RELATIONSHIP BETWEEN CLINICAL FINDINGS OF CARPAL TUNNEL SYNDROME WITH ENMG AND USG WRIST RESULT

Background: Carpal tunnel syndrome is symptomatic compression neuropathy of median nerve in carpal tunnel on wrist causes functional decreased in that area. CTS is diagnosed from clinical, physical examination, also from ENMG and USG wrist. This research aims to know about CTS characteristics and th...

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Main Authors: Masruroh Rahayu, Shahdevi Nandar Kurniawan, Neila Raisa, Farida Widyastuti
Format: Article
Language:English
Published: University of Brawijaya 2022-06-01
Series:Malang Neurology Journal
Subjects:
Online Access:https://mnj.ub.ac.id/index.php/mnj/article/view/545
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author Masruroh Rahayu
Shahdevi Nandar Kurniawan
Neila Raisa
Farida Widyastuti
author_facet Masruroh Rahayu
Shahdevi Nandar Kurniawan
Neila Raisa
Farida Widyastuti
author_sort Masruroh Rahayu
collection DOAJ
description Background: Carpal tunnel syndrome is symptomatic compression neuropathy of median nerve in carpal tunnel on wrist causes functional decreased in that area. CTS is diagnosed from clinical, physical examination, also from ENMG and USG wrist. This research aims to know about CTS characteristics and the relationship between clinical findings of CTS with ENMG and USG wrist results. Objective: This study aims to determine whether there is a relationship between the clinical findings of patients diagnosed with CTS and the results of ENMG and wrist ultrasound at the Neurology Polyclinic of Saiful Anwar Hospital, Malang. Methods: This research was descriptive observational. Data were collected from anamnesis and physical examination at Neurology Polyclinic Saiful Anwar Malang Hospital (RSSA) from April to December 2017, then examined by ENMG and USG wrist at RSSA. There are 27 patients suspected of CTS who meet inclusion and exclusion criteria. Results: From 9 months (April-December 2017) found 27 patients suspected CTS, about 19 patients (70,37%) were female and 7 patients (19,63%) were male. The majority of the age group is 25-65 years old (66,67%). Most of the occupations were housewives (48,15%). Patients most came with chief complaint of tingling (88,89%) with positive tinnel sign (77,78%), and most concomitant diseases were hypertension (48,15%). The ENMG results confirmed CTS about 92,59%, compared to the USG that confirmed CTS about 85,19%. Statistical analysis with Pearson Chi-Square test showed no relationship between clinical findings of CTS (Tinnel, Phalen, Counter Phalen, Flick test) with ENMG and USG wrist results. Conclusion: This research concluded no relationship between clinical findings of CTS with ENMG and USG wrist results.
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spelling doaj.art-72de978fc69e41fc8a4c6648730365ab2023-08-21T06:29:11ZengUniversity of BrawijayaMalang Neurology Journal2407-67242442-50012022-06-018215015210.21776/ub.mnj.2022.008.02.12348RELATIONSHIP BETWEEN CLINICAL FINDINGS OF CARPAL TUNNEL SYNDROME WITH ENMG AND USG WRIST RESULTMasruroh Rahayu0Shahdevi Nandar Kurniawan1Neila Raisa2Farida Widyastuti3Neurology Department, Faculty of Medicine Brawijaya University/ Saiful Anwar General Hospital, Malang, Indonesia.Neurology Department, Faculty of Medicine Brawijaya University/ Saiful Anwar General Hospital, Malang, Indonesia.Neurology Department, Faculty of Medicine Brawijaya University/ Saiful Anwar General Hospital, Malang, Indonesia.Neurology Resident, Faculty of Medicine Brawijaya University/Saiful Anwar General Hospital, Malang, Indonesia.Background: Carpal tunnel syndrome is symptomatic compression neuropathy of median nerve in carpal tunnel on wrist causes functional decreased in that area. CTS is diagnosed from clinical, physical examination, also from ENMG and USG wrist. This research aims to know about CTS characteristics and the relationship between clinical findings of CTS with ENMG and USG wrist results. Objective: This study aims to determine whether there is a relationship between the clinical findings of patients diagnosed with CTS and the results of ENMG and wrist ultrasound at the Neurology Polyclinic of Saiful Anwar Hospital, Malang. Methods: This research was descriptive observational. Data were collected from anamnesis and physical examination at Neurology Polyclinic Saiful Anwar Malang Hospital (RSSA) from April to December 2017, then examined by ENMG and USG wrist at RSSA. There are 27 patients suspected of CTS who meet inclusion and exclusion criteria. Results: From 9 months (April-December 2017) found 27 patients suspected CTS, about 19 patients (70,37%) were female and 7 patients (19,63%) were male. The majority of the age group is 25-65 years old (66,67%). Most of the occupations were housewives (48,15%). Patients most came with chief complaint of tingling (88,89%) with positive tinnel sign (77,78%), and most concomitant diseases were hypertension (48,15%). The ENMG results confirmed CTS about 92,59%, compared to the USG that confirmed CTS about 85,19%. Statistical analysis with Pearson Chi-Square test showed no relationship between clinical findings of CTS (Tinnel, Phalen, Counter Phalen, Flick test) with ENMG and USG wrist results. Conclusion: This research concluded no relationship between clinical findings of CTS with ENMG and USG wrist results.https://mnj.ub.ac.id/index.php/mnj/article/view/545carpal tunnel syndrometinnelphalenenmgusg
spellingShingle Masruroh Rahayu
Shahdevi Nandar Kurniawan
Neila Raisa
Farida Widyastuti
RELATIONSHIP BETWEEN CLINICAL FINDINGS OF CARPAL TUNNEL SYNDROME WITH ENMG AND USG WRIST RESULT
Malang Neurology Journal
carpal tunnel syndrome
tinnel
phalen
enmg
usg
title RELATIONSHIP BETWEEN CLINICAL FINDINGS OF CARPAL TUNNEL SYNDROME WITH ENMG AND USG WRIST RESULT
title_full RELATIONSHIP BETWEEN CLINICAL FINDINGS OF CARPAL TUNNEL SYNDROME WITH ENMG AND USG WRIST RESULT
title_fullStr RELATIONSHIP BETWEEN CLINICAL FINDINGS OF CARPAL TUNNEL SYNDROME WITH ENMG AND USG WRIST RESULT
title_full_unstemmed RELATIONSHIP BETWEEN CLINICAL FINDINGS OF CARPAL TUNNEL SYNDROME WITH ENMG AND USG WRIST RESULT
title_short RELATIONSHIP BETWEEN CLINICAL FINDINGS OF CARPAL TUNNEL SYNDROME WITH ENMG AND USG WRIST RESULT
title_sort relationship between clinical findings of carpal tunnel syndrome with enmg and usg wrist result
topic carpal tunnel syndrome
tinnel
phalen
enmg
usg
url https://mnj.ub.ac.id/index.php/mnj/article/view/545
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AT shahdevinandarkurniawan relationshipbetweenclinicalfindingsofcarpaltunnelsyndromewithenmgandusgwristresult
AT neilaraisa relationshipbetweenclinicalfindingsofcarpaltunnelsyndromewithenmgandusgwristresult
AT faridawidyastuti relationshipbetweenclinicalfindingsofcarpaltunnelsyndromewithenmgandusgwristresult