Evidence map›Paper›PMID 33315922›Full record

Trial reportPloS one2020

The prevalence of ulnar neuropathy at the elbow and ulnar nerve dislocation in recreational wheelchair marathon athletes.

Mari Kakita, Yukio Mikami, Tatsuru Ibusuki, Takashi Shimoe, Yoshi-Ichiro Kamijo, Sven P Hoekstra, Fumihiro Tajima

Open access · goldAbstract readClinical Trial
In one paragraph

Trial report in PloS one, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed, 1 pooled it
0.3field-weighted citation impact, top 35% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

6 citing papers in PubMed, 1 synthesis or guideline pooled it, 10 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Observational
  4. Imaging of elbow entrapment neuropathies.Insights into imaging · 2025
    Article
  5. Article
  6. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors at 2 institutions in 2 countries.

Mari KakitaDepartment of Rehabilitation Medicine, Kansai Electric Power Hospital, Osaka-City, Osaka-Prefecture, Japan.ORCID 0000-0003-4384-6156
Yukio MikamiDepartment of Rehabilitation Medicine, Wakayama Medical University, Wakayama-City, Wakayama-Prefecture, Japan.
Tatsuru IbusukiDepartment of Rehabilitation Medicine, Wakayama Medical University, Wakayama-City, Wakayama-Prefecture, Japan.
Takashi ShimoeDepartment of Orthopedic Surgery, Wakayama Medical University, Wakayama-City, Wakayama-Prefecture, Japan.
Yoshi-Ichiro KamijoDepartment of Rehabilitation Medicine, Wakayama Medical University, Wakayama-City, Wakayama-Prefecture, Japan.
Sven P HoekstraDepartment of Rehabilitation Medicine, Wakayama Medical University, Wakayama-City, Wakayama-Prefecture, Japan.
Fumihiro TajimaDepartment of Rehabilitation Medicine, Wakayama Medical University, Wakayama-City, Wakayama-Prefecture, Japan.
Wakayama Medical University · JPLoughborough University · GB

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundUlnar neuropathy at the elbow is an entrapment neuropathy, while ulnar nerve dislocation might also be involved in its incidence and severity. Wheelchair marathon athletes may be at an increased risk for Ulnar Neuropathy. However, there is a paucity of research into the prevalence of Ulnar Neuropathy and ulnar nerve dislocation in this population.

objectiveTo investigate the prevalence of ulnar neuropathy at the elbow and ulnar nerve dislocation in wheelchair marathon athletes.

participantsWheelchair marathon athletes (N = 38) who participated in the 2017, 2018, and 2019 Oita International Wheelchair Marathon. 2 athletes participated only one time, 36 athletes repeatedly. Data from athletes`latest assessment were used.

methodsThe day before the race, questionnaires, physical examinations, and ultrasonography were conducted to screen for Ulnar Neuropathy in both upper limbs. Ulnar nerve dislocation was confirmed by physical examination and ultrasonography.

results11 (29%) athletes were diagnosed with Ulnar Neuropathy. There were no significant differences in age, height, weight, Body Mass Index, or history of primary illness between athletes with and without Ulnar Neuropathy. In the group without Ulnar Neuropathy, 44% of athletes reported to have been engaging in other wheelchair sports, compared to 9% in the group with Ulnar Neuropathy (p = 0.037). Ulnar nerve dislocation was diagnosed in 15 (39%) athletes by ultrasonography. Out of the 14 elbows of 11 athletes diagnosed with Ulnar Neuropathy, 9 (64%) elbows had ulnar nerve dislocation.

conclusionThe prevalence of Ulnar Neuropathy in wheelchair marathon athletes was higher than previously reported in able-bodied, non-athlete individuals and lower than in non-athletes with lower limb dysfunction. Therefore, while wheelchair sports may provide some protection against Ulnar Neuropathy, this study further supports the importance of screening for Ulnar Neuropathy, as well as for ulnar nerve dislocation as a potential risk factor for the development of Ulnar Neuropathy.

Indexed as

AthletesElbow JointJoint DislocationsMarathon RunningSurveys and QuestionnairesUlnar NeuropathiesWheelchairsAdultAgedCross-Sectional StudiesFemaleHumansMaleMiddle AgedPrevalence

Identifiers

PMID33315922
PMCPMC7735619
OpenAlexW3111117942

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.