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"Byung Kyu Park"

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"Byung Kyu Park"

Case Report

Diagnosis of Pure Ulnar Sensory Neuropathy Around the Hypothenar Area Using Orthodromic Inching Sensory Nerve Conduction Study: A Case Report
Min Je Kim, Jong Woo Kang, Goo Young Kim, Seong Gyu Lim, Ki Hoon Kim, Byung Kyu Park, Dong Hwee Kim
Ann Rehabil Med 2018;42(3):483-487.   Published online June 27, 2018
DOI: https://doi.org/10.5535/arm.2018.42.3.483
Ulnar neuropathy at the wrist is an uncommon disease and pure ulnar sensory neuropathy at the wrist is even rarer. It is difficult to diagnose pure ulnar sensory neuropathy at the wrist by conventional methods. We report a
case
of pure ulnar sensory neuropathy at the hypothenar area. The lesion was localized between 3 cm and 5 cm distal to pisiform using orthodromic inching test of ulnar sensory nerve to stimulate at three points around the hypothenar area. Ultrasonographic examination confirmed compression of superficial sensory branch of the ulnar nerve. Further, surgical exploration reconfirmed compression of the ulnar nerve. This case report demonstrates the utility of orthodromic ulnar sensory inching test.

Citations

Citations to this article as recorded by  
  • Neurological improvement following revision of vascular graft remnants in the upper extremity
    Marie Bigot, Sima Vazquez, Sateesh Babu, Suguru Ohira, Ramin Malekan, Igor Laskowski, Jared Pisapia
    Journal of Vascular Surgery Cases, Innovations and Techniques.2024; 10(4): 101539.     CrossRef
  • Localization of Ulnar Neuropathy at the Wrist Using Motor and Sensory Ulnar Nerve Segmental Studies
    Ki Hoon Kim, Beom Suk Kim, Min Jae Kim, Dong Hwee Kim
    Journal of Clinical Neurology.2022; 18(1): 59.     CrossRef
  • 8,151 View
  • 119 Download
  • 2 Web of Science
  • 2 Crossref

Original Articles

Optimal Placement of Needle Electromyography in Extensor Indicis: A Cadaveric Study
Jin Young Im, Hong Bum Park, Seok Jun Lee, Seong Gyu Lim, Ki Hoon Kim, Dasom Kim, Im Joo Rhyu, Byung Kyu Park, Dong Hwee Kim
Ann Rehabil Med 2018;42(3):473-476.   Published online June 27, 2018
DOI: https://doi.org/10.5535/arm.2018.42.3.473
Objective
To identify the center of extensor indicis (EI) muscle through cadaver dissection and compare the accuracy of different techniques for needle electromyography (EMG) electrode insertion.
Methods
Eighteen upper limbs of 10 adult cadavers were dissected. The center of trigonal EI muscle was defined as the point where the three medians of the triangle intersect. Three different needle electrode insertion techniques were introduced: M1, 2.5 cm above the lower border of ulnar styloid process (USP), lateral aspect of the ulna; M2, 2 finger breadths (FB) proximal to USP, lateral aspect of the ulna; and M3, distal fourth of the forearm, lateral aspect of the ulna. The distance from USP to the center (X) parallel to the line between radial head to USP, and from medial border of ulna to the center (Y) were measured. The distances between 3 different points (M1– M3) and the center were measured (marked as D1, D2, and D3, respectively).
Results
The median value of X was 48.3 mm and that of Y was 7.2 mm. The median values of D1, D2 and D3 were 23.3 mm, 13.3 mm and 9.0 mm, respectively.
Conclusion
The center of EI muscle is located approximately 4.8 cm proximal to USP level and 7.2 mm lateral to the medial border of the ulna. Among the three methods, the technique placing the needle electrode at distal fourth of the forearm and lateral to the radial side of the ulna bone (M3) is the most accurate and closest to the center of the EI muscle.

Citations

Citations to this article as recorded by  
  • Ultrasonographic Analysis of Optimal Needle Placement for Extensor Indicis
    Jin Young Kim, Hyun Seok, Sang-Hyun Kim, Yoon-Hee Choi, Jun Young Ahn, Seung Yeol Lee
    Annals of Rehabilitation Medicine.2020; 44(6): 450.     CrossRef
  • 9,906 View
  • 139 Download
  • 1 Web of Science
  • 1 Crossref
Ultrasonographic Study of the Anatomical Relationship Between the Lateral Antebrachial Cutaneous Nerve and the Cephalic Vein
Hyung Soon Im, Jin Young Im, Ki Hoon Kim, Dong Hwee Kim, Byung Kyu Park
Ann Rehabil Med 2017;41(3):421-425.   Published online June 29, 2017
DOI: https://doi.org/10.5535/arm.2017.41.3.421
Objective

To define the anatomy of the lateral antebrachial cutaneous nerve (LABCN) and the cephalic vein (CV) in the anterior forearm region of living humans using ultrasonography for preventing LABCN injury during cephalic venipuncture.

