Influence of the thickness of the transverse carpal ligament in carpal tunnel syndrome

Autor: A. Bartolomé-Villar, F. García-de Lucas, T. Pastor-Valero, A. Fuentes-Sanz, D. Varillas-Delgado
Rok vydání: 2018
Předmět:
Zdroj: Revista Española de Cirugía Ortopédica y Traumatología (English Edition). 62:100-104
ISSN: 1988-8856
DOI: 10.1016/j.recote.2018.01.002
Popis: Objective To determine if the thickness of the transverse carpal ligament measured by T2 axial magnetic resonance imaging actually influences the onset of carpal tunnel syndrome. Material and method 94 patients between January 2015 and June 2016, of whom 28 had carpal tunnel syndrome, underwent magnetic resonance imaging, 37 with discomfort in different carpus regions without symptoms of carpal tunnel and 29 healthy subjects. Two observers performed 3 measurements in 3 different levels, and in the 3 groups of patients. Results No statistically significant differences in transverse carpal ligament thickness measurements between the carpal tunnel syndrome group and the group without carpal tunnel involvement became apparent, but statistical differences between the control group and the carpal tunnel syndrome group, and between the control group and the group without involvement of the carpal tunnel were observed. In both these groups, the thickness of the transverse ligament was higher than in the control group. Discussion An increase in the thickness of the transverse ligament in was found in this study in subjects with involvement of carpal tunnel syndrome as evidenced by numerous studies in the literature. There is no certain causative factor, but rather a set of facts that make onset of the syndrome possible in a specific group of patients. Conclusion Carpal tunnel syndrome is multifactorial. The thickness of the transverse ligament does not directly affect the onset of symptoms.
Databáze: OpenAIRE