Volume 4, Issue 2 (May 2017)                   Avicenna J Neuro Psycho Physiology 2017, 4(2): 33-36 | Back to browse issues page


XML Print


Download citation:
BibTeX | RIS | EndNote | Medlars | ProCite | Reference Manager | RefWorks
Send citation to:

Mohebi N, Abdollahi M, Razmeh S. Use of Cross-Sectional Area of Median Nerve in Diagnosis of Carpal Tunnel Syndrome. Avicenna J Neuro Psycho Physiology 2017; 4 (2) :33-36
URL: http://ajnpp.umsha.ac.ir/article-1-98-en.html
1- Department of Neurology, School of Medicine, Rasoul Akram Hospital, Iran University of Medical Sciences, Tehran, Iran.
2- Department of Neurology, School of Medicine, Rasoul Akram Hospital, Iran University of Medical Sciences, Tehran, Iran. , ssrahimi842@gmail.com
3- Department of Neurology, School of Medicine, Shahid Beheshti Hospital, Yasuj University of Medical Sciences, Yasuj, Iran.
Abstract:   (2736 Views)
Background: Carpal Tunnel Syndrome (CTS) is the most common entrapment neuropathy. It occurs due to compression of median nerve in the wrist. This study evaluates the usefulness of Cross-Sectional Area (CSA) of the median nerve in the diagnosis of CTS. The aim of the study was to determining the diagnostic value of cross-sectional area of median nerve in CTS. 
Materials and Methods: In this cross-sectional study, 86 cases of CTS (59 patients) and 16 normal subjects as the control group underwent ultrasonography of the wrist. The results of ultrasonography of two groups were compared. 
Results: The data showed a significant difference in the CSA of median nerve between the patients with CTS and control group and also we observed significant difference in CSA of the median nerve according to grading of CTS based on Nerve Conduction Study (NCS). 
Conclusion: Based on the study results, determining CSA of median nerve can be an effective method in CTS evaluation.
Full-Text [PDF 555 kb]   (952 Downloads) |   |   Full-Text (HTML)  (1233 Views)  
Article Type: Research Article | Subject: Special
Received: 2016/08/10 | Accepted: 2016/12/25 | Published: 2017/05/1