Methods

Thirty forearms of 15 healthy volunteers were evaluated using ultrasonography to identify the point where the LABCN begins to contact with the CV, and the point where the LABCN separates from the CV. The LABCN pathway in the forearm in relation to a nerve conduction study was also evaluated.

Results

The LABCNs came in contact with the CV at a mean of 0.6±1.6 cm distal to the elbow crease, and separated from the CV at a mean of 7.0±3.4 cm distal to the elbow crease. The mean distance between the conventionally used recording points (point R) for the LABCN conduction study and the actual sonographic measured LABCN was 2.4±2.4 mm. LABCN usually presented laterally at the point R (83.3%).

Conclusion

The LABCN had close proximity to the CV in the proximal first quarter of the forearm. Cephalic venipuncture in this area should be avoided, and performed with caution if needed.

Citations

Citations to this article as recorded by  
  • Clinical anatomy of the lateral antebrachial cutaneous nerve: Is there any safe zone for interventional approach?
    Anhelina Khadanovich, Michal Benes, Radek Kaiser, Tomas Herma, David Kachlik
    Annals of Anatomy - Anatomischer Anzeiger.2024; 252: 152202.     CrossRef
  • The radial trinity block of the upper extremity: combined block of the radial, median and lateral cutaneous nerves of the forearm for radius fracture
    Amjad Maniar, Rammurthy Kulkarni
    British Journal of Anaesthesia.2024; 133(5): 1120.     CrossRef
  • The relationship between the lateral cutaneous antebrachial nerve and the superficial branch of the radial nerve and its impact on regional anesthetic and pain blocks of the thumb; What is more important: Nerves or dermatomes?
    Alen Palackic, Stefan Orthaber, Peter Marhofer, Rainer J. Litz, Georg C. Feigl
    Annals of Anatomy - Anatomischer Anzeiger.2023; 245: 152018.     CrossRef
  • Anatomical characterization of acupoint large intestine 4
    Gregory P. Casey
    The Anatomical Record.2022; 305(1): 144.     CrossRef
  • MRI findings of chronic distal tendon biceps reconstruction and associated post-operative findings
    Dylan N. Greif, Samuel H. Huntley, Sameer Alidina, Julianne Muñoz, Joseph H. Huntley, Harry G. Greditzer, Jean Jose
    Skeletal Radiology.2021; 50(6): 1095.     CrossRef
  • Anatomical analysis of antebrachial cutaneous nerve distribution pattern and its clinical implications for sensory reconstruction
    Hui Li, Weiwei Zhu, Shouwen Wu, Zairong Wei, Shengbo Yang, Leila Harhaus
    PLOS ONE.2019; 14(9): e0222335.     CrossRef
  • A review of main anatomical and sonographic features of subcutaneous nerve injuries related to orthopedic surgery
    Anne Causeret, Isabelle Ract, Jérémy Jouan, Thierry Dreano, Mickaël Ropars, Raphaël Guillin
    Skeletal Radiology.2018; 47(8): 1051.     CrossRef
  • 8,456 View
  • 114 Download
  • 8 Web of Science
  • 7 Crossref
Electrophysiologic and Ultrasonographic Assessment of Carpal Tunnel Syndrome in Wheelchair Basketball Athletes
Do Kyun Kim, Beom Suk Kim, Min Je Kim, Ki Hoon Kim, Byung Kyu Park, Dong Hwee Kim
Ann Rehabil Med 2017;41(1):58-65.   Published online February 28, 2017
DOI: https://doi.org/10.5535/arm.2017.41.1.58
Objective

To investigate the contributing factors of carpal tunnel syndrome (CTS), electrodiagnostic and ultrasonographic findings of median nerve, and median nerve change after exercise in wheelchair basketball (WCB) players.

Methods

Fifteen WCB players with manual wheelchairs were enrolled in the study. Medical history of the subjects was taken. Electrodiagnosis and ultrasonography of both median nerves were performed to assess CTS in WCB players. Ultrasonographic median nerves evaluation was conducted after wheelchair propulsion for 20 minutes.

