Usefulness of neuromuscular ultrasound in the diagnosis of idiopathic carpal tunnel syndrome

Autor: Faten I Mohamed, Shereen R Kamel, Ahmed E Hafez
Jazyk: angličtina
Rok vydání: 2018
Předmět:
Zdroj: Egyptian Rheumatology and Rehabilitation, Vol 45, Iss 2, Pp 65-73 (2018)
Druh dokumentu: article
ISSN: 1110-161X
2090-3235
DOI: 10.4103/err.err_22_17
Popis: Objective The aim of the study was to assess the usefulness of neuromuscular ultrasound in the diagnosis of idiopathic carpal tunnel syndrome (CTS) and to determine the relationships of ultrasonographic measurements with the clinical severity and the electrophysiological grading scale. Patients and methods One hundred CTS diseased hands and 100 nondiseased hands were assessed clinically and by nerve conduction studies. We measured ultrasonographic cross-sectional area (CSA) of the median nerve at various levels of the carpal canal (inlet and outlet), flattening ratio (FR), palmar bowing of the flexor retinaculum, wrist/forearm ratio, as well as median nerve mobility and power doppler signals. Data from patients and controls were compared to determine the diagnostic relations and the grade of severity. Results Measures of CSA of the median nerve at the inlet and at the outlet, palmer bowing and inlet/forearm ratio in the CTS group were significantly higher than the control group (P
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