Dorsal Ulnar Cutaneous Nerve Conduction Study Based on Nerve Ultrasound

Overview

Journal Sci Rep

Specialty Science

Date 2024 Sep 3

PMID 39227401

Authors

Eunjin Park

So-Youn Chang

Hye Jung Park

Ho-Geon Namgung

Sun Jae Won

Affiliations

Soon will be listed here.

Abstract

This study investigates the impact of the anatomical separation point of the dorsal ulnar cutaneous nerve (DUCN) on nerve conduction studies (NCS). Involving 25 subjects with DUCN NCS findings, it utilizes ultrasound to mark the DUCN's divergence from the ulnar nerve. NCS was performed at four points relative to the separation point. The findings indicate the maximal amplitudes occurred 2 cm distal to the separation point. The study suggests it is ideal when the stimulation is performed between the seperation point and 2 cm distal to it.

References

Le Corroller T, Bauones S, Acid S, Champsaur P . Anatomical study of the dorsal cutaneous branch of the ulnar nerve using ultrasound. Eur Radiol. 2013; 23(8):2246-51. DOI: 10.1007/s00330-013-2832-z. View

Goto A, Kunihiro O, Murase T, Moritomo H . The dorsal cutaneous branch of the ulnar nerve: an anatomical study. Hand Surg. 2010; 15(3):165-8. DOI: 10.1142/S021881041000493X. View

Botte M, Cohen M, Lavernia C, von Schroeder H, Gellman H, Zinberg E . The dorsal branch of the ulnar nerve: an anatomic study. J Hand Surg Am. 1990; 15(4):603-7. DOI: 10.1016/s0363-5023(09)90022-3. View

Sulaiman S, Soames R, Lamb C . The sensory distribution in the dorsum of the hand: anatomical study with clinical implications. Surg Radiol Anat. 2015; 37(7):779-85. DOI: 10.1007/s00276-014-1416-1. View

Garibaldi S, Nucci A . Dorsal cutaneous branch of ulnar nerve: an appraisal on the anatomy, injuries and application of conduction velocity studies in diagnosis. Arq Neuropsiquiatr. 2000; 58(3A):637-41. DOI: 10.1590/s0004-282x2000000400007. View

Shields L, Iyer V, Zhang Y, Shields C . Causes of Dorsal Cutaneous Branch of the Ulnar Nerve Neuropathy Among Patients Undergoing Electrodiagnostic Studies: A Series of 14 Patients. Cureus. 2023; 15(4):e38162. PMC: 10219616. DOI: 10.7759/cureus.38162. View

Kim D, Kalantri A, Guha S, Wainapel S . Dorsal cutaneous ulnar nerve conduction. Diagnostic aid in ulnar neuropathy. Arch Neurol. 1981; 38(5):321-2. DOI: 10.1001/archneur.1981.00510050087021. View

Root C, London D, Schroeder N, Calfee R . Anatomical relationships and branching patterns of the dorsal cutaneous branch of the ulnar nerve. J Hand Surg Am. 2013; 38(6):1131-6. PMC: 3934360. DOI: 10.1016/j.jhsa.2013.03.016. View

Wei K, Chiu Y, Wu C, Liang H, Wang T . Ultrasound guidance may have advantages over landmark-based guidance for some nerve conduction studies. Muscle Nerve. 2021; 63(4):472-476. DOI: 10.1002/mus.27165. View

10.

Murashima H, Sonoo M, Tsukamoto H, Kawakami S, Kawamura Y, Hokkoku K . Spread to the dorsal ulnar cutaneous branch: a pitfall during the routine antidromic sensory nerve conduction study of the ulnar nerve. Clin Neurophysiol. 2011; 123(5):973-8. DOI: 10.1016/j.clinph.2011.08.031. View

11.

Domkundwar S, Autkar G, Khadilkar S, Virarkar M . Ultrasound and EMG-NCV study (electromyography and nerve conduction velocity) correlation in diagnosis of nerve pathologies. J Ultrasound. 2017; 20(2):111-122. PMC: 5440331. DOI: 10.1007/s40477-016-0232-3. View

12.

Mondelli M, Ginanneschi F, Aretini A . Diagnostic Accuracy of Sensory Clinical Findings of the Hand Dorsum and of Neurography of the Dorsal Ulnar Cutaneous Nerve in Ulnar Neuropathy at the Elbow. Arch Phys Med Rehabil. 2018; 100(5):908-913. DOI: 10.1016/j.apmr.2018.09.119. View

13.

Lourie G, King J, Kleinman W . The transverse radioulnar branch from the dorsal sensory ulnar nerve: its clinical and anatomical significance further defined. J Hand Surg Am. 1994; 19(2):241-5. DOI: 10.1016/0363-5023(94)90013-2. View

14.

Jabre J . Ulnar nerve lesions at the wrist: new technique for recording from the sensory dorsal branch of the ulnar nerve. Neurology. 1980; 30(8):873-6. DOI: 10.1212/wnl.30.8.873. View

15.

Young S, Kalantri A . Dorsal ulnar cutaneous nerve conduction studies in an asymptomatic population. Arch Phys Med Rehabil. 2000; 81(9):1171-2. DOI: 10.1053/apmr.2000.7163. View

16.

Yoon M, Park H, Won S . Effect of Fascia Penetration in Lateral Femoral Cutaneous Nerve Conduction. Ann Rehabil Med. 2021; 44(6):459-467. PMC: 7808792. DOI: 10.5535/arm.20022. View

17.

Alkhalifah B . Comparison of Magnetic Resonance Imaging and High-Resolution Ultrasound for the Diagnosis of Pathologies of the Peripheral Nerve. J Pharm Bioallied Sci. 2023; 15(Suppl 2):S1277-S1279. PMC: 10485461. DOI: 10.4103/jpbs.jpbs_126_23. View

18.

Dutra de Oliveira A, Barreira A, Marques Jr W . Limitations on the clinical utility of the ulnar dorsal cutaneous sensory nerve action potential. Clin Neurophysiol. 2000; 111(7):1208-10. DOI: 10.1016/s1388-2457(00)00285-6. View