Results

Average body mass index (BMI) and period of wheelchair use of CTS subjects were greater than those of normal subjects. Electrodiagnosis revealed CTS in 14 of 30 hands (47%). Cross-sectional area (CSA) of median nerve was greater in CTS subjects than in normal subjects at 0.5 cm and 1 cm proximal to distal wrist crease (DWC), DWC, 1 cm, 2 cm, 3 cm, and 3.5 cm distal to DWC. After exercising, median nerve CSAs at 0.5 cm and 1 cm proximal to DWC, DWC, and 3 cm and 3.5 cm distal to DWC were greater than baseline CSAs in CTS subjects; and median nerve CSAs at 1 cm proximal to DWC and DWC were greater than baseline CSAs in normal subjects. The changes in median nerve CSA after exercise in CTS subjects were greater than in normal subjects at 0.5 cm proximal to DWC and 3 cm and 3.5 cm distal to DWC.

Conclusion

BMI and total period of wheelchair use contributed to developing CTS in WCB players. The experimental exercise might be related to the median nerve swelling around the inlet and outlet of carpal tunnel in WCB athletes with CTS.

Citations

Citations to this article as recorded by  
  • Carpal Tunnel Syndrome in Elite Female Tug-of-War Athletes: Prevalence and Risk Factor Analysis
    Chiang-Hui Huang, Kuo-Cheng Liu, Ju-Wen Cheng, Shao-Chih Hsu, Chih-Kuang Chen
    Diagnostics.2024; 14(19): 2120.     CrossRef
  • Carpal Tunnel Syndrome in Athletes Who Compete in Wheelchair Sport
    Catherine Marriott, Kate Montgomery, Alexander Whelan
    American Journal of Physical Medicine & Rehabilitation.2023; 102(12): 1116.     CrossRef
  • Scale-attentional U-Net for the segmentation of the median nerve in ultrasound images
    Beom Suk Kim, Minhyeong Yu, Sunwoo Kim, Joon Shik Yoon, Seungjun Baek
    Ultrasonography.2022; 41(4): 706.     CrossRef
  • Longitudinal Median Nerve Ultrasound Changes in Individuals With Spinal Cord Injury and an Age- and Sex-Matched Nondisabled Cohort
    Minh Quan T. Le, Elizabeth R. Felix, Robert Irwin, Diana D. Cardenas, Rachel E. Cowan
    Archives of Rehabilitation Research and Clinical Translation.2022; 4(4): 100238.     CrossRef
  • Ergonomic design and evaluation of a novel laptop desk for wheelchair users
    Bita B. Naeini, Farhad Tabatabai Ghomsheh, Razieh Divani, Mojtaba K. Danesh, Ehsan Garosi
    Work.2021; 70(4): 1177.     CrossRef
  • A Review of Carpal Tunnel Syndrome and Its Association with Age, Body Mass Index, Cardiovascular Risk Factors, Hand Dominance, and Sex
    Melissa Airem Cazares-Manríquez, Claudia Camargo Wilson, Ricardo Vardasca, Jorge Luis García-Alcaraz, Jesús Everardo Olguín-Tiznado, Juan Andrés López-Barreras, Blanca Rosa García-Rivera
    Applied Sciences.2020; 10(10): 3488.     CrossRef
  • Case-Control Study of Ultrasound Evaluation of Acute Median Nerve Response to Upper Extremity Circuit Training in Spinal Cord Injury
    Luisa Betancourt, Rachel E. Cowan, Andrew Chang, Robert Irwin
    Archives of Physical Medicine and Rehabilitation.2020; 101(11): 1898.     CrossRef
  • A cross-sectional study to evaluate the manual wheelchair-related factors associated with median nerve compression by ultrasonography
    Aradhana Shukla, AnilKumar Gaur, Anuradha Shenoy, Amit Mhambre
    Journal of Orthopaedics and Spine.2020; 8(2): 57.     CrossRef
  • Medical and Musculoskeletal Concerns for the Wheelchair Athlete: A Review of Preventative Strategies
    Rebecca A. Dutton
    Current Sports Medicine Reports.2019; 18(1): 9.     CrossRef
  • Muscle belly in the tunnel: an unusual cause of carpal tunnel syndrome in a patient with spinal cord injury
    Esra Giray, Kardelen Gencer Atalay, Sefa Kurt, İlker Yağcı
    Spinal Cord Series and Cases.2019;[Epub]     CrossRef
  • 5,430 View
  • 69 Download
  • 9 Web of Science
  • 10 Crossref
Anatomic Characteristics of Pronator Quadratus Muscle: A Cadaver Study
Phil Woo Choung, Min Young Kim, Hyung Soon Im, Ki Hoon Kim, Im Joo Rhyu, Byung Kyu Park, Dong Hwee Kim
Ann Rehabil Med 2016;40(3):496-501.   Published online June 29, 2016
DOI: https://doi.org/10.5535/arm.2016.40.3.496
Objective

To identify the anatomic characteristics of the pronator quadratus (PQ) muscle and the entry zone (EZ) of the anterior interosseous nerve (AIN) to this muscle by means of cadaver dissection.

