{"id":548,"date":"2018-11-22T13:04:43","date_gmt":"2018-11-22T13:04:43","guid":{"rendered":"http:\/\/www.neuroecho.se\/?page_id=548"},"modified":"2019-02-18T16:04:48","modified_gmt":"2019-02-18T16:04:48","slug":"case-studies-media-ulnar-nerve-intermuscular-aponeurosis","status":"publish","type":"page","link":"https:\/\/www.neuroecho.se\/sv\/case-studies-media-ulnar-nerve-intermuscular-aponeurosis\/","title":{"rendered":"Case studies media Ulnar nerve, intermuscular aponeurosis"},"content":{"rendered":"<div data-elementor-type=\"wp-post\" data-elementor-id=\"548\" class=\"elementor elementor-548 elementor-bc-flex-widget\" data-elementor-settings=\"[]\">\n\t\t\t<div class=\"elementor-inner\">\n\t\t\t\t<div class=\"elementor-section-wrap\">\n\t\t\t\t\t\t\t<section class=\"elementor-element elementor-element-26faf30 elementor-hidden-phone elementor-section-boxed elementor-section-height-default elementor-section-height-default elementor-section elementor-top-section\" data-id=\"26faf30\" data-element_type=\"section\" data-settings=\"{&quot;background_background&quot;:&quot;classic&quot;}\">\n\t\t\t\t\t\t\t<div class=\"elementor-background-overlay\"><\/div>\n\t\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t<div class=\"elementor-row\">\n\t\t\t\t<div class=\"elementor-element elementor-element-c3ee51b elementor-column elementor-col-100 elementor-top-column\" data-id=\"c3ee51b\" data-element_type=\"column\" data-settings=\"{&quot;background_background&quot;:&quot;classic&quot;}\">\n\t\t\t<div class=\"elementor-column-wrap  elementor-element-populated\">\n\t\t\t\t\t<div class=\"elementor-widget-wrap\">\n\t\t\t\t<div class=\"elementor-element elementor-element-24ac76f elementor-widget elementor-widget-heading\" data-id=\"24ac76f\" data-element_type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t<h2 class=\"elementor-heading-title elementor-size-default\">Intermuscular aponeurosis<\/h2>\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-bebadac elementor-widget elementor-widget-text-editor\" data-id=\"bebadac\" data-element_type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<div class=\"elementor-text-editor elementor-clearfix\"><p>Patient, man 55 years old, carpenter. Right hand numbness at ulnar nerve innervated area of the fingers and weakness in profundus.<\/p><p>Electroneurography shows slightly reduced motor conduction velocity across the elbow, 48m\/s, with no measurable sensory signal. Electromyography shows ulnar nerve injury and confirmes the suspicion of injury at the elbow.\u00a0<\/p><p>Echoneurography shows nerve swelling with cross sectional area 11-12 mm2 at the medial epicondyle wich is equvalent to mild ulnar nerve neuropathy (10-14 mm2). The interesting finding is the precise location of the area change from swollen to normal. Wich in this case is distally to the cubital tunnel and cince nerve swelling begins at the entrapment site it means that the entrapment is also distally.<\/p><\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-415fb66 elementor-aspect-ratio-169 elementor-widget elementor-widget-video\" data-id=\"415fb66\" data-element_type=\"widget\" data-settings=\"{&quot;aspect_ratio&quot;:&quot;169&quot;}\" data-widget_type=\"video.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<div class=\"elementor-wrapper elementor-fit-aspect-ratio elementor-open-inline\">\n\t\t\t<iframe class=\"elementor-video-iframe\" allowfullscreen title=\"youtube-videospelare\" src=\"https:\/\/www.youtube-nocookie.com\/embed\/E_wjLD40z9A?feature=oembed&amp;playlist=E_wjLD40z9A&amp;wmode=opaque&amp;loop=1&amp;controls=1&amp;mute=1&amp;rel=0&amp;modestbranding=1\"><\/iframe>\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-d1d74a1 elementor-widget elementor-widget-text-editor\" data-id=\"d1d74a1\" data-element_type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<div class=\"elementor-text-editor elementor-clearfix\"><p>Mild ulnar nerve enlargement under flexor carpi ulnaris distally to the cubital tunnel. By the looks of it entrapped by intermuscular aponeurosis. Cross sectional area changes from proximal 11 mm2 to 6 mm2 distally.\u00a0Short axis view.