Ultrasound as a diagnostic tool in the investigation of patients with carpal tunnel syndrome
Carpal tunnel syndrome (CTS) is reveled to be the most common peripheral nerve entrapment syndrome, estimating for 90% of all compressive. The diagnosis of CTS is based on the use of clinical criteria and imaging technique tests such as ultrasonography (US) and magnetic resonance imaging (MRI). US i...
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| Format: | Article |
| Language: | English |
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PAGEPress Publications
2018-04-01
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| Series: | European Journal of Translational Myology |
| Subjects: | |
| Online Access: | https://pagepressjournals.org/index.php/bam/article/view/7406 |
| _version_ | 1811266410952785920 |
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| author | Leila Kanafi Vahed Afshin Arianpur Mohammad Gharedaghi Hosein Rezaei |
| author_facet | Leila Kanafi Vahed Afshin Arianpur Mohammad Gharedaghi Hosein Rezaei |
| author_sort | Leila Kanafi Vahed |
| collection | DOAJ |
| description | Carpal tunnel syndrome (CTS) is reveled to be the most common peripheral nerve entrapment syndrome, estimating for 90% of all compressive. The diagnosis of CTS is based on the use of clinical criteria and imaging technique tests such as ultrasonography (US) and magnetic resonance imaging (MRI). US is a time-saving method in the diagnosis of CTS, which induces less discomfort to the patient and may be a more cost-effective approach to confirm clinical suspicion of this syndrome .The current study was aimed to evaluate the value of US and physical examinations in the diagnosis of CTS. This cross-sectional and cross-sectional prospective case study was conducted to evaluate the usefulness of wrist ultrasonography in diagnosing CTS. Twenty one patients (21 wrists) were invited to participate in the study along with an age- and sex-matched group of participant controls. Physical examination included Phalen, Tinel, Durkan, Tourniquet test. Anteroposterior and mediolateral dimension of carpal tunnel, and the median nerve area at the tunnel were also measured. All the patients underwent the open surgical release of the flexor retinaculum. There was a significant statistical relationship (p=0.05) between anteroposterior diameter of the carpal tunnel and clinical and electro physiologic nerve involvement. Furthermore, some qualitative findings was achieved such as median nerve splitting, hypo echogenicity of the involved nerve, thickening of flexor retinaculum and disappearance of median nerve areas (especially mediolateral direction). In conclusion, ultrasonographic examination of the wrists in the patients with suspected clinical symptoms can improve the diagnostic ability of CTS, especially by improving technology and experience. US can be applied for the median nerve area (MNA) measurement as a first line technique in patients with CTS. |
| first_indexed | 2024-04-12T20:42:38Z |
| format | Article |
| id | doaj.art-7e434b42c3f24297920b480c4888a282 |
| institution | Directory Open Access Journal |
| issn | 2037-7452 2037-7460 |
| language | English |
| last_indexed | 2024-04-12T20:42:38Z |
| publishDate | 2018-04-01 |
| publisher | PAGEPress Publications |
| record_format | Article |
| series | European Journal of Translational Myology |
| spelling | doaj.art-7e434b42c3f24297920b480c4888a2822022-12-22T03:17:22ZengPAGEPress PublicationsEuropean Journal of Translational Myology2037-74522037-74602018-04-0128210.4081/ejtm.2018.74065695Ultrasound as a diagnostic tool in the investigation of patients with carpal tunnel syndromeLeila Kanafi Vahed0Afshin Arianpur1Mohammad Gharedaghi2Hosein Rezaei3Department of Community Medicine, Gilan University of Medical Sciences, GilanDepartment of Orthopedics, Shohada Hospital, Lahijan, Gilan University of Medical Sciences, GilanMashhad University of Medical Sciences, MashhadMashhad University of Medical Sciences, MashhadCarpal tunnel syndrome (CTS) is reveled to be the most common peripheral nerve entrapment syndrome, estimating for 90% of all compressive. The diagnosis of CTS is based on the use of clinical criteria and imaging technique tests such as ultrasonography (US) and magnetic resonance imaging (MRI). US is a time-saving method in the diagnosis of CTS, which induces less discomfort to the patient and may be a more cost-effective approach to confirm clinical suspicion of this syndrome .The current study was aimed to evaluate the value of US and physical examinations in the diagnosis of CTS. This cross-sectional and cross-sectional prospective case study was conducted to evaluate the usefulness of wrist ultrasonography in diagnosing CTS. Twenty one patients (21 wrists) were invited to participate in the study along with an age- and sex-matched group of participant controls. Physical examination included Phalen, Tinel, Durkan, Tourniquet test. Anteroposterior and mediolateral dimension of carpal tunnel, and the median nerve area at the tunnel were also measured. All the patients underwent the open surgical release of the flexor retinaculum. There was a significant statistical relationship (p=0.05) between anteroposterior diameter of the carpal tunnel and clinical and electro physiologic nerve involvement. Furthermore, some qualitative findings was achieved such as median nerve splitting, hypo echogenicity of the involved nerve, thickening of flexor retinaculum and disappearance of median nerve areas (especially mediolateral direction). In conclusion, ultrasonographic examination of the wrists in the patients with suspected clinical symptoms can improve the diagnostic ability of CTS, especially by improving technology and experience. US can be applied for the median nerve area (MNA) measurement as a first line technique in patients with CTS.https://pagepressjournals.org/index.php/bam/article/view/7406carpal tunnel syndrome, median nerve, wrist, ultrasonographic examination |
| spellingShingle | Leila Kanafi Vahed Afshin Arianpur Mohammad Gharedaghi Hosein Rezaei Ultrasound as a diagnostic tool in the investigation of patients with carpal tunnel syndrome European Journal of Translational Myology carpal tunnel syndrome, median nerve, wrist, ultrasonographic examination |
| title | Ultrasound as a diagnostic tool in the investigation of patients with carpal tunnel syndrome |
| title_full | Ultrasound as a diagnostic tool in the investigation of patients with carpal tunnel syndrome |
| title_fullStr | Ultrasound as a diagnostic tool in the investigation of patients with carpal tunnel syndrome |
| title_full_unstemmed | Ultrasound as a diagnostic tool in the investigation of patients with carpal tunnel syndrome |
| title_short | Ultrasound as a diagnostic tool in the investigation of patients with carpal tunnel syndrome |
| title_sort | ultrasound as a diagnostic tool in the investigation of patients with carpal tunnel syndrome |
| topic | carpal tunnel syndrome, median nerve, wrist, ultrasonographic examination |
| url | https://pagepressjournals.org/index.php/bam/article/view/7406 |
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