Methods

We examined the PQ muscle and AIN in 20 forearms from 10 fresh cadavers. After identifying the PQ muscle and the EZ of the AIN, we measured the distances from the midpoint (MidP) of the PQ muscle and EZ to the vertical line passing the tip of the ulnar styloid process (MidP_X and EZ_X, respectively) and to the medial border of the ulna (MidP_Y and EZ_Y, respectively). Forearm length (FL) and wrist width (WW) were also measured, and the ratios of MidP and EZ to FL and of MidP and EZ to WW were calculated.

Results

The MidP was found to be 3.0 cm proximal to the ulnar styloid process or distal 13% of the FL and 2.0 cm lateral to the medial border of the ulna or ulnar 40% side of the WW, which was similar to the location of EZ. The results reveal a more distal site than was reported in previous studies.

Conclusion

We suggest that the proper site for needle insertion and motor point block of the PQ muscle is 3 cm proximal to the ulnar styloid process or distal 13% of the FL and 2 cm lateral to the medial border of the ulna or ulnar 40% side of the WW.

Citations

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  • The Elias University Hospital Approach: A Visual Guide to Ultrasound-Guided Botulinum Toxin Injection in Spasticity: Part I—Distal Upper Limb Muscles
    Marius Nicolae Popescu, Claudiu Căpeț, Cristina Beiu, Mihai Berteanu
    Toxins.2025; 17(3): 107.     CrossRef
  • Ultrasonographic study for optimal volar needle approach technique for the pronator quadratus to avoid anterior interosseous nerve injury
    Hyun Jin Park, Kyung Hun Kang, Joon Shik Yoon
    Scientific Reports.2025;[Epub]     CrossRef
  • Morphometric and anatomic characteristics of pronator quadratus muscle
    Nurşen Zeybek, Özcan Gayretli, Yüsra Nur Şanlıtürk, Ayşin Kale
    Chinese Journal of Traumatology.2024;[Epub]     CrossRef
  • Dorsal dry needling to the pronator quadratus muscle is a safe and valid technique: A cadaveric study
    Albert Pérez-Bellmunt, Carlos López-de-Celis, Jacobo Rodríguez-Sanz, César Hidalgo-García, Joseph M. Donnelly, Simón A Cedeño-Bermúdez, César Fernández-de-las-Peñas
    Physiotherapy Theory and Practice.2023; 39(5): 1033.     CrossRef
  • Anatomical depth parameters of pronator quadratus: a cadaveric study
    Joseph W. Duncumb, Fraser Chisholm, Enis Cezayirli
    Journal of Hand Surgery (European Volume).2023; 48(10): 1085.     CrossRef
  • Ultrasonographic Evaluation of the Needle Insertion Site for the Flexor Pollicis Longus Using the Flexor Carpi Radialis Tendon
    Hong Bum Park, Chae Hyeon Ryou, Ki Hoon Kim, Hang Jae Lee, Dong Hwee Kim
    Journal of Electrodiagnosis and Neuromuscular Diseases.2023; 25(3): 111.     CrossRef
  • The intra-muscular course and distribution of the anterior interosseous nerve within pronator quadratus: An anatomical study
    S. Trowbridge, M.L. Sagmeister, T.L. Lewis, H. Vidakovic, N. Hammer, D.C. Kieser
    Journal of Clinical Orthopaedics and Trauma.2022; 28: 101868.     CrossRef
  • The Dimensions of Pronator Quadratus and Its Neurovascular Structures – A Cadaveric Study with Its Clinical Implications in Distal Forearm Surgeries
    Sudha Ramalingam, Deepa Somanath
    Journal of Orthopedics, Traumatology and Rehabilitation.2022; 14(1): 46.     CrossRef
  • Calcific tendinopathy of the pronator quadratus muscle: A rare site and cause of ulnar sided wrist pain
    Karthikeyan. P. Iyengar, J.A. Yusta-Zato, Botchu R
    Journal of Clinical Orthopaedics and Trauma.2022; 32: 101968.     CrossRef
  • Use of free radial forearm and pronator quadratus muscle flap: Anatomical study and clinical application
    Tomas Kempny, Zuzana Musilova, Martin Knoz, Marek Joukal, Lipový Břetislav, Holoubek Jakub, Wolfgang Paul Pöschl, Hsu-Tang Cheng
    Journal of Plastic, Reconstructive & Aesthetic Surgery.2022; 75(12): 4393.     CrossRef
  • An anatomical and biomechanical assessment of the interosseous membrane of the cadaveric forearm
    Hamid Rahmatullah Bin Abd Razak, Khye-Soon Andy Yew, Irwan Shah Bin Mohd Moideen, Xian-Khing Kenny Tay, Tet-Sen Howe, Suang-Bee Joyce Koh
    Journal of Hand Surgery (European Volume).2020; 45(4): 369.     CrossRef
  • Rotational Corrective Osteotomy for Malunited Distal Diaphyseal Radius Fractures in Children and Adolescents
    Toshiyuki Kataoka, Kunihiro Oka, Tsuyoshi Murase
    The Journal of Hand Surgery.2018; 43(3): 286.e1.     CrossRef
  • Partial Wrist Denervation for Idiopathic Dorsal Wrist Pain in an Active Duty Military Population
    Nicole M. Sgromolo, Mickey S. Cho, Joseph T. Gower, Peter C. Rhee
    The Journal of Hand Surgery.2018; 43(12): 1108.     CrossRef
  • Safety Window for the Volar Needle Approach for Examination of the Pronator Quadratus Using Ultrasonography
    Seok Jun Lee, Ki Hoon Kim, In Yae Cheong, Byung Kyu Park, Dong Hwee Kim
    Archives of Physical Medicine and Rehabilitation.2017; 98(12): 2553.     CrossRef
  • 6,497 View
  • 74 Download
  • 14 Web of Science
  • 14 Crossref
Optimal Needle Placement for Extensor Hallucis Longus Muscle: A Cadaveric Study
In Yae Cheong, Do Kyun Kim, Ye Jeong Oh, Byung Kyu Park, Ki Hoon Kim, Dong Hwee Kim
Ann Rehabil Med 2016;40(3):457-462.   Published online June 29, 2016
DOI: https://doi.org/10.5535/arm.2016.40.3.457
Objective