<\/p><\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-5723598 elementor-aspect-ratio-169 elementor-widget elementor-widget-video\" data-id=\"5723598\" data-element_type=\"widget\" data-settings=\"{&quot;aspect_ratio&quot;:&quot;169&quot;}\" data-widget_type=\"video.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<div class=\"elementor-wrapper elementor-fit-aspect-ratio elementor-open-inline\">\n\t\t\t<iframe class=\"elementor-video-iframe\" allowfullscreen title=\"youtube-videospelare\" src=\"https:\/\/www.youtube-nocookie.com\/embed\/vymiLfAPa_M?feature=oembed&amp;playlist=vymiLfAPa_M&amp;wmode=opaque&amp;loop=1&amp;controls=1&amp;mute=1&amp;rel=0&amp;modestbranding=1\"><\/iframe>\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-5c51306 elementor-widget elementor-widget-text-editor\" data-id=\"5c51306\" data-element_type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<div class=\"elementor-text-editor elementor-clearfix\"><p>Normal passage through intermuscular aponeurosis. No significant variation in cross sectional area.&nbsp;<span style=\"font-size: 17px;\">Proximal 7-7,5 mm2 and distal 6 mm2. Short axis view.<\/span><\/p><\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-8c0eefe elementor-widget elementor-widget-spacer\" data-id=\"8c0eefe\" data-element_type=\"widget\" data-widget_type=\"spacer.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<div class=\"elementor-spacer\">\n\t\t\t<div class=\"elementor-spacer-inner\"><\/div>\n\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<section class=\"elementor-element elementor-element-28672fc elementor-section-full_width elementor-hidden-desktop elementor-hidden-tablet elementor-section-height-default elementor-section-height-default elementor-section elementor-top-section\" data-id=\"28672fc\" data-element_type=\"section\" data-settings=\"{&quot;background_background&quot;:&quot;classic&quot;}\">\n\t\t\t\t\t\t\t<div class=\"elementor-background-overlay\"><\/div>\n\t\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t<div class=\"elementor-row\">\n\t\t\t\t<div class=\"elementor-element elementor-element-2f8f998 elementor-column elementor-col-100 elementor-top-column\" data-id=\"2f8f998\" data-element_type=\"column\" data-settings=\"{&quot;background_background&quot;:&quot;classic&quot;}\">\n\t\t\t<div class=\"elementor-column-wrap  elementor-element-populated\">\n\t\t\t\t\t<div class=\"elementor-widget-wrap\">\n\t\t\t\t<div class=\"elementor-element elementor-element-17abe02 elementor-widget elementor-widget-heading\" data-id=\"17abe02\" data-element_type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t<h2 class=\"elementor-heading-title elementor-size-default\">Intermuscular aponeurosis<\/h2>\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-218e0b3 elementor-widget elementor-widget-text-editor\" data-id=\"218e0b3\" data-element_type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<div class=\"elementor-text-editor elementor-clearfix\"><p>Patient, man 55 years old, carpenter. Right hand numbness at ulnar nerve innervated area of the fingers and weakness in profundus.<\/p><p>Electroneurography shows slightly reduced motor conduction velocity across the elbow, 48m\/s, with no measurable sensory signal. Electromyography shows ulnar nerve injury and confirmes the suspicion of injury at the elbow.\u00a0<\/p><p>Echoneurography shows nerve swelling with cross sectional area 11-12 mm2 at the medial epicondyle wich is equvalent to mild ulnar nerve neuropathy (10-14 mm2). The interesting finding is the precise location of the area change from swollen to normal. Wich in this case is distally to the cubital tunnel and cince nerve swelling begins at the entrapment site it means that the entrapment is also distally.<\/p><\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-22b1e97 elementor-aspect-ratio-169 elementor-widget elementor-widget-video\" data-id=\"22b1e97\" data-element_type=\"widget\" data-settings=\"{&quot;aspect_ratio&quot;:&quot;169&quot;}\" data-widget_type=\"video.