Volume 22 Issue 5
May  2024
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Article Navigation >  Chinese Journal of General Practice  > 2024  >  22(5): 836-839
Elifia Gilili, LI Wenjuan, MIAO Xu, WANG Xia. Correlation and diagnostic value of high frequency ultrasound and SWE quantitative parameters with ulnar nerve electrophysiology in patients with cubital tunnel syndrome[J]. Chinese Journal of General Practice, 2024, 22(5): 836-839. doi: 10.16766/j.cnki.issn.1674-4152.003515
Citation: Elifia Gilili, LI Wenjuan, MIAO Xu, WANG Xia. Correlation and diagnostic value of high frequency ultrasound and SWE quantitative parameters with ulnar nerve electrophysiology in patients with cubital tunnel syndrome[J]. Chinese Journal of General Practice, 2024, 22(5): 836-839. doi: 10.16766/j.cnki.issn.1674-4152.003515
shu

Correlation and diagnostic value of high frequency ultrasound and SWE quantitative parameters with ulnar nerve electrophysiology in patients with cubital tunnel syndrome

doi: 10.16766/j.cnki.issn.1674-4152.003515

  • Department of Ultrasound, the Second Affiliated Hospital of Xinjiang Medical University, Urumqi, Xinjiang 830000, China

Funds:

 2020D01C184

  • Received Date: 2023-11-06
    Available Online: 2024-07-20
    Abstract
  •   Objective   To explore the correlation of quantitative parameters of high frequency ultrasound and shear wave elastography (SWE) with ulnar nerve electrophysiology in patients with cubital tunnel syndrome (CTS) and the diagnostic value of CTS.   Methods   A total of 49 patients with CTS admitted to the Second Affiliated Hospital of Xinjiang Medical University from December 2021 to December 2022 were included in the CTS group. A total of 49 healthy volunteers were included in the control group. All patients underwent high-frequency ultrasonography, SWE and ulnar nerve electrophysiological examination. Pearson method was used to analyze the correlation between high-frequency ultrasound examination [medial epicondylar cross-sectional area (CSA), maximum transverse diameter and circumference of ulnar nerve], SWE quantitative parameters [mean elastic modulus (EI), shear wave velocity (V)] with ulnar nerve electrophysiological examination results [motor conduction velocity (MCV) and sensory conduction velocity (SCV)] in CTS patients. ROC curve was used to analyze the diagnostic value of high-frequency ultrasonography and SWE quantitative parameters for CTS.   Results   The levels of CSA, EI and V in CTS group were significantly higher than those in control group (P < 0.05), and there was no significant difference in the maximum transverse diameter and circumference of ulnar nerve between two groups (P>0.05). The levels of MCV and SCV in CTS group were lower than those in control group (P < 0.05). The results of Pearson correlation analysis showed that CSA, EI and V were negatively correlated with MCV and SCV (P < 0.05). ROC analysis results showed that the AUC (95% CI) were 0.679 (0.577-0.770), 0.718 (0.618-0.804), and 0.720 (0.620-0.806) for CSA, EI and V in the diagnosis of CTS alone, respectively, and the value was 0.893 (0.815-0.947) when combined. The diagnostic efficiency of the three combined tests was higher than that of each single test (Z=3.065, 2.899, 2.734, P < 0.05).   Conclusion   In patients with high CTS, high-frequency ultrasound and SWE quantitative parameters are significantly correlated with the ulnar nerve electrophysiological indexes, among which CSA, EI and V can be used in the diagnosis of CTS, and the combination of the three has high diagnostic value.

     

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