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Usefulness of neuromuscular ultrasound in the diagnosis of idiopathic carpal tunnel syndrome
Joint Authors
Muhammad, Fatin I.
Kamil, Shirin R.
Hafiz, Ahmad E.
Source
Egyptian Rheumatology and Rehabilitation
Issue
Vol. 45, Issue 2 (30 Jun. 2018), pp.65-73, 9 p.
Publisher
The Egyptian Society for Rheumatology and Rehabilitation
Publication Date
2018-06-30
Country of Publication
Egypt
No. of Pages
9
Main Subjects
Abstract EN
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 crosssectional 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<0.05); 50% of diseased hands showed restriction of mobility of the median nerve, while 31% had doppler signals.
Positive correlations of ultrasonographic measurements with patient-oriented measures, clinical severity scale and electrophysiological grade were observed.
Conclusion Ultrasonographic measurements of CSA at the inlet and flexor retinaculum have a relatively higher diagnostic accuracy than FR for CTS.
The correlation between clinical scores, historical-objective-distribution scale, electrophysiological grade and ultrasonographic measurements reflects the usefulness of neuromuscular ultrasound in the diagnosis of idiopathic CTS.
American Psychological Association (APA)
Muhammad, Fatin I.& Kamil, Shirin R.& Hafiz, Ahmad E.. 2018. Usefulness of neuromuscular ultrasound in the diagnosis of idiopathic carpal tunnel syndrome. Egyptian Rheumatology and Rehabilitation،Vol. 45, no. 2, pp.65-73.
https://search.emarefa.net/detail/BIM-900477
Modern Language Association (MLA)
Muhammad, Fatin I.…[et al.]. Usefulness of neuromuscular ultrasound in the diagnosis of idiopathic carpal tunnel syndrome. Egyptian Rheumatology and Rehabilitation Vol. 45, no. 2 (Apr. / Jun. 2018), pp.65-73.
https://search.emarefa.net/detail/BIM-900477
American Medical Association (AMA)
Muhammad, Fatin I.& Kamil, Shirin R.& Hafiz, Ahmad E.. Usefulness of neuromuscular ultrasound in the diagnosis of idiopathic carpal tunnel syndrome. Egyptian Rheumatology and Rehabilitation. 2018. Vol. 45, no. 2, pp.65-73.
https://search.emarefa.net/detail/BIM-900477
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references : p. 72-73
Record ID
BIM-900477