Evidence map›Paper›PMID 38900363›Full record

Observational studyJournal of ultrasound2024

Assessment of the ulnar nerve stiffness during valgus stress of the elbow using shear wave elastography: an observational cross-sectional study.

Issei Noda, Rio Goto, Shunpei Yamashita, Kengo Kawanishi, Masahiro Tsutsumi, Shintarou Kudo

Abstract readObservational Study
In one paragraph

Observational study in Journal of ultrasound, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
–field-weighted citation impact
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

2 citing papers in PubMed.

  1. Review
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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

6 authors.

Issei NodaGraduate School of Health Sciences, Morinomiya University of Medical Sciences, 1-26-16 Nankoukita Suminoe Ward, Osaka, Osaka Prefecture, 559-8611, Japan.ORCID http://orcid.org/0000-0002-5569-5570
Rio GotoYasu Orthopedics Clinic, Hyogo, Japan.
Shunpei YamashitaOsaka Orthopedics Hospital, Osaka, Japan.
Kengo KawanishiInclusive Medical Science Research Institute, Morinomiya University of Medical Sciences, Osaka, Japan.ORCID http://orcid.org/0000-0001-9835-9377
Masahiro TsutsumiGraduate School of Health Sciences, Morinomiya University of Medical Sciences, 1-26-16 Nankoukita Suminoe Ward, Osaka, Osaka Prefecture, 559-8611, Japan.ORCID http://orcid.org/0000-0003-1803-8202
Shintarou KudoGraduate School of Health Sciences, Morinomiya University of Medical Sciences, 1-26-16 Nankoukita Suminoe Ward, Osaka, Osaka Prefecture, 559-8611, Japan. kudo@morinomiya-u.ac.jp.ORCID http://orcid.org/0000-0001-9483-1830

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundIdentification of the relationship between valgus stress in the medial elbow and ulnar nerve strain during maximum external rotation of the shoulder is pivotal for the prevention and management of ulnar neuropathies. In this observational cross-sectional study, we aimed to determine the changes in ulnar nerve stiffness under valgus stress at different nerve entrapment sites.

methodsTwenty healthy baseball players participated in the study. The stiffness of the ulnar nerve on the throwing side was assessed at two sites, the arcade of Struthers and the Osborne's ligament, at 0°, 60°, and 90° flexion by shear wave elastography using a 10-MHz linear transducer. The arcade of Struthers was defined as the proximal site and the Osborne's ligament as the distal site. Valgus stress was applied to the medial elbow at 0, 30, 50, and 70 N using a Telos stress device, and the stiffness caused by valgus stress was measured.

resultsAt all elbow flexion angles, the stiffness of the ulnar nerve under 70 N valgus stress was higher than that under 30 N stress. The stiffness of the ulnar nerve at the proximal site was significantly higher than that at the distal site.

conclusionValgus stress increases ulnar nerve stiffness. In addition, the stiffness of the proximal site increases.

Indexed as

Elasticity Imaging TechniquesUlnar NerveAdultBaseballCross-Sectional StudiesElbowElbow JointHumansMaleYoung AdultNerve entrapmentNerve stiffnessThrowing elbowUlnar neuropathyValgus stress

Identifiers

PMID38900363
PMCPMC11496421

What OpenQuestion holds

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Registered trials

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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.