Sonographic differences in carpal tunnel syndrome with normal and abnormal nerve conduction studies
| Autor: | James G. Colebatch, Adeniyi A. Borire, Christian J. Lueck, Arun V. Krishnan, Andrew Hughes |
|---|---|
| Rok vydání: | 2016 |
| Předmět: |
Adult
Male musculoskeletal diseases medicine.medical_specialty Neural Conduction Normal values behavioral disciplines and activities 030218 nuclear medicine & medical imaging Young Adult 03 medical and health sciences 0302 clinical medicine Physiology (medical) mental disorders Humans Medicine Carpal tunnel Prospective Studies Abnormal nerve conduction Carpal tunnel syndrome Aged Ultrasonography Neurologic Examination Anatomy Cross-Sectional business.industry Ultrasound General Medicine Middle Aged Wrist medicine.disease Carpal Tunnel Syndrome Median nerve Median Nerve nervous system diseases Surgery body regions Forearm Cross-Sectional Studies medicine.anatomical_structure Neurology Clinical diagnosis Female Neurology (clinical) business Nuclear medicine 030217 neurology & neurosurgery |
| Zdroj: | Journal of Clinical Neuroscience. 34:77-80 |
| ISSN: | 0967-5868 |
| Popis: | We evaluated the differences in sonographic parameters in carpal tunnel syndrome (CTS) patients with normal and mildly abnormal nerve conduction studies (NCS). This was a prospective cross-sectional study. We assessed 169 wrists (101 patients) with a clinical diagnosis of carpal tunnel syndrome (CTS), as well as 20 healthy controls (40 wrists). 49 wrists were classified as mild NCS-positive and 38 as NCS-negative based on our laboratory NCS normal values. The cross-sectional area (CSA) of the median nerve at the carpal tunnel inlet and mid-forearm were measured and the wrist-to-forearm ratio (WFR) was calculated. 26% of the NCS-negative group had abnormal CSA. The CSA and WFR also differed significantly between the two groups. There was significant correlation between the sonographic and electrophysiologic variables. Ultrasound was diagnostic for CTS in a third of the NCS-negative wrists. Ultrasound may be useful in clinical CTS patients with normal or borderline NCS. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
|
Full Text from ScienceDirect