The Impact of Rheumatoid Arthritis (RA) in Median Nerve Area in the Wrist Joint: A Case-Control Study.
| Autor: | Abdullah AY; Department of Diagnostic Radiology, University of Medical Sciences and Technology (UMST), Khartoum, SDN., Yousif RA; Faculty of Radiology Science and Medical Imaging, Alzaiem Alazhari University, Khartoum, SDN., Suliman AG; Department of Diagnostic Radiology Technology, College of Applied Medical Sciences, Taibah University, Al-Madinah Al-Munawarah, SAU.; Faculty of Radiology Science and Medical Imaging, Alzaiem Alazhari University, Khartoum, SDN., Ibn Idris AA; Faculty of Medicine, Gezira University, Khartoum, SDN., Hassan SA; Department of Diagnostic Radiology, University of Medical Sciences and Technology (UMST), Khartoum, SDN., Ali SI; Faculty of Radiology Science and Medical Imaging, Alzaiem Alazhari University, Khartoum, SDN., Alshoabi SA; Department of Diagnostic Radiology Technology, College of Applied Medical Sciences, Taibah University, Al-Madinah Al-Munawarah, SAU., Algorashi EM; Department of Diagnostic Radiology, Sudan University of Science and Technology (SUST), Khartoum, SDN., Mohammed BN; Department of Diagnostic Radiology, Sudan University of Science and Technology (SUST), Khartoum, SDN., Elzaki M; Department of Diagnostic Radiology Technology, College of Applied Medical Sciences, Taibah University, Al-Madinah Al-Munawarah, SAU.; Faculty of Radiology Science and Medical Imaging, Alzaiem Alazhari University, Khartoum, SDN. |
|---|---|
| Jazyk: | angličtina |
| Zdroj: | Cureus [Cureus] 2023 May 05; Vol. 15 (5), pp. e38580. Date of Electronic Publication: 2023 May 05 (Print Publication: 2023). |
| DOI: | 10.7759/cureus.38580 |
| Abstrakt: | Background Rheumatoid arthritis (RA) is one cause of carpal tunnel syndromes (CTS); due to increased intracarpal pressure in the rheumatoid wrist, synovial enlargement, joint erosions, and ligamentous laxity cause the compression of the median nerve (MN). Materials and methods A case-control study was conducted to assess the measurement of median nerve areas in RA using high-frequency ultrasound (US) and to correlate the measurement with the disease duration. Forty patients with rheumatoid arthritis (RA) and 40 with non-rheumatoid arthritis (RA) as a control group were referred to the radiology department of Yastabshiron Hospital, Khartoum, Sudan, from June to August 2022. After assessing the wrist joint by ultrasound scans, median nerve (MN) cross-sectional area (CSA) measurements were performed using a Fukuda Denshi ultrasound machine (Tokyo, Japan) with a linear-array high-frequency transducer (10 MHz), after receiving ethical approval from the research committee of the faculty of radiological science at University of Medical Sciences and Technology (UMST) and the study participants. Results The study demonstrated that the mean measurement of MN cross-sectional area (CSA) in RA patients was 13.60 mm 2 for the right and 13.25 mm 2 for the left MN. The study found that the MN CSA decreased by increasing the disease duration, with significant differences in the median nerve cross-sectional areas in RA and healthy control (p-value of <0.01). Conclusion The study concluded that rheumatoid arthritis (RA) had a greater influence on the median nerve cross-sectional areas. MN areas significantly decreased with increasing duration of diseases; the MN cross-sectional areas were more in RA than in the healthy control group. Competing Interests: The authors have declared that no competing interests exist. (Copyright © 2023, Abdullah et al.) |
| Databáze: | MEDLINE |
| Externí odkaz: |
|