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The Location of Conduction Abnormalities in Human Entrapment Neuropathies

Published online by Cambridge University Press:  18 September 2015

William F. Brown ,
Gary G. Ferguson ,
Michael W. Jones  and
Stephen K. Yates
William F. Brown*
Affiliation:
Department of Clinical Neurological Sciences, University Hospital, London, Ontario, Canada
Gary G. Ferguson
Affiliation:
Department of Clinical Neurological Sciences, University Hospital, London, Ontario, Canada
Michael W. Jones
Affiliation:
Department of Clinical Neurological Sciences, University Hospital, London, Ontario, Canada
Stephen K. Yates
Affiliation:
Department of Clinical Neurological Sciences, University Hospital, London, Ontario, Canada
*
Dept. of Clinical Neurological Sciences, University Hospital, 339 Windermere Road, London, Ontario. Canada N6A 5A5
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Direct stimulation of 23 median, 13 ulnar and 2 peroneal nerves at the time of surgical exploration has been used to locate, and characterize the conduction abnormalities in the nerves. The most frequent location of the major conduction abnormalities in the median nerve was in the first 1-2 cm distal to the origin of the carpal tunnel. In the ulnar nerve the important conduction abnormalities were located most frequently in the segments 1 cm proximal and distal to the medial epicondyle. In the peroneal nerve the major conduction abnormalities occurred proximal or distal to the entry point of the common peroneal nerve into the peroneus longus muscle.

Type
Research Article
Information
Canadian Journal of Neurological Sciences , Volume 3 , Issue 2 , May 1976 , pp. 111 - 122
Copyright
Copyright © Canadian Neurological Sciences Federation 1976

