A Comparison of the Benefits of Sonography and Electrophysiologic Measurements as Predictors of Symptom Severity and Functional Status in Patients With Carpal Tunnel Syndrome

Kaymak, Bayram; Özçakar, Levent; Çetin, Alp; Çetin, Meral; Akıncı, Ayşen; Hasçelik, Zafer

doi:10.1016/j.apmr.2007.09.041

Cited by 102 publications

(79 citation statements)

References 28 publications

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“…The fact that CSA area evaluation using high-resolution US might be a method for the diagnosis of CTS was reported by Bekman R et al [27]. In studies in which the effectiveness wit EMI was evaluated by comparison, it was shown that US can be used as a diagnosis method for diagnosing CTS [12][13][14][15]17]. In the study by Kuo MH et al in which the wrist was evaluated on different angles by US in order to determine the position on which nerve compression in CT area is lowest, it was reported that optimal position can vary depending on the individual even though neutral position was detected as the most common position [16].…”

Section: Discussionmentioning

confidence: 92%

“…For the determination of the optimal position on which the median nerve is most comfortable, there are catheter applications in which the intracarpal pressure is evaluated and MRI and US studies in which the AP diameter, transverse diameter and flattening ratio of the median nerve are evaluated [7][8][9][10][11][12][13][14][15][16][17]. In a study in which the CT pressure was evaluated in 20 healthy subjects, the CT pressure at 30°e xtension configuration of the wrist was found to be significantly higher when compared to 15°flexion and neutral (0°) configurations, whereas it was found to be significantly higher at 45°extension when compared to all the other angles [7].…”

Section: Discussionmentioning

confidence: 99%

“…Studies in which the median nerve is evaluated by MRI and US, and CT pressure is determined by using intracarpal catheter can be found in the published literature [7][8][9][10][11][12][13][14][15][16][17]. Recent research has shown that evaluation by ultrasound is promising for making CTS diagnosis [12][13][14][15][16][17].…”

Section: Introductionmentioning

confidence: 99%

“…Recent research has shown that evaluation by ultrasound is promising for making CTS diagnosis [12][13][14][15][16][17].…”

Section: Introductionmentioning

confidence: 99%

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Determination of the position on which the median nerve compression is at the lowest in carpal tunnel syndrome and clinical effectiveness of custom splint application

et al. 2010

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To evaluate the clinical effectiveness of wrist splint usage arranged by determining the optimal position on which the median nerve is compressed the least through sonographic examination for patients with carpal tunnel syndrome (CTS). This study was a prospective, clinical trial with a 6-week follow-up. Twenty-four patients diagnosed clinically and electromyographically with CTS were included in the study. A total of 37 wrists were studied on. When the patients were grouped according to the optimal position, Group I comprising 16 (43.24%) wrists was at 15 degree flexion, Group II comprising 12 (32.43%) wrists was neutral, Group III comprising 6 (16.22%) wrists was at 15° extension and Group IV comprising 3 (8.11%) wrists was at 30° extension configurations. Groups I, II and III were included in clinical follow-up. Symptom severity score (SSS), functional status score (FSS), Grip strength and Pinch strength were used for the clinical follow-up and evaluation of the patients. When pre- and post-treatment were compared, a statistically significant recovery was detected in all three groups in respect to SSS (Group I P < 0.01, Group II P < 0.05, Group III P < 0.05). A statistically significant recovery was detected for FSS only in Group I (P < 0.05) and for Grip strength in Group II (P < 0.05). When the groups were compared among themselves, no statistically significant difference was detected for any of the parameters (P > 0.05). In this study, by sonographic examination of the patients included in the study with CTS, we saw that the optimal position on which the median nerve is compressed the least varies depending on the individual and we determined that this position was 15° flexion most frequently for our patients. We also observed that in clinical follow-up of wrist splint usage arranged on custom optimal position results in significant recovery.

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Section: Discussionmentioning

confidence: 92%

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

“…Recent research has shown that evaluation by ultrasound is promising for making CTS diagnosis [12][13][14][15][16][17].…”

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

Determination of the position on which the median nerve compression is at the lowest in carpal tunnel syndrome and clinical effectiveness of custom splint application

et al. 2010

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“…5,6 In the last decade, sonographic evaluation via high resolution linear transducers has emerged as a new diagnostic technique for diagnosing CTS and various musculoskeletal conditions. [7][8][9][10] A BMN refers to high division of the median nerve proximal to the carpal tunnel. 1 In previous studies, BMN was reported to be associated with CTS due to its relatively higher cross sectional area (CSA) compared to a non-BMN which may lead compression in carpal tunnel.…”

mentioning

confidence: 99%

The Association Between Bifid Median Nerve and Carpal Tunnel Syndrome: Is it Really a Risk Factor?

et al. 2014

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Objectives: This study aims to determine the bifid median nerve (BMN) frequency in patients with carpal tunnel syndrome (CTS) and to investigate the possible association between CTS and BMN in this patient population. Patients and methods: A total of 194 wrists of 131 patients in whom CTS was diagnosed clinically and electrophysiologically and 73 healthy volunteers without any symptom or sign of CTS were examined with ultrasonography. Results: Bifid median nerve was detected in 22 wrists (11.3%) in CTS group and 15 wrists (10.2%) in the control group. There was no statistically significantly difference in the incidence of BMN among patients with CTS and healthy volunteers (p=0.891). Conclusion: Our study results showed that the incidence of BMN was similar among CTS patients and healthy volunteers. Therefore, we conclude that BMN may not be a predisposing factor for CTS.

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Carpal Tunnel Syndrome

Patijn

Vallejo

Janssen

et al. 2011

Evidence‐Based Interventional Pain Medicine

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A Comparison of the Benefits of Sonography and Electrophysiologic Measurements as Predictors of Symptom Severity and Functional Status in Patients With Carpal Tunnel Syndrome

Cited by 102 publications

References 28 publications

Determination of the position on which the median nerve compression is at the lowest in carpal tunnel syndrome and clinical effectiveness of custom splint application

Determination of the position on which the median nerve compression is at the lowest in carpal tunnel syndrome and clinical effectiveness of custom splint application

The Association Between Bifid Median Nerve and Carpal Tunnel Syndrome: Is it Really a Risk Factor?

Carpal Tunnel Syndrome

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