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활차상 주근에 의한 척골신경병증의 새로운 치료: 증례 보고

Other Titles
 A Novel Treatment of Anconeus Epitrochlearis Muscle-induced Compressive Ulnar Neuropathy: A Case Report 
 김영석  ;  박윤길  ;  박진영  ;  김선웅  ;  이예원  ;  김명상 
 Journal of the Korean Association of EMG-Electrodiagnostic Medicine (대한근전도 전기진단의학회지), Vol.21(2) : 109-114, 2019-12 
Journal Title
 Journal of the Korean Association of EMG-Electrodiagnostic Medicine (대한근전도 전기진단의학회지) 
Issue Date
electrical stimulation therapy ; ulnar neuropathy ; cubital tunnel syndrome
Anconeus epitrochlearis muscle covering ulnar nerve has potential to compress it at the elbow. There has been no report that compromised nerve conduction velocity (NCV) recovered immediately after muscle releasing by electrical twitch obtaining intramuscular stimulation (ETOIMS). A 26-year-old male complaining of tingling pain on ulnar side of right hand visited our clinic. Electrodiagnostic study revealed decreased motor NCV of the ulnar nerve in the medial epicondyle of the humerus and 2 cm distal to it, suggesting cubital tunnel syndrome. Physical examination revealed tenderness in the anconeus epitrochlearis muscle, and Tinel’s sign was confirmed at the elbow. Assuming that the ulnar neuropathy had occurred by the anconeus epitrochlearis muscle, ETOIMS was performed to release it. Immediately after ETOIMS, motor NCV returned to normal and the tingling pain disappeared. This is the first case report, which electrophysiologically revealed the effect of ETOIMS on compressive neuropathy results from the muscle hypercontraction.
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Appears in Collections:
1. College of Medicine (의과대학) > Dept. of Rehabilitation Medicine (재활의학교실) > 1. Journal Papers
Yonsei Authors
Park, Yoon Ghil(박윤길) ORCID logo https://orcid.org/0000-0001-9054-5300
Park, Jinyoung(박진영) ORCID logo https://orcid.org/0000-0003-4042-9779
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