References

REFERENCES

Brown, W.F., and Feasby, T.E. (1974). Estimates of Functional Motor Axon Loss in Diabetics. Journal of Neurological Sciences, 23, 275–293.CrossRefGoogle ScholarPubMed
Buchthal, F., and Rosenfalck, A. (1971). Sensory Conduction from Digit to Palm and irom Palm to Wrist in the Carpal Tunnel Syndrome. Journal of Neurology, Neurosurgery and Psychiatry, 34, 243–252.CrossRefGoogle Scholar
Buchthal, F., Rosenfalck, A., and Trojaborg, W. (1974). Electrophysiological Findings in Entrapment of the Median Nerve at Wrist and Elbow. Journal of Neurology, Neurosurgery and Psychiatry, 37, 340–360.CrossRefGoogle ScholarPubMed
Chang, K.S.F., Low, W.D., Chan, S.T., Chuang, A. and Poon, K.T. (1963). Enlargement of the ulnar nerve behind th(, medial epicondyle. Anat. Ree, 145, 149–153.CrossRefGoogle Scholar
Checkles, N.S., Russakov, A.D., and Piero, D.L. (1971). Ulnar Nerve Conduction Velocity - Effect of Elbow Position on Measurement. Archives of Physical Medicine and Rehabilitation, 52, 362–365.Google ScholarPubMed
Cragg, B.G. and Thomas, P.K. (1961). Changes in Conduction Velocity and Fibre Size Proximal to Peripheral Nerve Lesions. Journal of Physiology, 157, 315–327.CrossRefGoogle ScholarPubMed
Eisen, A. (1974). Diagnosis of Ulnar Nerve Palsy; An Electrophysiologic Study. Neurology (Minneap) 34, 256–62.CrossRefGoogle Scholar
Eisen, A., Danon, J. (1974). The Mild Cubital Tunnel Syndrome: Its Natural History and Indications for Surgical Intervention. Neurology (Minneap), 24, 608–613.CrossRefGoogle ScholarPubMed
Feindel, W., and Stratford, J. (1957). The Role of the Cubital Tunnel in Tardy Ulnar Palsy. Canadian Journal of Surgery, 1, 287–300.Google Scholar
Jensen, E. (1959). Ulnar Perineuritis. Acta. Psych, et Neurol., Scand., 34, 205–221.CrossRefGoogle ScholarPubMed
Marie, P. and Foix, C. (1913). Atrophie isolée de l’éminence thénar d’origine neuritique, rôle du ligament annulaire antérieur du carpe dans la pathogénie de la lésion. Rev. Neurol., 21, (ii) 647.Google Scholar
McGowan, A.J. (1950). The results of Transposition of the Ulnar Nerve for Traumatic Ulnar Neuritis. Journal of Bone and Joint Surgery, 32-B 293.Google ScholarPubMed
Neary, D., and Eames, R.A. (1975). The Pathology of Ulnar Nerve Compression in Man. Neuropathology and Applied Neurobiology, 1, 69–88.CrossRefGoogle Scholar
Neary, D., Ochoa, J. and Gilliatt, R.W. (1975). Sub-clinical Entrapment Neuropathy in Man. Journal of the Neurological Sciences. 24, 283–298.CrossRefGoogle ScholarPubMed
Nicolle, F.V. and Woolhouse, F.M. (1965). Nerve Compression Syndromes of the Upper Limb. The Journal of Trauma, 5, 313–318.CrossRefGoogle ScholarPubMed
Ochoa, J., Fowler, T.J. and Gilliatt, R.W. (1972). Anatomical Changes in Peripheral Nerves Compressed by a Pneumatic Tourniquet. Journal of Anatomy (London), 113: 3, 433–455.Google ScholarPubMed
Ochoa, J. and Marotte, L. (1973). The Nature of the Nerve Lesion Caused by Chronic Entrapment in the Guinea-pig. Journal of the Neurological Sciences, 19, 491–495.CrossRefGoogle ScholarPubMed
Paintal, A.S. (1965). Effects of Temperature on Conduction in Single Vagal and Saphenous Myelinated nerve Fibers of the Cat. Journal of Physiology, 180, 20–49.CrossRefGoogle ScholarPubMed
Payan, J. (1969).Electrophysiological Localization of Ulnar Nerve Lesions. Journal of Neurology, Neurosurgery and Psychiatry, 32, 208–220.CrossRefGoogle ScholarPubMed
Rasminsky, M. (1973). The Effects of Temperature of Conduction in Demyeli-nated Single Nerve Fibers. Archives of Neurology, 28, 287–292.CrossRefGoogle ScholarPubMed
Richards, R.L. (1945). Traumatic Ulnar Neuritis: The Results of Anterior Transpos-ition of the Ulnar Nerve. Edinb. Medical Journal, 52, 14–23.Google Scholar
Robbins, H. (1963). Anatomical Study of the Median Nerve in the Carpal Tunnel and Etiologies of the Carpal Tunnel Syndrome. Journal of Bone and Joint Surgery, 45A, 953–966.CrossRefGoogle ScholarPubMed
Simpson, J. A. (1956). Electrical Signs in the Diagnosis of Carpal Tunnel and Related Syndromes. Journal of Neurology, Neurosurgery, and Psychiatry, 19, 275–280.CrossRefGoogle ScholarPubMed
Singh, N. Behse, F. Buchthal, F. (1974). Electrophysiological Study of Peroneal Palsy. Journal of Neurology, Neurosurgery and Psychiatry, 37, 1202–1213.CrossRefGoogle ScholarPubMed
Sunderland, S. and Bradley, K.C. (1952). The perineurium of Peripheral Nerves. Anat. Ree. 113: 2, 125–141.CrossRefGoogle ScholarPubMed
Staal, A. (1970). The Entrapment Neuropathies. In Vinken, P.J., Bruyn, G.W. (Editors): Handbook of Clinical Neurology. Amsterdam and New York, North-Holland Publishing Company 285–325.Google Scholar
Thomas, P.K. (1960). Motor Nerve Conduction in the Carpal Tunnel Syndrome. Neurology, 10, 1045–1050.CrossRefGoogle ScholarPubMed
Thomas, P.K. and Fullerton, P.M. (1963). Nerve Fiber Size in the Carpal Tunnel Syndrome. Journal of Neurology, Neurosurgery and Psychiatry, 26, 520–527.CrossRefGoogle ScholarPubMed
Thomas, J.E., Lambert, E.H., and Cseuz, K.A. (1967). Electrodiagnostic Aspects of the Carpal Tunnel Syndrome. Archives of Neurology, 16, 635–641.CrossRefGoogle ScholarPubMed
Wadsworth, T.G., and Williams, J.R. (1973). Cubital Tunnel External Com-pression Syndrome. British Medical Journal, 1, 662–666.CrossRefGoogle Scholar
Wiederholt, W.C. (1970). Median Nerve Conduction Velocity in Sensory Fibers Through Carpal Tunnel. Archives of Physical Medicine and Rehabilitation, (June, 1970), 328–330.Google ScholarPubMed