References
1. Ibrahim I, Khan W, Goddard N, Smitham P. Carpal tunnel syndrome: A review of the recent literature. The Open Orthopaedics Journal. 2012; 6(1): 69–76. [DOI:10.2174/1874325001206010069] [PMID] [PMCID] [DOI:10.2174/1874325001206010069]
2. Mashoof AA, Levy HJ, Soifer TB, Miller-Soifer F, Bryk E, Vigorita V. Neural anatomy of the transverse carpal ligament. Clinical Orthopaedics and Related Research. 2001; 386:218-21. [DOI:10.1097/00003086-200105000-00028] [DOI:10.1097/00003086-200105000-00028]
3. Werner R, Armstrong TJ. Carpal tunnel syndrome: Ergonomic risk factors and intracarpal canal pressure. Physical Medicine and Rehabilitation Clinics of North America. 1997; 8(3):555-569. [DOI: 10.1016/S1047-9651(18)30317-6] [DOI:10.1016/S1047-9651(18)30317-6]
4. Ghasemi-rad M, Nosair E, Vegh A, Mohammadi A, Akkad A, Lesha E, et al. A handy review of carpal tunnel syndrome: From anatomy to diagnosis and treatment. World Journal of Radiology. 2014; 6(6):284-300. [DOI:10.4329/wjr.v6.i6.284] [PMID] [PMCID] [DOI:10.4329/wjr.v6.i6.284]
5. Ooi CC, Wong SK, Tan AB, Chin AY, Bakar RA, Goh SY, et al. Diagnostic criteria of carpal tunnel syndrome using high-resolution ultrasonography: Correlation with nerve conduction studies. Skeletal Radiology. 2014; 43(10):1387-94. [DOI:10.1007/s00256-014-1929-z] [PMID] [DOI:10.1007/s00256-014-1929-z]
6. Allmann KH, Horch R, Uhl M, Gufler H, Altehoefer C, Stark GB, et al. MR imaging of the carpal tunnel. European Journal of Radiology. 1997; 25(2):141-5. [DOI:10.1016/S0720-048X(96)01038-8] [DOI:10.1016/S0720-048X(96)01038-8]
7. Dalinka MK. MR imaging of the wrist. AJR American Journal of Roentgenology. 1995; 164(1):1-9. [DOI:10.2214/ajr.164.1.7998519] [PMID] [DOI:10.2214/ajr.164.1.7998519]
8. Bland JD. A neurophysiological grading scale for carpal tunnel syndrome. Muscle & Nerve. 2000; 23(8):1280-3. [DOI:10.1002/1097-4598(200008)23:83.0.CO;2-Y] https://doi.org/10.1002/1097-4598(200008)23:8<1280::AID-MUS20>3.0.CO;2-Y [DOI:10.1002/1097-4598(200008)23:83.0.CO;2-Y]
9. Padua L, Pazzaglia C, Caliandro P, Granata G, Foschini M, Briani C, et al. Carpal tunnel syndrome: Ultrasound, neurophysiology, clinical, and patientoriented assessment. Clinical Neurophysiology. 2008; 119(9):2064-9. [DOI:10.1016/j.clinph.2008.05.004] [PMID] [DOI:10.1016/j.clinph.2008.05.004]
10. Yao L, Gai N. Median nerve cross-sectional area and MRI diffusion characteristics: Normative values at the carpal tunnel. Skeletal Radiology. 2009; 38(4):355-61. [DOI:10.1007/s00256-008-0626-1] [PMID] [DOI:10.1007/s00256-008-0626-1]
11. Kobayashi S, Hayakawa K, Nakane T, Meir A, Mwaka ES, Yayama T, et al. Visualization of intraneural edema using gadolinium-enhanced magnetic resonance imaging of carpal tunnel syndrome. Journal of Orthopaedic Science. 2009; 14(1):24-34. [DOI:10.1007/s00776-008-1291-x] [PMID] [DOI:10.1007/s00776-008-1291-x]
12. Wong SM, Griffith JF, Hui ACF, Tang A, Wong KS. Discriminatory sonographic criteria for the diagnosis of carpal tunnel syndrome. Arthritis & Rheumatism. 2002; 46(7):1914–21. [DOI:10.1002/art.10385] [PMID] [DOI:10.1002/art.10385]
13. Kotevoglu N, Gülbahce-Saglam S. Ultrasound imaging in the diagnosis of carpal tunnel syndrome and its relevance to clinical evaluation. Joint Bone Spine. 2005; 72(2):142-5. [DOI:10.1016/j.jbspin.2004.03.012] [PMID] [DOI:10.1016/j.jbspin.2004.03.012]
14. Duncan I, Sullivan P, Lomas F. Sonography in the diagnosis of carpal tunnel syndrome. American Journal of Roentgenology. 1999; 173(3):681-4. [DOI:10.2214/ajr.173.3.10470903] [PMID] [DOI:10.2214/ajr.173.3.10470903]
15. Buchberger W, Judmaier W, Birbamer G, Lener M, Schmidauer C. Carpal tunnel syndrome: Diagnosis with high resolution sonography. American Journal of Roentgenology. 1992; 159(4):793-8. [DOI:10.2214/ajr.159.4.1529845] [PMID] [DOI:10.2214/ajr.159.4.1529845]
16. Mohammadi A, Afshar A, Etemadi A, Masoudi S, Baghizadeh A. Diagnostic value of cross-sectional area of median nerve in grading severity of carpal tunnel syndrome. Archives of Iranian Medicine. 2010; 13(6):516-21. [PMID] [PMID]

Add your comments about this article : Your username or Email:
CAPTCHA

Send email to the article author


Rights and permissions
Creative Commons License This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.

© 2024 CC BY 4.0 | Avicenna Journal of Neuro Psycho Physiology

Designed & Developed by : Yektaweb