To determine the midpoint (MD) of extensor hallucis longus muscle (EHL) and compare the accuracy of different needle electromyography (EMG) insertion techniques through cadaver dissection.

Methods

Thirty-eight limbs of 19 cadavers were dissected. The MD of EHL was marked at the middle of the musculotendinous junction and proximal origin of EHL. Three different needle insertion points of EHL were marked following three different textbooks: M1, 3 fingerbreadths above bimalleolar line (BML); M2, junction between the middle and lower third of tibia; M3, 15 cm proximal to the lower border of both malleoli. The distance from BML to MD (BML_MD), and the difference between 3 different points (M1–3) and MD were measured (designated D1, D2, and D3, respectively). The lower leg length (LL) was measured from BML to top of medial condyle of tibia.

Results

The median value of LL was 34.5 cm and BML_MD was 12.0 cm. The percentage of BML_MD to LL was 35.1%. D1, D2, and D3 were 7.0, 0.9, and 3.0 cm, respectively. D2 was the shortest, meaning needle placement following technique by Lee and DeLisa was closest to the actual midpoint of EHL.

Conclusion

The MD of EHL is approximately 12 cm above BML, and about distal 35% of lower leg length. Technique that recommends placing the needle at distal two-thirds of the lower leg (M2) is the most accurate method since the point was closest to muscle belly of EHL.

Citations

Citations to this article as recorded by  
  • Striatal Toe: Too Harmless to Treat?
    Wolfgang H. Jost, Emir Berberovic
    Toxins.2025; 17(4): 168.     CrossRef
  • Optimal needle placement for extensor hallucis longus muscle using ultrasound verification
    Jin Myoung Kwak, Dong Hyun Kim, Yang Gyun Lee, Yoon‐Hee Choi
    Muscle & Nerve.2019; 59(3): 331.     CrossRef
  • Optimal Placement of Needle Electromyography in Extensor Indicis: A Cadaveric Study
    Jin Young Im, Hong Bum Park, Seok Jun Lee, Seong Gyu Lim, Ki Hoon Kim, Dasom Kim, Im Joo Rhyu, Byung Kyu Park, Dong Hwee Kim
    Annals of Rehabilitation Medicine.2018; 42(3): 473.     CrossRef
  • 6,671 View
  • 96 Download
  • 3 Web of Science
  • 3 Crossref
Anatomical Basis of Pronator Teres for Electromyography Needle Placement Using Ultrasonography
Myung Kyu Park, In Yae Cheong, Ki Hoon Kim, Byung Kyu Park, Dong Hwee Kim
Ann Rehabil Med 2015;39(1):39-46.   Published online February 28, 2015
DOI: https://doi.org/10.5535/arm.2015.39.1.39
Objective

To find the optimal needle insertion site for needle electromyography of the pronator teres (PT) muscle among commonly used sites.

