What is it about?
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.
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Why is it important?
One of the problems of studying CTS is the lack of consensus to establish a definitive diagnosis. Our aim was to assess the usefulness of US in the diagnosis of idiopathic CTS by measuring CSA of the median nerve at various levels of the carpal canal (inlet and outlet), FR, palmar bowing of the PB, wrist/forearmratio, as well as median nerve mobility and power doppler signals; and to analyze if these measures were correlated with the clinical severity of CTS (as assessed by validated clinical scale) and the electrophysiological grading scale or not.
Perspectives
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.
Professor shereen refaat kamel
Minia University
Read the Original
This page is a summary of: Usefulness of neuromuscular ultrasound in the diagnosis of idiopathic carpal tunnel syndrome, Egyptian Rheumatology and Rehabilitation, January 2018, Medknow,
DOI: 10.4103/err.err_22_17.
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