SONOGRAPHY IN CARPAL TUNNEL SYNDROME WITH NORMAL NERVE CONDUCTION STUDIES

被引：25
作者：
Al-Hashel, Jasem Y. [1 ]
Rashad, Hanaa M. [1 ,2 ]
Nouh, Mohamed R. [3 ]
Amro, Hanan A. [4 ]
Khuraibet, Adnan J. [1 ]
Shamov, Todor [5 ]
Tzvetanov, Plamen [6 ]
Rousseff, Rossen T. [1 ]
机构：
[1] Ibn Sina Hosp, Dept Neurol, Safat 13115, Kuwait
[2] Cairo Univ, Kasr El Aini Hosp, Clin Neurophysiol Dept, Cairo, Egypt
[3] Univ Alexandria, Fac Med, Dept Radiol, Alexandria, Egypt
[4] Al Razi Orthoped Hosp, Dept Radiol, Sulibikhat, Kuwait
[5] Jaber Al Sabah Armed Forces Hosp, Dept Orthoped, Subhan, Kuwait
[6] Coventry & Warwickshire NHS Trust, Univ Hosp, Dept Neurosci, Coventry, W Midlands, England
来源：
MUSCLE & NERVE | 2015年 / 51卷 / 04期
关键词：
carpal tunnel syndrome; CTS; median nerve; mononeuropathy; nerve conduction studies; ultrasound; MEDIAN NERVE; ULTRASONOGRAPHY; ULTRASOUND; DIAGNOSIS; TESTS; GUIDELINE; ACCURACY;
D O I：
10.1002/mus.24425
中图分类号：
R74 [神经病学与精神病学];
学科分类号：
摘要：
IntroductionWe assessed the yield of high-resolution ultrasonography (HRUS) in patients with clinically definite carpal tunnel syndrome (CTS) and normal nerve conduction studies (NCS). MethodsThis blinded, prospective, cross-sectional study involved 35 patients (60 hands) with clinically definite CTS and normal NCS, and 20 controls (40 hands). Cross-sectional area (CSAs) of the median nerve at the level of the pisiform bone and flexor retinaculum thickness (FRT) were measured. ResultsCSA was abnormal in 48.6% of patients (confidence interval 32.0-65.2%, P=0.95). FRT was increased in only 34.3% (18.3-49.7%), but was independently abnormal in 2 patients. CSA abnormalities correlated with positive provocative tests and sensory loss. The HRUS changes were mild. ConclusionsHRUS confirms clinically diagnosed CTS in about half of the patients with normal NCS. Muscle Nerve 51: 592-597, 2015
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页码：592 / 597
页数：6
相关论文
共 35 条
[1]   An evaluation of gender, obesity, age and diabetes mellitus as risk factors for carpal tunnel syndrome [J].
Becker, J ;
Nora, DB ;
Gomes, I ;
Stringari, FF ;
Seitensus, R ;
Panosso, JS ;
Ehlers, JAC .
CLINICAL NEUROPHYSIOLOGY, 2002, 113 (09) :1429-1434
[2]  
Bland JDP, 2001, MUSCLE NERVE, V24, P935, DOI 10.1002/mus.1091
[3]  
Burg EW, 2013, MUSCLE NERVE, V50, P129
[4]   EVIDENCE-BASED GUIDELINE: NEUROMUSCULAR ULTRASOUND FOR THE DIAGNOSIS OF CARPAL TUNNEL SYNDROME [J].
Cartwright, Michael S. ;
Hobson-Webb, Lisa D. ;
Boon, Andrea J. ;
Alter, Katharine E. ;
Hunt, Christopher H. ;
Flores, Victor H. ;
Werner, Robert A. ;
Shook, Steven J. ;
Thomas, T. Darrell ;
Primack, Scott J. ;
Walker, Francis O. .
MUSCLE & NERVE, 2012, 46 (02) :287-293
[5]   Comparing a New Ultrasound Approach with Electrodiagnostic Studies to Confirm Clinically Defined Carpal Tunnel Syndrome A Prospective, Blinded Study [J].
Claes, Franka ;
Kasius, Kristel M. ;
Meulstee, Jan ;
Verhagen, Wim I. M. .
AMERICAN JOURNAL OF PHYSICAL MEDICINE & REHABILITATION, 2013, 92 (11) :1005-1011
[6]   Ultrasonography versus nerve conduction study in patients with carpal tunnel syndrome: substantive or complementary tests? [J].
El Miedany, YM ;
Aty, SA ;
Ashour, S .
RHEUMATOLOGY, 2004, 43 (07) :887-895
[7]  
Ferrari F S, 1997, Radiol Med, V93, P336
[8]   Ultrasound as a First-line Test in the Diagnosis of Carpal Tunnel Syndrome: A Cost-effectiveness Analysis [J].
Fowler, John R. ;
Maltenfort, Mitchell G. ;
Ilyas, Asif M. .
CLINICAL ORTHOPAEDICS AND RELATED RESEARCH, 2013, 471 (03) :932-937
[9]   The Value Added by Electrodiagnostic Testing in the Diagnosis of Carpal Tunnel Syndrome [J].
Graham, Brent .
JOURNAL OF BONE AND JOINT SURGERY-AMERICAN VOLUME, 2008, 90A (12) :2587-2593
[10]   The ultrasonographic wrist-to-forearm median nerve area ratio in carpal tunnel syndrome [J].
Hobson-Webb, Lisa D. ;
Massey, Janice M. ;
Juel, Vern C. ;
Sanders, Donald B. .
CLINICAL NEUROPHYSIOLOGY, 2008, 119 (06) :1353-1357
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