Methods

Fifty forearms of 25 healthy subjects were evaluated. Four expected needle insertion points were designated as follows. Point 0 was positioned at the midpoint between the medial epicondyle and medial border of biceps tendon in the elbow crease. Points 1, 2, and 3 were located 2 cm, 3.5 cm and 5 cm distal to point 0, respectively. We assumed that the thickness of PT and the distances between a vertical line from each point to the medial margin of the PT were significant parameters for finding the optimal site. Thus, we measured these parameters through ultrasonographic examination.

Results

In men, the PT was thickest at point 2, and in women, at point 1. The distance between the expected needle insertion line and medial margin of PT was longest at point 1 in both men and women, and was statistically significant compared to points 2 and 3. Both men and women had neurovascular bundles located lateral to the expected needle insertion line.

Conclusion

The most appropriate and safe needle electromyographic insertional site for the PT is 2-3.5 cm distal to the mid-point between the biceps tendon and medial epicondyle in the elbow crease and the needle should be inserted upward and medial.

Citations

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  • Safety of Dry Needling of the Pronator Teres Muscle in Cadavers: A Potential Treatment for Pronator Syndrome
    César Fernández-de-las-Peñas, Carlos López-de-Celis, Jacobo Rodríguez-Sanz, César Hidalgo-García, Joseph M Donelly, Simón A Cedeño-Bermúdez, Albert Pérez-Bellmunt
    Pain Medicine.2022; 23(6): 1158.     CrossRef
  • A Proposed Safe Electromyographic Needle Insertion Technique for the Flexor Pollicis Longus Muscle Using Arterial Pulse Palpation: Preliminary Study with Ultrasonography
    Min Seok Kang, Dong Hwee Kim, Ki Hoon Kim
    Healthcare.2022; 10(11): 2177.     CrossRef
  • Prediction Model for Choosing Needle Length to Minimize Risk of Median Nerve Puncture With Dry Needling of the Pronator Teres
    Raúl Ferrer-Peña, César Calvo-Lobo, Miguel Gómez, Daniel Muñoz-García
    Journal of Manipulative and Physiological Therapeutics.2019; 42(5): 366.     CrossRef
  • Sonography of the Pronator Teres: Normal and Pathologic Appearances
    Viviane Créteur, Afarine Madani, Azadeh Sattari, Stefano Bianchi
    Journal of Ultrasound in Medicine.2017; 36(12): 2585.     CrossRef
  • 6,218 View
  • 61 Download
  • 4 Web of Science
  • 4 Crossref
Subclinical Ulnar Neuropathy at the Elbow in Diabetic Patients
Ji Eun Jang, Yun Tae Kim, Byung Kyu Park, In Yae Cheong, Dong Hwee Kim
Ann Rehabil Med 2014;38(1):64-71.   Published online February 25, 2014
DOI: https://doi.org/10.5535/arm.2014.38.1.64
Objective

To demonstrate the prevalence and characteristics of subclinical ulnar neuropathy at the elbow in diabetic patients.

Methods

One hundred and five patients with diabetes mellitus were recruited for the study of ulnar nerve conduction analysis. Clinical and demographic characteristics were assessed. Electrodiagnosis of ulnar neuropathy at the elbow was based on the criteria of the American Association of Neuromuscular & Electrodiagnostic Medicine (AANEM1 and AANEM2). The inching test of the ulnar motor nerve was additionally performed to localize the lesion.

Results

The duration of diabetes, the existence of diabetic polyneuropathy (DPN) symptoms, the duration of symptoms, and HbA1C showed significantly larger values in the DPN group (p<0.05). Ulnar neuropathy at the elbow was more common in the DPN group. There was a statistically significant difference in the number of cases that met the three diagnostic criteria between the no DPN group and the DPN group. The most common location for ulnar mononeuropathy at the elbow was the retrocondylar groove.

Conclusion

Ulnar neuropathy at the elbow is more common in patients with DPN. If the conduction velocities of both the elbow and forearm segments are decreased to less than 50 m/s, it may be useful to apply the AANEM2 criteria and inching test to diagnose ulnar neuropathy.

