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Expert consensus on the combined investigation of ulnar neuropathy at the elbow using electrodiagnostic tests and nerve ultrasound.

Publication ,  Journal Article
Pelosi, L; Arányi, Z; Beekman, R; Bland, J; Coraci, D; Hobson-Webb, LD; Padua, L; Podnar, S; Simon, N; van Alfen, N; Verhamme, C; Visser, L ...
Published in: Clin Neurophysiol
September 2021

The addition of ultrasound (US) to electrodiagnostic (EDX) tests can significantly enhance the accuracy of testing for ulnar neuropathy at the elbow (UNE). We aimed to obtain expert consensus to guide clinicians on the combined use of EDX and US in UNE investigation. Consensus was achieved using the Delphi method. Two consecutive anonymised questionnaires were submitted to 15 experts, who were asked to choose their level of agreement with each statement. Consensus was pre-defined as ≥ 80% rating agreement. The experts concluded that all investigations of UNE should include both nerve conduction studies and US. There was consensus that US should include cross-sectional area measurement and assessment of nerve mobility at the elbow, and that the entire ulnar nerve should be imaged. This study defined expert opinion on the 'core' techniques that should be used routinely in the UNE investigation using EDX and US. Areas with lack of consensus highlighted some controversial issues in the current use of these diagnostic modalities and the need for future research. This document is an initial step to guide clinicians on the combined investigation of UNE using EDX and US, to be regularly updated as new research emerges.

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Published In

Clin Neurophysiol

DOI

EISSN

1872-8952

Publication Date

September 2021

Volume

132

Issue

9

Start / End Page

2274 / 2281

Location

Netherlands

Related Subject Headings

  • Ultrasonography
  • Ulnar Neuropathies
  • Practice Guidelines as Topic
  • Neurology & Neurosurgery
  • Humans
  • Electrodiagnosis
  • Elbow
  • Consensus Development Conferences as Topic
  • 3209 Neurosciences
  • 17 Psychology and Cognitive Sciences
 

Citation

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Pelosi, L., Arányi, Z., Beekman, R., Bland, J., Coraci, D., Hobson-Webb, L. D., … Cartwright, M. S. (2021). Expert consensus on the combined investigation of ulnar neuropathy at the elbow using electrodiagnostic tests and nerve ultrasound. Clin Neurophysiol, 132(9), 2274–2281. https://doi.org/10.1016/j.clinph.2021.04.018
Pelosi, Luciana, Zsuzsanna Arányi, Roy Beekman, Jeremy Bland, Daniele Coraci, Lisa D. Hobson-Webb, Luca Padua, et al. “Expert consensus on the combined investigation of ulnar neuropathy at the elbow using electrodiagnostic tests and nerve ultrasound.Clin Neurophysiol 132, no. 9 (September 2021): 2274–81. https://doi.org/10.1016/j.clinph.2021.04.018.
Pelosi L, Arányi Z, Beekman R, Bland J, Coraci D, Hobson-Webb LD, et al. Expert consensus on the combined investigation of ulnar neuropathy at the elbow using electrodiagnostic tests and nerve ultrasound. Clin Neurophysiol. 2021 Sep;132(9):2274–81.
Pelosi, Luciana, et al. “Expert consensus on the combined investigation of ulnar neuropathy at the elbow using electrodiagnostic tests and nerve ultrasound.Clin Neurophysiol, vol. 132, no. 9, Sept. 2021, pp. 2274–81. Pubmed, doi:10.1016/j.clinph.2021.04.018.
Pelosi L, Arányi Z, Beekman R, Bland J, Coraci D, Hobson-Webb LD, Padua L, Podnar S, Simon N, van Alfen N, Verhamme C, Visser L, Walker FO, Yoon JS, Cartwright MS. Expert consensus on the combined investigation of ulnar neuropathy at the elbow using electrodiagnostic tests and nerve ultrasound. Clin Neurophysiol. 2021 Sep;132(9):2274–2281.
Journal cover image

Published In

Clin Neurophysiol

DOI

EISSN

1872-8952

Publication Date

September 2021

Volume

132

Issue

9

Start / End Page

2274 / 2281

Location

Netherlands

Related Subject Headings

  • Ultrasonography
  • Ulnar Neuropathies
  • Practice Guidelines as Topic
  • Neurology & Neurosurgery
  • Humans
  • Electrodiagnosis
  • Elbow
  • Consensus Development Conferences as Topic
  • 3209 Neurosciences
  • 17 Psychology and Cognitive Sciences