Limits...
Can we define severity of carpal tunnel syndrome by ultrasound?

Ghasemi M, Abrishamchi F, Basiri K, Meamar R, Rezvani M - Adv Biomed Res (2015)

Bottom Line: A total of 87 individuals screened and 52 subjects (81 hands) met all inclusion and no exclusion criteria.The mean ± SD of the CSA was 0.12 ± 0.03 cm(2) (range, 0.08-0.18) in mild, 0.15 ± 0.03 cm(2) (range, 0.08-0.19) in moderate, and 0.19 ± 0.06 cm(2) (range, 0.11-0.32) in severe CTS.We detected a significant correlation between MN CSA and the severity of CTS (P < 0.001).

View Article: PubMed Central - PubMed

Affiliation: Department of Neurology, Isfahan Neurosciences Research Center, Alzahra Hospital, Isfahan University of Medical Sciences, Isfahan, Iran.

ABSTRACT

Background: Carpal tunnel syndrome (CTS) is a common entrapment neuropathy. Diagnosis of CTS is usually based on a combination of clinical symptoms and electrodiagnostic study (EDS). Ultrasonography (US) also has been shown to be a useful diagnostic tool in CTS and is based on an increase in the median nerve cross-sectional area (CSA) at the level of the pisiform bone. In this study we assessed findings in US in correlation with severity of CTS.

Materials and method: This was a cross-sectional case-control study, which was carried out on November 2012 to July 2013. Subjects were chosen from patients who referred to the Alzahra Hospital (Isfahan, Iran). Patients were classified as having mild, moderate, and severe CTS according to EDS and high-resolution US was performed for CSA measurement at the tunnel inlet.

Results: A total of 87 individuals screened and 52 subjects (81 hands) met all inclusion and no exclusion criteria. The mean ± SD of the CSA was 0.12 ± 0.03 cm(2) (range, 0.08-0.18) in mild, 0.15 ± 0.03 cm(2) (range, 0.08-0.19) in moderate, and 0.19 ± 0.06 cm(2) (range, 0.11-0.32) in severe CTS. We detected a significant correlation between MN CSA and the severity of CTS (P < 0.001).

Conclusion: In conclusion it is expected that sonography may serve as an additional or complementary method which is useful and reliable in assessing the severity of CTS.

No MeSH data available.


Related in: MedlinePlus

Study design flowchart
© Copyright Policy - open-access
Related In: Results  -  Collection

License
getmorefigures.php?uid=PMC4544117&req=5

Figure 2: Study design flowchart

Mentions: A total of 87 individuals were screened and 52 subjects (81 hands) met all inclusion and no exclusion criteria and were divided into three subgroups according to severity of CTS [Figure 2]. Twenty-six hands (32.1%) were affected with mild CTS, 32 (39.5%) with moderate CTS, and 23 (38.4%) with severe disease. The demographic data of the 52 participants (81 hands) are shown in Table 1.


Can we define severity of carpal tunnel syndrome by ultrasound?

Ghasemi M, Abrishamchi F, Basiri K, Meamar R, Rezvani M - Adv Biomed Res (2015)

Study design flowchart
© Copyright Policy - open-access
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=PMC4544117&req=5

Figure 2: Study design flowchart
Mentions: A total of 87 individuals were screened and 52 subjects (81 hands) met all inclusion and no exclusion criteria and were divided into three subgroups according to severity of CTS [Figure 2]. Twenty-six hands (32.1%) were affected with mild CTS, 32 (39.5%) with moderate CTS, and 23 (38.4%) with severe disease. The demographic data of the 52 participants (81 hands) are shown in Table 1.

Bottom Line: A total of 87 individuals screened and 52 subjects (81 hands) met all inclusion and no exclusion criteria.The mean ± SD of the CSA was 0.12 ± 0.03 cm(2) (range, 0.08-0.18) in mild, 0.15 ± 0.03 cm(2) (range, 0.08-0.19) in moderate, and 0.19 ± 0.06 cm(2) (range, 0.11-0.32) in severe CTS.We detected a significant correlation between MN CSA and the severity of CTS (P < 0.001).

View Article: PubMed Central - PubMed

Affiliation: Department of Neurology, Isfahan Neurosciences Research Center, Alzahra Hospital, Isfahan University of Medical Sciences, Isfahan, Iran.

ABSTRACT

Background: Carpal tunnel syndrome (CTS) is a common entrapment neuropathy. Diagnosis of CTS is usually based on a combination of clinical symptoms and electrodiagnostic study (EDS). Ultrasonography (US) also has been shown to be a useful diagnostic tool in CTS and is based on an increase in the median nerve cross-sectional area (CSA) at the level of the pisiform bone. In this study we assessed findings in US in correlation with severity of CTS.

Materials and method: This was a cross-sectional case-control study, which was carried out on November 2012 to July 2013. Subjects were chosen from patients who referred to the Alzahra Hospital (Isfahan, Iran). Patients were classified as having mild, moderate, and severe CTS according to EDS and high-resolution US was performed for CSA measurement at the tunnel inlet.

Results: A total of 87 individuals screened and 52 subjects (81 hands) met all inclusion and no exclusion criteria. The mean ± SD of the CSA was 0.12 ± 0.03 cm(2) (range, 0.08-0.18) in mild, 0.15 ± 0.03 cm(2) (range, 0.08-0.19) in moderate, and 0.19 ± 0.06 cm(2) (range, 0.11-0.32) in severe CTS. We detected a significant correlation between MN CSA and the severity of CTS (P < 0.001).

Conclusion: In conclusion it is expected that sonography may serve as an additional or complementary method which is useful and reliable in assessing the severity of CTS.

No MeSH data available.


Related in: MedlinePlus