Citations

Citations to this article as recorded by  
  • Presurgical management of ulnar nerve entrapment in patients with and without diabetes mellitus
    Stina Andersson, Malin Zimmerman, Raquel Perez, Mattias Rydberg, Lars B. Dahlin
    Scientific Reports.2024;[Epub]     CrossRef
  • Ultrasonographic Evaluation of Ulnar Neuropathy Around the Elbow in Diabetes Mellitus
    Ki Hoon Kim, Dong Hwee Kim
    Journal of Electrodiagnosis and Neuromuscular Diseases.2022; 24(1): 1.     CrossRef
  • Ulnar Neuropathy at Elbow in Patients With Type 2 Diabetes Mellitus
    Ayşegül Gündüz, Fatma Candan, Furkan Asan, Ferda Uslu, Nurten Uzun, Feray Karaali-Savrun, Meral E. Kızıltan
    Journal of Clinical Neurophysiology.2020; 37(3): 220.     CrossRef
  • Diabetes mellitus as a risk factor for compression neuropathy: a longitudinal cohort study from southern Sweden
    Mattias Rydberg, Malin Zimmerman, Anders Gottsäter, Peter M Nilsson, Olle Melander, Lars B Dahlin
    BMJ Open Diabetes Research & Care.2020; 8(1): e001298.     CrossRef
  • Retinal Neurodegeneration Associated With Peripheral Nerve Conduction and Autonomic Nerve Function in Diabetic Patients
    Kiyoung Kim, Seung-Young Yu, Hyung Woo Kwak, Eung Suk Kim
    American Journal of Ophthalmology.2016; 170: 15.     CrossRef
  • 5,861 View
  • 60 Download
  • 5 Web of Science
  • 5 Crossref

Erratum

Correction: Extensive Intramuscular Venous Malformation in the Lower Extremity
Ho Chul Jung, Dong Hwee Kim, Byung Kyu Park, Myung Kyu Park
Ann Rehabil Med 2013;37(1):156-156.   Published online February 28, 2013
DOI: https://doi.org/10.5535/arm.2013.37.1.156
Corrects: Ann Rehabil Med 2012;36(6):893
  • 3,518 View
  • 21 Download

Case Reports

Pseudo-Anterior Interosseous Nerve Syndrome by Multiple Intramuscular Injection
Min Young Kim, Dong Hwee Kim, Byung Kyu Park, Baik Hyun Kim
Ann Rehabil Med 2013;37(1):138-142.   Published online February 28, 2013
DOI: https://doi.org/10.5535/arm.2013.37.1.138

Blind intramuscular injection might cause severe neurovascular injury if it would be performed with insufficient knowledge of anatomy around the injection area. We report a case of pseudo-anterior interosseous syndrome caused by multiple intramuscular steroid injections around the antecubital area. The patient had weakness of the 1st to 3rd digits flexion with typical OK sign. Muscle atrophy was noted on the proximal medial forearm, and sensation was intact. The electrophysiologic studies showed anterior interosseous nerve compromise, accompanying with injury of the other muscles innervated by the median nerve proximal to anterior interosseous nerve. Magnetic resonance imaging of the left proximal forearm revealed abnormally increased signal intensity of the pronator teres, flexor carpi radialis, proximal portion of flexor digitorum superficialis, and flexor digitorum profundus innervated by the median nerve on the T2-weighted images. This case shows the importance of knowledge about anatomic structures in considering intramuscular injection.

Citations

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  • An Anatomical Study of Median Nerve Branches for Distal Nerve Transfer in Isolated Anterior Interosseous Nerve Syndrome
    Krit Utrapat, Nuttapat Khusritheppratan, Parunyu Vilai, Vichununt Kerdput, Wisuit Pradidarcheep
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Extensive Intramuscular Venous Malformation in the Lower Extremity
Jung Ho Chul, Dong Hwee Kim, Byung Kyu Park, Myung Kyu Park
Ann Rehabil Med 2012;36(6):893-896.   Published online December 28, 2012
DOI: https://doi.org/10.5535/arm.2012.36.6.893
Correction in: Ann Rehabil Med 2013;37(1):156

Typical venous malformations are easily diagnosed by skin color changes, focal edema or pain. Venous malformation in the skeletal muscles, however, has the potential to be missed because their involved sites are invisible and the disease is rare. In addition, the symptoms of intramuscular venous malformation overlaps with myofascial pain syndrome or muscle strain. Most venous malformation cases have reported a focal lesion involved in one or adjacent muscles. In contrast, we have experienced a case of intramuscular venous malformation that involved a large number of muscles in a lower extremity extensively.

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    AngAng Ding, Xia Gong, Jia Li, Ping Xiong
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Original Articles
Optimal Stimulation Site for Deep Peroneal Motor Nerve Conduction Study Around the Ankle: Cadaveric Study
Ki Hoon Kim, Dong Hwee Kim, Hyeong Suk Yun, Byung Kyu Park, Ji Eun Jang
Ann Rehabil Med 2012;36(2):182-186.   Published online April 30, 2012
DOI: https://doi.org/10.5535/arm.2012.36.2.182
Objective

To identify the optimal distal stimulation point for conventional deep peroneal motor nerve (DPN) conduction studies by a cadaveric dissection study.

