkove,SewardB
引言我们评估了定量超声（QUS）在评估上肢单神经病影响的手部肌肉中的潜在用途。方法测量拇短展肌（APB）、小指展肌（ADM）、第一背侧骨间肌（FDI）测量30例健康人和30例上肢单神经病患者的平均GSL，并与标准电生理值进行比较。34例腕管综合征患者的APB和18例尺神经病变患者的FDI（例如，FDI平均GSL（四分位距）患者组为31.5（27.3~43.8）个任意单位，健康者组为24.0（23.0~29.0）个任意单位（P= 0.020）。GSL与运动反应幅度相关（APB组斯皮尔曼rho（ρ）=-0.39，P = 0.002; FDI组ρ =-0.72，P = 0.002; ADM组ρ =-0.43，P = 0.013）。APB GSL与肌电图严重程度和病程相关（ρ = 0.46，P < 0.001和ρ = 0.45，P = 0.003）。建议进一步研究这一概念。
IntroductionWe assessed the potential use of quantitative ultrasound (QUS) in the evaluation hand muscles affected by upper extremity mononeuropathies.MethodsThe gray scale levels (GSLs) of abductor pollicis brevis (APB), abductor digiti minimi (ADM), and first dorsal interosseous (FDI) of 30 healthy and 30 upper extremity mononeuropathy patients were measured and compared with standard electrophysiological values.ResultsMean GSL was elevated in 34 APBs of carpal tunnel syndrome patients and 18 FDIs of ulnar neuropathy patients (e.g., FDI mean GSL (interquartile range) 31.5 (27.3~43.8) arbitrary units for patients and 24.0(23.0~29.0) for healthy subjects (P= 0.020)). GSL correlated with motor response amplitudes (Spearman's rho (ρ) = ‐0.39,P= 0.002 in APB, ρ = ‐0.72,P= 0.002 in FDI, and ρ = ‐0.43,P= 0.013 in ADM). The APB GSL correlated with electromyographic severity and disease duration (ρ = 0.46,P< 0.001 and ρ = 0.45,P= 0.003).ConclusionsMuscle QUS may serve as a useful tool in upper extremity mononeuropathy evaluation. Further study of this concept is recommended.