Uzunkulaoğlu Aslihan, Ikbali Afsar Sevgi, Karataş Metin
*Department of Physical Medicine and Rehabilitation, Faculty of Medicine, Ufuk University, Ankara, Turkey; and †Department of Physical Medicine and Rehabilitation, Faculty of Medicine, Baskent University, Ankara, Turkey.
J Clin Neurophysiol. 2016 Dec;33(6):545-548. doi: 10.1097/WNP.0000000000000288.
Entrapment of the ulnar nerve is the second most common compression neuropathy in the upper extremity, but the etiology is multifactorial and still not clearly understood. The authors aimed to determine whether gender and body mass index (BMI) are risk factors for ulnar nerve entrapment (UNE) at the elbow.
Results of electrodiagnostic studies performed on patients with UNE between January 2008 and February 2013 were examined retrospectively. Patients with BMI ≤22 were considered slender, those with a BMI between 22 and 29, normal, and those with a BMI >29, overweight. The authors compared the data for patients with and without UNE.
A total of 622 subjects were studied; 295 were UNE cases (154 men, 141 women) and 327 were controls (110 men, 217 women). There was no difference between control and UNE groups in terms of BMI. In univariate analysis, age and gender are independent risk factors for UNE, but when included in a stepwise Cox regression model, only gender was a significant factor. Male gender was found to be a risk factor for UNE.
Male gender is a risk factor for developing UNE, but age and BMI are not significant risk factors. Further studies which examine BMI and gender differences with data about occupational risk factors are required.
尺神经卡压是上肢第二常见的压迫性神经病变，但其病因是多因素的，目前仍未完全明确。作者旨在确定性别和体重指数（BMI）是否为肘部尺神经卡压（UNE）的危险因素。
回顾性分析2008年1月至2013年2月间接受电诊断检查的UNE患者的结果。BMI≤22的患者被视为体型消瘦，BMI在22至29之间的为正常，BMI>29的为超重。作者比较了UNE患者和非UNE患者的数据。
共研究了622名受试者；295例为UNE病例（154例男性，141例女性），327例为对照组（110例男性，217例女性）。对照组和UNE组在BMI方面无差异。单因素分析中，年龄和性别是UNE的独立危险因素，但纳入逐步Cox回归模型后，只有性别是显著因素。发现男性是UNE的危险因素。
男性是发生UNE的危险因素，但年龄和BMI不是显著危险因素。需要进一步研究结合职业危险因素数据来探讨BMI和性别差异。
