Increased stiffness of median nerve in systemic sclerosis
| Autor: | Gulsen Ozen, Tugba Ozsoy, Ozge Kenis-Coskun, Haner Direskeneli, Ilker Yagci |
|---|---|
| Přispěvatelé: | Yagci, Ilker, Kenis-Coskun, Ozge, Ozsoy, Tugba, Ozen, Gulsen, Direskeneli, Haner |
| Rok vydání: | 2017 |
| Předmět: |
Male
INVOLVEMENT medicine.medical_specialty lcsh:Diseases of the musculoskeletal system Sports medicine Median nerve DIAGNOSIS 03 medical and health sciences Sonoelastography 0302 clinical medicine Rheumatology Forearm SCLERODERMA Internal medicine medicine Humans Orthopedics and Sports Medicine Carpal tunnel syndrome 030203 arthritis & rheumatology Scleroderma Systemic business.industry ULTRASOUND ELASTOGRAPHIC EVALUATION CARPAL-TUNNEL-SYNDROME medicine.disease Elasticity nervous system diseases Surgery Peripheral Tendon medicine.anatomical_structure Case-Control Studies Orthopedic surgery Cardiology Elasticity Imaging Techniques Systemic sclerosis Female lcsh:RC925-935 business PERIPHERAL NEUROPATHY 030217 neurology & neurosurgery Research Article |
| Zdroj: | BMC Musculoskeletal Disorders, Vol 18, Iss 1, Pp 1-5 (2017) BMC Musculoskeletal Disorders |
| ISSN: | 1471-2474 |
| Popis: | Background Systemic sclerosis can affect peripheral nerves, but the extent and the nature of this involvement are not well defined. The aim of this study is to compare the sonoelastrographic measurements of median nerves in systemic sclerosis (SSC), idiopathic carpal tunnel syndrome (CTS) and healthy individuals. Methods The clinical, electrophysiological and ultrasonographic assessments were done. Patients with SSC and CTS were assessed with nerve conduction studies. The measurements of cross sectional areas (CSA) were performed at psiform and forearm level from axial US images. The elastic ratio is the ratio of strain distribution in two selected region of interests (ROI) done via comparing the median nerve to flexor digitorum superfcialis tendon. The ROIs were fixed to 2 mm. Results The study was completed with 47 hands of 24 patients with SSC, 53 hands of 27 patients with CTS and 38 hands of health controls. The CSA of CTS group was significantly higher than systemic sclerosis and control groups. The elastic ratio at psiform level and forearm levels of systemic sclerosis group were significantly higher than the CTS and control groups. Conclusion Median nerves lose the elasticity while the CSA’s are in the normal range in patients with SSC. These results suggested that the increased peripheral nerve involvement in SSC is about the increased stiffness of the nerves. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
|