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Journal of the Korean Academy of Rehabilitation Medicine 1998;22(5):1065-1072.
Peripheral Nerve Entrapments of Upper Extremity among the Crutch or Cane Users.
Yoon, Seog Ju , Yoo, Ji Yeun , Kim, Jeong Tae , Lee, Hyun Sook
Department of Rehabilitation Medicine, Korea Veterans Hospital.
목발 혹은 지팡이 사용자에서의 상지 신경 포착증
윤석주, 유지연, 김정태, 이현숙
한국보훈병원 재활의학과
Abstract

Objective
To determine the prevalence, location, and risk factors for the peripheral nerve entrapments of upper extremity among the crutch or cane users.


Method
We performed the clinical and electrodiagnostic assessments of both upper extremities in 43 crutch or cane users and 49 able-bodied controls.


Results
The prevalence for the nerve entrapment of upper extremity among the crutch or cane users was 27.9% by the clinical criteria and 86.0% by the electrodiagnostic criteria. Electrodiagnostically, the median nerve entrapment was 76.7%, and the ulnar nerve entrapment was 72.1% among the crutch or cane users. The carpal tunnel was the most common site for the entrapment. Body weight, duration of disability, and duration of crutch or cane use were found to be significantly correlated with the emtrapments of median nerve, whereas duration of crutch or cane use alone was significantly correlated with the entrapments of ulnar nerve.


Conclusion
The peripheral nerve entrapments of upper extremity is associated with the chronic crutch or cane use and the preventive strategies need to be developed for the patients with risks.

Key Words: Peripheral nerve entrapment, Median nerve entrapment, Ulnar nerve entrapment


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