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A 49-year-old Chinese man sustained laceration of the right forearm by a dagger, with his right ulnar nerve completely transected. Four months postinjury, he underwent surgery to repair the nerve. He was examined by electromyogram, nerve conduction velocity, magnetic resonance imaging, and proton magnetic resonance spectroscopy ((1)H-MRS) 6, 12, 18, and 24 months after the injury. Before surgery, intramyocellular lipid (IMCL)/creatine (Cr) and extramyocellular lipid (EMCL)/Cr were observed to be higher than those of the uninjured side. During the recovery, IMCL/Cr and EMCL/Cr became lower and closer to the uninjured side. This case demonstrates that the change of IMCL/Cr and EMCL/Cr may be related to the recovery of peripheral nerve.

Magnetic Resonance Spectrum Technique in the Follow-up of an Ulnar Nerve Injured Patient