Table 2.
Presentation, Physical Examination, Ultrasound,41 and Electrodiagnostic Parameters36 for the Diagnosis of CuTS
Spectrum of Disease | Mild (Dynamic ischemia) | Moderate (Demyelination) | Severe (Axonal loss) |
---|---|---|---|
Presentation | Intermittent paresthesias in ulnar nerve distribution with elbow flexion | Sensory symptoms more constant, some motor weakness | Hand weakness, clawing |
Physical examination | Positive findings on provocative testing (elbow flexion test, Tinel sign, scratch collapse test) | Decreased 2-point discrimination, weakness on strength testing (grip and apposition pinch) | Atrophy of intrinsic hand muscles with profound sensory disturbances |
US CSA of ulnar nerve | 11.1 ± 3.4 mm2 | 15.8 ± 3.8 mm2 | 18.3 ± 5.1 mm2 |
Electromyography | Normal | Normal | Abnormal |
Conduction velocity | Normal | Slowed | Slowed |