Diagnosing Carpal Tunnel Syndrome by Ultrasound
Background Carpal tunnel syndrome (CTS) is traditionally diagnosed by clinical evaluation and nerve conduction studies (NCS). Ultrasound is now widely used in the diagnosis of musculoskeletal disorders. The objective of this study was to compare the sonographic measurements of median nerve in patien...
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| Format: | Article |
| Language: | English |
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Rawalpindi Medical University
2009-12-01
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| Series: | Journal of Rawalpindi Medical College |
| Subjects: | |
| Online Access: | https://www.journalrmc.com/index.php/JRMC/article/view/746 |
| _version_ | 1818532851606355968 |
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| author | Mamoona Chiragh, |
| author_facet | Mamoona Chiragh, |
| author_sort | Mamoona Chiragh, |
| collection | DOAJ |
| description | Background Carpal tunnel syndrome (CTS) is
traditionally diagnosed by clinical evaluation and nerve
conduction studies (NCS). Ultrasound is now widely used
in the diagnosis of musculoskeletal disorders. The
objective of this study was to compare the sonographic
measurements of median nerve in patients of CTS with
NCS results, taking NCS as gold standard and to evaluate
the diagnostic role of ultrasound so that it could be used in
the diagnosis of CTS.
Methods: This cross sectional Analytical study was
carried out at Department of Radiology, Combined
Military Hospital Lahore over a period of one year from
21st August 2006 to 20th August 2007. One hundred and
twenty wrists in sixty CTS patients were imaged by high
resolution ultrasound. The cross sectional area of the
median nerve was measured at the level of pisiform bone.
All patients had nerve conduction studies. The ultrasound
measurements of the median nerve cross sectional area and
the results of nerve conduction studies were compared and
analyzed.
Results: The mean cross sectional area of the median
nerve at the level of pisifom was 13mm2 in CTS patients.
When NCS results were taken as gold standard, the
ultrasound yielded a sensitivity of 94.7%, specificity of
63.6% and diagnostic accuracy of 87.8%.
Conclusion: High resolution ultrasound is quite
accurate and it can be used reliably and cost effectively in
the diagnosis of CTS especially for screening of large
population of CTS patients. |
| first_indexed | 2024-12-11T17:50:55Z |
| format | Article |
| id | doaj.art-85750510b4b74b7da24c07aa0f44a045 |
| institution | Directory Open Access Journal |
| issn | 1683-3562 1683-3570 |
| language | English |
| last_indexed | 2024-12-11T17:50:55Z |
| publishDate | 2009-12-01 |
| publisher | Rawalpindi Medical University |
| record_format | Article |
| series | Journal of Rawalpindi Medical College |
| spelling | doaj.art-85750510b4b74b7da24c07aa0f44a0452022-12-22T00:56:12ZengRawalpindi Medical UniversityJournal of Rawalpindi Medical College1683-35621683-35702009-12-01122Diagnosing Carpal Tunnel Syndrome by UltrasoundMamoona Chiragh,0Department of Radiology, Combined Military Hospital, LahoreBackground Carpal tunnel syndrome (CTS) is traditionally diagnosed by clinical evaluation and nerve conduction studies (NCS). Ultrasound is now widely used in the diagnosis of musculoskeletal disorders. The objective of this study was to compare the sonographic measurements of median nerve in patients of CTS with NCS results, taking NCS as gold standard and to evaluate the diagnostic role of ultrasound so that it could be used in the diagnosis of CTS. Methods: This cross sectional Analytical study was carried out at Department of Radiology, Combined Military Hospital Lahore over a period of one year from 21st August 2006 to 20th August 2007. One hundred and twenty wrists in sixty CTS patients were imaged by high resolution ultrasound. The cross sectional area of the median nerve was measured at the level of pisiform bone. All patients had nerve conduction studies. The ultrasound measurements of the median nerve cross sectional area and the results of nerve conduction studies were compared and analyzed. Results: The mean cross sectional area of the median nerve at the level of pisifom was 13mm2 in CTS patients. When NCS results were taken as gold standard, the ultrasound yielded a sensitivity of 94.7%, specificity of 63.6% and diagnostic accuracy of 87.8%. Conclusion: High resolution ultrasound is quite accurate and it can be used reliably and cost effectively in the diagnosis of CTS especially for screening of large population of CTS patients.https://www.journalrmc.com/index.php/JRMC/article/view/746Carpal tunnel syndromeUltrasound,Nerve conduction studies |
| spellingShingle | Mamoona Chiragh, Diagnosing Carpal Tunnel Syndrome by Ultrasound Journal of Rawalpindi Medical College Carpal tunnel syndrome Ultrasound, Nerve conduction studies |
| title | Diagnosing Carpal Tunnel Syndrome by Ultrasound |
| title_full | Diagnosing Carpal Tunnel Syndrome by Ultrasound |
| title_fullStr | Diagnosing Carpal Tunnel Syndrome by Ultrasound |
| title_full_unstemmed | Diagnosing Carpal Tunnel Syndrome by Ultrasound |
| title_short | Diagnosing Carpal Tunnel Syndrome by Ultrasound |
| title_sort | diagnosing carpal tunnel syndrome by ultrasound |
| topic | Carpal tunnel syndrome Ultrasound, Nerve conduction studies |
| url | https://www.journalrmc.com/index.php/JRMC/article/view/746 |
| work_keys_str_mv | AT mamoonachiragh diagnosingcarpaltunnelsyndromebyultrasound |