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dc.contributor.authorGurcay, Eda
dc.contributor.authorKaraahmet, Oezguer Zeliha
dc.contributor.authorKara, Murat
dc.contributor.authorOnat, Sule Sahin
dc.contributor.authorAta, Ayse Merve
dc.contributor.authorUenlue, Ece
dc.contributor.authorOezcakar, Levent
dc.date.accessioned2019-12-10T10:54:11Z
dc.date.available2019-12-10T10:54:11Z
dc.date.issued2017
dc.identifier.issn1526-2375
dc.identifier.urihttps://doi.org/10.1093/pm/pnw181
dc.identifier.urihttp://hdl.handle.net/11655/14654
dc.description.abstractObjective. To evaluate the possible radial nerve entrapment of patients with unilateral refractory lateral epicondylitis (LE) by using ultrasound (US) and electroneuromyography. Design. Cross-sectional study. Setting. Three physical medicine and rehabilitation departments. Subjects. Consecutive 44 patients (15 M, 29 F) with unilateral refractory LE. Methods. All patients underwent detailed clinical, electrophysiological and ultrasonographic evaluations. Ultrasound imaging was used to evaluate thickness and presence of abnormal findings of the common extensor tendon (CET) and cross-sectional area (CSA) of the radial nerve (at spiral groove and before bifurcation) bilaterally. Unaffected sides of the patients were taken as controls. Results. When compared with the unaffected sides, CET thickness and radial nerve CSAs (at both levels) were higher, and abnormal US findings regarding LE (47.7% vs. 6.8%) were more common on the affected sides than nonaffected sides (all P < 0.001). Grip strength values were lower on the affected sides (P < 0.001). Electrophysiological studies were all normal, and similar between the two sides (all P >0.05). When subgroup analyses were performed after taking into account the hand dominance, affected and dominant sides were found to be the same in 31 and different in 13 patients. In subgroups, CETs and radial nerve CSAs at both levels were higher on the affected sides (all P < 0.01). Conclusions. Radial nerves and the CETs seem to be swollen on the affected sides, independent from the hand dominance of the patients with refractory LE. These results morphologically support the previous literature that attributes some of the chronic complaints of these patients actually to radial nerve entrapment.
dc.language.isoen
dc.publisherOxford Univ Press
dc.relation.isversionof10.1093/pm/pnw181
dc.rightsinfo:eu-repo/semantics/openAccess
dc.subjectAnesthesiology
dc.subjectGeneral & Internal Medicine
dc.titleUltrasonographic Evaluation Of The Radial Nerves In Patients With Unilateral Refractory Lateral Epicondylitis
dc.typeinfo:eu-repo/semantics/article
dc.typeinfo:eu-repo/semantics/publishedVersion
dc.relation.journalPain Medicine
dc.contributor.departmentFiziksel Tıp ve Rehabilitasyon
dc.identifier.volume18
dc.identifier.issue3
dc.identifier.startpage396
dc.identifier.endpage402
dc.indexingWoS
dc.indexingScopus


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