Diagnostic potential of high resolution ultrasound and nerve conduction study in patients with idiopathic carpal tunnel syndrome

El-Shintenawy, Aya A.; Kassem, Elham M.; El‐Saadany, Hanan M.; Alashkar, Doaa Shawky

doi:10.1016/j.ejr.2018.04.001

Cited by 10 publications

(10 citation statements)

References 25 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…All studies included for review in the present study were non-randomized; therefore, a methodological quality assessment of each study was performed using the Newcastle-Ottawa Scale [ 14 ]. The assessment criterion was based on eight evaluation questions categorized into selection, comparability, and outcomes.…”

Section: Reviewmentioning

confidence: 99%

“…A score of ≥ 7 meant that the study had high methodological quality while a score of between 4 and 6 meant that the study was of moderate methodological quality. On the other hand, studies with a score of ≤3 were considered low quality [ 14 ].…”

Section: Reviewmentioning

confidence: 99%

“… Kwon et al, 2008 [ 8 ], El-Shintenawy et al, 2019 [ 14 ], Swen et al, 2004 [ 15 ], El Miedany et al, 2004 [ 10 ], Pimentel et al, 2018 [ 16 ], Visser et al, 2007 [ 17 ], Filho et al, 2014 [ 6 ], El Badry et al, 2016 [ 18 ], Kele et al, 2003 [ 19 ], Azami et al, 2014 [ 20 ], Fowler et al, 2014 [ 21 ]. Moran et al 2009 [ 22 ] …”

Section: Reviewmentioning

confidence: 99%

“…Comparing these results to those obtained when using the CSA proximal to the carpal tunnel, it is safe to say that FR also offers better diagnostic criteria for CTS. A more recent study by El-Shintenawy and colleagues also reported that using FR2 at the hamate level, as the diagnostic criterion had a better sensitivity and accuracy than CSA (91.3% and 95.5% vs. 80.4% and 87.2%, respectively) [ 14 ]. However, the study explained that CSA is the main sonographic measurement used in the diagnosis of CTS.…”

Section: Reviewmentioning

confidence: 99%

See 3 more Smart Citations

A Comparative Analysis Between Ultrasound and Electromyographic and Nerve Conduction Studies in Diagnosing Carpal Tunnel Syndrome (CTS): A Systematic Review and Meta-Analysis

Zaki¹,

Shaban²,

Salem³

et al. 2022

Cureus

View full text Add to dashboard Cite

Carpal tunnel syndrome (CTS) is the most common upper extremity neuropathy. The disease initially manifests as a sensory disorder in the form of paresthesia, numbness, or tingling of the fingers. The diagnosis is usually made based on history and clinical symptoms, which are confirmed using nerve conduction studies (NCS) and electromyography. More recently, ultrasound has gained more use in CTS diagnosis due to its advantages, which include patients' comfort during diagnosis, better visualization of anatomy and nerve forms directly, and cost-effectiveness. However, a literature review shows that the diagnostic accuracy of ultrasound over NCS is still in question; therefore, the present systematic review was carried out to compare the diagnostic accuracy of ultrasound to NCS and electromyography.A systematic literature search was performed on five electronic databases: PubMed, Medline, Web of Science, Embase, and Google Scholar. The search strategy limited the retrieval of literature published between 2000 and 2022. Of the 1098 articles retrieved from the electronic databases, only 12 met the inclusion criteria. A meta-analysis of outcomes from the included studies showed that the pooled sensitivity and specificity of the ultrasound were 0.80 (95% CI: 0.73, 0.88) and 0.90 (0.83, 0.96), respectively. On the other hand, combing the outcomes of electromyography and NCS resulted in sensitivity and specificity values of 0.89 (95% CI: 0.84, 0.95) and 0.77 (95% CI; 0.64, 0.90), respectively.The results show that ultrasound has comparable sensitivity and slightly higher specificity than NCS and electromyography; therefore, ultrasound can be used as an alternative diagnostic test for CTS. However, it cannot replace NCS and electromyography since more research needs to be done on doubtful and secondary cases of CTS.

show abstract

Section: Reviewmentioning

confidence: 99%

Section: Reviewmentioning

confidence: 99%

Section: Reviewmentioning

confidence: 99%

Section: Reviewmentioning

confidence: 99%

See 2 more Smart Citations

A Comparative Analysis Between Ultrasound and Electromyographic and Nerve Conduction Studies in Diagnosing Carpal Tunnel Syndrome (CTS): A Systematic Review and Meta-Analysis

Zaki¹,

Shaban²,

Salem³

et al. 2022

Cureus

View full text Add to dashboard Cite

show abstract

“…This is achieved by direct assessment of the exact location of the nerve compression and examination of signs indirectly related to nerve alterations. 6 Applying color and power Doppler US is especially helpful in identifying vascular lesions, variant vascular anatomy, and tissue hyperemia. 7 In particular, color and power Doppler imaging can be used in routine US examination to detect intraneural vascularity, which indicates the presence of inflammatory changes within the nerve.…”

Section: Introductionmentioning

confidence: 99%

The value of sonographic quantitative parameters in the diagnosis of carpal tunnel syndrome in the Vietnamese population

Nguyen

et al. 2021

J Int Med Res

View full text Add to dashboard Cite

Objective To examine the value of ultrasound (US) in the diagnosis of carpal tunnel syndrome (CTS) in the Vietnamese population. Methods This prospective cross-sectional study involved 42 wrists of 25 patients with idiopathic CTS evaluated by US. In addition, 38 wrists of 22 healthy volunteers were included as the control group. Results Significant differences in the median nerve cross-sectional area (CSA) at different levels were found between patients with CTS and controls. Using a cut-off value of 9.5 mm2 for the median nerve CSA at the pisiform (p-CSA), US had a sensitivity and specificity of 95.2% and 97.4%, respectively, for the diagnosis of CTS. Area under the curve analysis revealed a sensitivity and specificity of 100% and 95.4%, respectively, for the prediction of severe CTS using a p-CSA of >15.5 mm2. Conclusions The median nerve CSA is a highly accurate parameter in the diagnosis of CTS. We recommend using a p-CSA of >9.5 mm2 as a diagnostic criterion for CTS and a p-CSA of >15.5 mm2 as a marker for severe CTS in the Vietnamese population. Research Registry number: 7261

show abstract

Platelet-rich plasma versus corticosteroid injections for carpal tunnel syndrome: Clinical and electrophysiological study

Atwa

Esh

et al. 2019

The Egyptian Rheumatologist

View full text Add to dashboard Cite

Diagnostic potential of high resolution ultrasound and nerve conduction study in patients with idiopathic carpal tunnel syndrome

Cited by 10 publications

References 25 publications

A Comparative Analysis Between Ultrasound and Electromyographic and Nerve Conduction Studies in Diagnosing Carpal Tunnel Syndrome (CTS): A Systematic Review and Meta-Analysis

A Comparative Analysis Between Ultrasound and Electromyographic and Nerve Conduction Studies in Diagnosing Carpal Tunnel Syndrome (CTS): A Systematic Review and Meta-Analysis

The value of sonographic quantitative parameters in the diagnosis of carpal tunnel syndrome in the Vietnamese population

Platelet-rich plasma versus corticosteroid injections for carpal tunnel syndrome: Clinical and electrophysiological study

Contact Info

Product

Resources

About