Occurrence of bifid median nerve in healthy and carpal tunnel syndrome patients
| Autor: | Dimitra Veltsista, Eftychia Trachani, Elisabeth Chroni, Aspasia Rigopoulou, Evangelia Gavanozi, Athina Chrysanthopoulou |
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| Rok vydání: | 2017 |
| Předmět: |
Adult
Male medicine.medical_specialty Biophysics Neuroscience (miscellaneous) Neural Conduction 030218 nuclear medicine & medical imaging 03 medical and health sciences 0302 clinical medicine Healthy volunteers medicine Humans Carpal tunnel Patient group Carpal tunnel syndrome Muscle Skeletal Aged Ultrasonography medicine.diagnostic_test business.industry Middle Aged medicine.disease Carpal Tunnel Syndrome Median nerve Surgery Median Nerve medicine.anatomical_structure Nerve conduction study Etiology Female Neurology (clinical) business 030217 neurology & neurosurgery Sensory nerve |
| Zdroj: | Journal of electromyography and kinesiology : official journal of the International Society of Electrophysiological Kinesiology. 39 |
| ISSN: | 1873-5711 |
| Popis: | We investigated the possible association between median nerve morphology and carpal tunnel size, hand side and nerve conduction measurements. The study included a patient group (n = 58; 44 women) with idiopathic carpal tunnel syndrome (CTS) in 100 hands and a control group of healthy volunteers (n = 56, 112 hands; 44 women). The following data were recorded: (1) median and ulnar motor and sensory nerve conduction parameters (2) ultrasonographic dimensions of the carpal tunnel inlet area (CTAin) and inlet area of the median nerve. The prevalence of bifid median nerve was 19% in the CTS hands and 13.3% in the control group. Bilateral bifid nerve was detected in 7 subjects and unilateral in 23, with no side or sex preponderance. The median nerve area was larger in the participants with single than those with bifid median nerve. No correlation was found between CTAin and median nerve area for single or bifid nerves in controls or patients. It was concluded that bifid median nerve was not a rare variation. We could not, however, support its etiological relation to CTS. Ultrasonographic examination of the carpal tunnel region supplementing neurophysiology provided a reliable means to detect median nerve size and morphology. Clinical trial registration number: 84; 5/3/15. |
| Databáze: | OpenAIRE |
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