{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,23]],"date-time":"2026-08-23T18:02:16Z","timestamp":1787508136795,"version":"build-2736575974"},"reference-count":48,"publisher":"Wiley","issue":"2","license":[{"start":{"date-parts":[[2021,12,17]],"date-time":"2021-12-17T00:00:00Z","timestamp":1639699200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Muscle and Nerve"],"published-print":{"date-parts":[[2022,2]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Introduction\/Aims<\/jats:title>\n                    <jats:p>The purpose of this literature review is to develop an evidence\u2010based guideline for the use of neuromuscular ultrasound in the diagnosis of ulnar neuropathy at the elbow (UNE). The proposed research question was: \u201cIn patients with suspected UNE, does ulnar nerve enlargement as measured with ultrasound accurately identify those patients with UNE?\u201d<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>A systematic review and meta\u2010analysis was performed, and studies were classified according to American Academy of Neurology criteria for rating articles for diagnostic accuracy.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Based on Class I evidence in four studies, it is probable that neuromuscular ultrasound measurement of the ulnar nerve at the elbow, either of diameter or cross\u2010sectional area (CSA), is accurate for the diagnosis of UNE.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Recommendation<\/jats:title>\n                    <jats:p>For patients with symptoms and signs suggestive of ulnar neuropathy, clinicians should offer ultrasonographic measurement of ulnar nerve cross\u2010sectional area or diameter to confirm the diagnosis and localize the site of compression (Level B).<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1002\/mus.27460","type":"journal-article","created":{"date-parts":[[2021,12,18]],"date-time":"2021-12-18T02:04:20Z","timestamp":1639793060000},"page":"147-153","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":32,"title":["Evidence\u2010based guideline: Neuromuscular ultrasound for the diagnosis of ulnar neuropathy at the elbow"],"prefix":"10.1002","volume":"65","author":[{"given":"Steven J.","family":"Shook","sequence":"first","affiliation":[{"name":"American Association of Neuromuscular &amp; Electrodiagnostic Medicine  Rochester Minnesota USA"},{"name":"Department of Neurology Neuromuscular Center, Cleveland Clinic  Cleveland Ohio USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Matthew","family":"Ginsberg","sequence":"additional","affiliation":[{"name":"Department of Neurology Akron Children's Hospital  Akron Ohio USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Pushpa","family":"Narayanaswami","sequence":"additional","affiliation":[{"name":"Department of Neurology, Neuromuscular Division Beth Israel Deaconess Medical Center  Boston Ohio USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Roy","family":"Beekman","sequence":"additional","affiliation":[{"name":"Department of Neurology Zuyderland Medisch Centrum  Sittard\u2010Geleen The Netherlands"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Andrew H.","family":"Dubin","sequence":"additional","affiliation":[{"name":"Department of Physical Medicine &amp; Rehabilitation University of Florida  Gainesville Florida USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Bashar","family":"Katirji","sequence":"additional","affiliation":[{"name":"Neurological Institute, University Hospitals, Cleveland Medical Center, Case Western Reserve University  Cleveland Ohio USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Bharathi","family":"Swaminathan","sequence":"additional","affiliation":[{"name":"Department of Physical Medicine and Rehabilitation Chicago Medical School  North Chicago Illinois USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Robert A.","family":"Werner","sequence":"additional","affiliation":[{"name":"Michigan Medicine, Ann Arbor VA Health System  Ann Arbor Michigan USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Michael S.","family":"Cartwright","sequence":"additional","affiliation":[{"name":"Department of Neurology Wake Forest School of Medicine  Winston\u2010Salem North Carolina USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2021,12,17]]},"reference":[{"key":"e_1_2_8_2_1","doi-asserted-by":"publisher","DOI":"10.1093\/neuros\/nyw061"},{"key":"e_1_2_8_3_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jhsa.2018.08.003"},{"key":"e_1_2_8_4_1","doi-asserted-by":"publisher","DOI":"10.2106\/JBJS.15.01162"},{"key":"e_1_2_8_5_1","first-page":"S171","article-title":"Guidelines in electrodiagnostic medicine. 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