Sonography of the median nerve in carpal tunnel syndrome with diabetic neuropathy
| Autor: | Hee Kyu Kwon, Li Na Kim, Hyun Im Moon, Hang Jae Lee, Sung Bum Pyun |
|---|---|
| Rok vydání: | 2014 |
| Předmět: |
Adult
Male medicine.medical_specialty Diabetic neuropathy Urology Neural Conduction Physical Therapy Sports Therapy and Rehabilitation Comorbidity Wrist Sensitivity and Specificity Severity of Illness Index Forearm Diabetic Neuropathies Diabetes mellitus Medicine Humans Prospective Studies Carpal tunnel syndrome business.industry Electromyography Rehabilitation Ultrasonography Doppler Middle Aged medicine.disease Carpal Tunnel Syndrome Median nerve nervous system diseases Median Nerve body regions medicine.anatomical_structure Case-Control Studies Female Differential diagnosis business Follow-Up Studies |
| Zdroj: | American journal of physical medicinerehabilitation. 93(10) |
| ISSN: | 1537-7385 |
| Popis: | OBJECTIVE The aim of this study was to determine the criteria for ultrasonographic measurement of the cross-sectional area (CSA) of the median nerve and differential diagnosis of patients with carpal tunnel syndrome (CTS) with or without diabetic polyneuropathy (DPN). DESIGN One hundred eighty-seven patients were divided into five groups: healthy controls, CTS, diabetes with CTS but without DPN, DPN only, and both DPN and CTS. The CSAs of the median nerve were measured at four levels, and cutoff values to diagnose CTS with DPN were obtained. RESULTS All the CSAs were larger in the DPN group compared with those in the control group. The CSAs of the median nerve at the wrist revealed no significant differences among the groups with CTS; however, these groups demonstrated larger CSAs at the wrist and a higher wrist/forearm ratio compared with the DPN only group. The cutoff value for the CSA at the wrist that yielded the highest sensitivity and specificity was 11.6 mm. CONCLUSIONS The CSA of the median nerve at the wrist and the wrist/forearm ratio could be useful for diagnosing the comorbidity of CTS with DPN. |
| Databáze: | OpenAIRE |
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