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Ulnar Neuropathy of the Elbow (UNE) is the second most common entrapment neuropathy. In this study, we aimed to determine the factors that may guide diagnosis and treatment by examining the electrodiagnostic (EDX), demographic data and upper extremity-related disability levels of patients with UNE. Demographic characteristics, symptom duration, EDX data and any other accompanying entrapment neuropathy, and the shortened Disabilities of the Arm, Shoulder, and Hand Injuries Questionnaire (Quick-DASH) scores were noted. The laterality, localization, factors associated with the severity of UNE, and the impact of the presence of Carpal Tunnel Syndrome (CTS) on disability have been studied in detail. 92 arms of 73 patients were included. The mean age of the patients was 47.71±13.99 years. 41 (56.2%) were male and 32 (43.8%) were female. 29 (39.7%) patients had at least one comorbid disease. Of the patients, 30 (41%) had left-sided UNE, 24 (33%) had right-sided UNE and 19 (26%) had bilateral UNE. The median symptom duration was 3 (1-12) months. 28 (38.4%) patients had also CTS. The median Quick-DASH score was 28 (9-80). There was also no significant association between UNE side and age or gender (p=0.439 and p=0.216, respectively). In 62 (67.4%) patients, the site of compression was 2 cm proximal to the medial epicondyle (ME). Symptom duration was statistically significantly longer in the moderate group than in the mild group, and in the severe group than in the mild UNE group (p<0.001 and p=0.035 respectively). When the association of compression neuropathy severity with gender and comorbidities was analyzed, no significant association was found (p=976 and p=330, respectively). In conclusion, UNE was more common in men, on the left side and 2 cm proximal to the ME. Controlled studies with more participants are needed to uncover factors that may guide the diagnosis and treatment of UNE. [ABSTRACT FROM AUTHOR]

Aim: It was aimed to evaluate the characteristics of the patients who were referred to our electroneuromiyography (ENMG) Laboratory to evaluate the rate of locomotor system disability from the Disabled Health Board (DMB). Materials and Methods: Patients aged 18 years and over who applied to our hospital's DMB in the last three years (01.01.2019-31.12.2021) and were referred to the ENMG Laboratory to determine the disability rates related to the locomotor system were included. With the retrospective analysis, demographic characteristics of the patients, ambulatory levels, etiological factors, reasons for applying to the ENMG Laboratory, and diagnoses in ENMG reports were noted. Results: Files of 1306 patients were reviewed, ENMG was performed in 139 (10.64%). The mean age was 45.34±12.2 years. One-hundred and eleven (79.9%) patients were male and 28 (20.21%) were female. Eighteen (12.9%) of the patients needed an assistive walking device. The most common etiological factors in locomotor system disability was disc herniation in 24 (17.2%) patients. The most common preliminary diagnosis was peripheral nerve injury in 67 (48.2%) patients. Peripheral nerve injury was the most frequently reported pathology in ENMG reports with 52 (37.4%) patients. While the ENMG report of 26 (18.7%) patients was normal; entrapment neuropathy was found in 14 (10.1%) patients, polyneuropathy in 10 (7.2%) patients, plexopathy in 8 (5.8%) patients, and cranial neuropathy in 1 (0.7%) patient. Conclusion: Peripheral nerve injuries are the most common pathology in both preliminary diagnosis and ENMG reports. ENMG provides information such as the location and the severity of the lesion, so electrodiagnostic tests are very important in the evaluation of locomotor system disability. [ABSTRACT FROM AUTHOR]

Aim: In this study, it was aimed to detect the presence of Fibromyalgia Syndrome (FMS) and related factors in patients diagnosed by Carpal Tunnel Syndrome (CTS). Materials and Methods: Demographic data and the features of CTS were noted by applying face-to-face questionnaire method. The existence of FMS in patients with CTS was investigated using the 2016 American College of Rheumatology (ACR) Fibromyalgia Diagnostic criteria. The Fibromyalgia Impact Questionnaire (FIQ) was introduced to patients diagnosed with FMS. Then, the correlations between the incidence of FMS in CTS patients, the presence of FMS and the hand with CTS, the severity of CTS and the existence of FMS were investigated. In addition, the relationship between the presence of FMS and the duration of CTS symptoms, and the severity of CTS and FIQ were also examined. Results: 151 patients included in the study. Bilateral CTS was detected in 89 (58.9%) patients. In patients with bilateral CTS, severity was classified as mild, moderate, or severe according to the worse hand. CTS was mild in 55 (36.4%), moderate in 87 (57.6%), and severe in 9 (6.0%) patients. Concomitant FMS was detected in 73 (48.3%) of all CTS patients. FMS rate is higher in patients with bilateral CTS (p=0.001). No significant relevance was observed between the severity of CTS and the presence of FMS (p = 0.864). The median duration of CTS symptoms with FMS patients was 24 (1-240) months; this period was found to be 12 (1-120) months in those without FMS. No significant relations between the presence of FMS and the duration of CTS symptoms were encountered (p = 0.073). The severity of CTS and FIQ demonstrated no significant difference (p=0.955). Conclusion: The case of FMS is high in specially bilaterally CTS patients. The fact that there may be common points in the pathogenesis of these two diseases suggests that it should be considered for diagnosis and treatment. [ABSTRACT FROM AUTHOR]

Background & Objective: This study aimed to examine the factors affecting sitting function in non-ambulatory children with cerebral palsy (CP) who spend most of their daily life in a sitting position. Methods: Thirty-five non-ambulatory children with CP were included in this cross sectional study. Data included demographics, socio-economic features, examination findings, personal and family history, and accompanying problems of patients. The participants’ lower extremity spasticity was evaluated using the Modified Ashworth scale (MAS); manual ability was evaluated using the Manual Ability Classification System (MACS); sitting function using the Gross Motor Functional Measure (GMFM)-sitting subscale; and trunk control using the Trunk Impairment Scale (TIS). The relationship between sitting function and the other evaluation parameters was analyzed. Results: Children with scoliosis had significantly lower scores in TIS-static and TIS-total (p<0.05). Hip problems negatively affected the GMFM-sitting subscale, TIS-static, and TIS-total (p<0.05). Strong positive correlations were found between GMFM-B (sitting subscale) scores and TIS-static, dynamic, coordination, and TIS-total scores (p<0.05). Duration of hospitalization in neonatal intensive care and MACS were correlated with GMFM-B (p<0.05). Multivariate analyses showed that trunk control and upper extremity function were independent risk factors on sitting function. Conclusion: More attention should be paid to rehabilitation programs which incorporate trunk control exercises and upper extremity functions in order to improve sitting function. Preventing hip dislocation may be an option to increase sitting function of non-ambulatory children with CP. [ABSTRACT FROM AUTHOR]