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<div class=\"elementor-wrapper elementor-fit-aspect-ratio elementor-open-inline\">\n\t\t\t<iframe class=\"elementor-video-iframe\" allowfullscreen title=\"youtube-videospelare\" src=\"https:\/\/www.youtube-nocookie.com\/embed\/E_wjLD40z9A?feature=oembed&amp;playlist=E_wjLD40z9A&amp;wmode=opaque&amp;loop=1&amp;controls=1&amp;mute=1&amp;rel=0&amp;modestbranding=1\"><\/iframe>\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-ad8b7d9 elementor-widget elementor-widget-text-editor\" data-id=\"ad8b7d9\" data-element_type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<div class=\"elementor-text-editor elementor-clearfix\"><p>Mild ulnar nerve enlargement under flexor carpi ulnaris distally to the cubital tunnel. By the looks of it entrapped by intermuscular aponeurosis. Cross sectional area changes from proximal 11 mm2 to 6 mm2 distally.\u00a0<span style=\"font-family: Roboto, sans-serif; font-size: 14px; font-style: normal; font-variant-ligatures: normal; font-variant-caps: normal; font-weight: 300;\">Short axis view.<\/span><\/p><\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-f140a88 elementor-aspect-ratio-169 elementor-widget elementor-widget-video\" data-id=\"f140a88\" data-element_type=\"widget\" data-settings=\"{&quot;aspect_ratio&quot;:&quot;169&quot;}\" data-widget_type=\"video.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<div class=\"elementor-wrapper elementor-fit-aspect-ratio elementor-open-inline\">\n\t\t\t<iframe class=\"elementor-video-iframe\" allowfullscreen title=\"youtube-videospelare\" src=\"https:\/\/www.youtube-nocookie.com\/embed\/vymiLfAPa_M?feature=oembed&amp;playlist=vymiLfAPa_M&amp;wmode=opaque&amp;loop=1&amp;controls=1&amp;mute=1&amp;rel=0&amp;modestbranding=1\"><\/iframe>\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-0157b47 elementor-widget elementor-widget-text-editor\" data-id=\"0157b47\" data-element_type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<div class=\"elementor-text-editor elementor-clearfix\"><p>Normal passage through intermuscular aponeurosis. No significant variation in cross sectional area. Proximal 7-7,5 mm2 and distal 6 mm2.\u00a0 <span style=\"font-family: Roboto, sans-serif; font-size: 14px; font-style: normal; font-variant-ligatures: normal; font-variant-caps: normal; font-weight: 300;\">Short axis view.<\/span><\/p><\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-ea8475c elementor-widget elementor-widget-spacer\" data-id=\"ea8475c\" data-element_type=\"widget\" data-widget_type=\"spacer.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<div class=\"elementor-spacer\">\n\t\t\t<div class=\"elementor-spacer-inner\"><\/div>\n\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t\t\t<\/div>\n\t\t\t<\/div>\n\t\t<\/div>","protected":false},"excerpt":{"rendered":"<p>Intermuscular aponeurosis Patient, man 55 years old, carpenter. Right hand numbness at ulnar nerve innervated area of the fingers and weakness in profundus. Electroneurography shows slightly reduced motor conduction velocity across the elbow, 48m\/s, with no measurable sensory signal. Electromyography shows ulnar nerve injury and confirmes the suspicion of injury at the elbow.\u00a0 Echoneurography shows [&hellip;]<\/p>","protected":false},"author":1,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"footnotes":""},"class_list":["post-548","page","type-page","status-publish","hentry","entry"],"_links":{"self":[{"href":"https:\/\/www.neuroecho.se\/sv\/wp-json\/wp\/v2\/pages\/548","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.neuroecho.se\/sv\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/www.neuroecho.se\/sv\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/www.neuroecho.se\/sv\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/www.neuroecho.se\/sv\/wp-json\/wp\/v2\/comments?post=548"}],"version-history":[{"count":29,"href":"https:\/\/www.neuroecho.se\/sv\/wp-json\/wp\/v2\/pages\/548\/revisions"}],"predecessor-version":[{"id":2277,"href":"https:\/\/www.neuroecho.se\/sv\/wp-json\/wp\/v2\/pages\/548\/revisions\/2277"}],"wp:attachment":[{"href":"https:\/\/www.neuroecho.se\/sv\/wp-json\/wp\/v2\/media?parent=548"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}