Method

DPN was examined in 30 ankles from 20 cadavers. The distance from the DPN to the tibialis anterior (TA) tendon was estimated at a point 8 cm proximal to the extensor digitorum brevis (EDB) muscle. Relationships between the DPN and tendons including TA, extensor hallucis longus (EHL), and extensor digitorum longus (EDL) tendons were established.

Results

The median distance from the DPN to the TA tendon in all 30 cadaver ankles was 10 mm (range, 1-21 mm) at a point 8 cm proximal to the EDB muscle. The DPN was situated between EHL and EDL tendons in 18 cases (60%), between TA and EHL tendons in nine cases (30%), and lateral to the EDL tendon in three cases (10%).

Conclusion

The optimal distal stimulation point for the DPN conduction study was approximately 1 cm lateral to the TA tendon at the level of 8 cm proximal to the active electrode. The distal stimulation site for the DPN should be reconsidered in cases with a weaker distal response but without an accessory peroneal nerve.

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  • Optimal Needle Placement for Extensor Hallucis Longus Muscle: A Cadaveric Study
    In Yae Cheong, Do Kyun Kim, Ye Jeong Oh, Byung Kyu Park, Ki Hoon Kim, Dong Hwee Kim
    Annals of Rehabilitation Medicine.2016; 40(3): 457.     CrossRef
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Usefulness of Ultrasonography to Predict Response to Injection Therapy in Carpal Tunnel Syndrome
Jin Seok Jeong, Joon Shik Yoon, Sei Joo Kim, Byung Kyu Park, Sun Jae Won, Jung Mo Cho, Chan Woo Byun
Ann Rehabil Med 2011;35(3):388-394.   Published online June 30, 2011
DOI: https://doi.org/10.5535/arm.2011.35.3.388
Objective

To verify the feasibility of initial parameters of ultrasonography or electromyography for the prediction of effect after steroid injection therapy in a carpal tunnel syndrome (CTS) patient.

Method

We recruited individuals with clinical and electrodiagnostic evidence of CTS. Results from the Boston self-assessment questionnaire, median motor and sensory nerve conduction studies, and median nerve ultrasonography were evaluated at baseline, 1 month, and 6 months after injection. Evaluation of median nerve ultrasonography parameters included measurements taken at the maximal swelling point (MS), 2 cm proximal from MS (2MS), and 12 cm proximal from MS (12MS), and its ratio (MS/12MS, 2MS/12MS) was calculated. The correlation between improvement of the symptom score after treatment and baseline parameters was estimated.

Results

Fourteen individuals (14 women, mean age 53.8 years) with 22 affected wrists were enrolled. After steroid injection therapy, clinical and electromyographic parameters showed significant improvements at 1 month or 6 months after injection, and ultrasonographic parameters showed significant changes in maximal area and area ratio (MS/12MS) of the median nerve. Symptom score improvement showed a positive correlation in the initial 2MS and ratio of 2MS/12MS after 6 months (p<0.05).

Conclusion

Most of the improvements occurred during the first month after injection and lasted up to 6 months. The initial median nerve swelling and its ratio may be a useful predictor of response after steroid injection.

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    Shawn P. Jorgensen, Michael S. Cartwright, John Norbury
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    Journal of Ultrasound in Medicine.2019; 38(9): 2373.     CrossRef
  • Carpal Tunnel Syndrome Assessment With Ultrasonography: A Comparison Between Non-diabetic and Diabetic Patients
    Chung Ho Lee, Hanboram Choi, Joon Shik Yoon, Seok Kang
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  • Ultrasonographic changes after steroid injection in carpal tunnel syndrome
    Yeon Soo Lee, Eunseok Choi
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  • The role of ultrasound in the diagnosis and management of carpal tunnel syndrome: a new paradigm
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    Ahmed Mohammed Mahrous Yousif Elsaman, Mohamed Nasreldin Thabit, Ahmed Roshdy Al-Agamy Radwan, Sarah Ohrndorf
    Ultrasound in Medicine & Biology.2015; 41(11): 2827.     CrossRef
  • Reference values for nerve ultrasonography in the upper extremity
    Sun Jae Won, Byung‐Jo Kim, Kyung Seok Park, Joon Shik Yoon, Hyuk Choi
    Muscle & Nerve.2013; 47(6): 864.     CrossRef
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