Ultrasonographic assessment of mild and moderate idiopathic carpal tunnel syndrome

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dc.authoridYologlu, Saim/0000-0002-9619-3462
dc.authoridSigirci, Ahmet/0000-0001-9221-0002
dc.authoridALTINOK, M. Tayfun/0000-0002-8779-9382
dc.authoridKarakas, Hakki/0000-0002-1328-8520
dc.authorwosidYologlu, Saim/ABI-8014-2020
dc.authorwosidSigirci, Ahmet/ABG-7387-2020
dc.authorwosidALTINOK, M. Tayfun/AAS-7079-2021
dc.contributor.authorAltinok, T
dc.contributor.authorBaysal, O
dc.contributor.authorKarakas, HM
dc.contributor.authorSigirci, A
dc.contributor.authorAlkan, A
dc.contributor.authorKayhan, A
dc.contributor.authorYologlu, S
dc.date.accessioned2024-08-04T20:30:52Z
dc.date.available2024-08-04T20:30:52Z
dc.date.issued2004
dc.departmentİnönü Üniversitesien_US
dc.description.abstractAIM: To investigate the diagnostic value of uttrasonography in mild and moderate idiopathic carpal tunnel syndrome (CTS). MATERIALS AND METHODS: Cross-sectional areas (CSA), flattening ratios at three different levels, swelling ratio, and palmar displacement were analysed in 26 patients (14 with bilateral and 12 with unilateral disease, 40 wrists in total) for the presence and the severity of CTS. Twenty had normal nerve conduction studies (NCS) defined as mild, and 20 of them had abnormal NCS defined as moderate. The control group consisted of 20 healthy participants. RESULTS: All parameters were significantly different between patient and control groups. Palmar displacement, swelling ratio, CSA at all levels and distal flattening ratio had the highest significance (p < 0.0001). The criterion with the highest sensitivity was the swelling ratio greater than or equal to 1.3 (72.5%), followed by the middle CSA >9 mm(2) and the palmar displacement >2.5 mm. All of these criteria had a higher sensitivity in diagnosing moderate cases (85-100%) than diagnosing mild cases (30-55%). There was a significant difference between normal and mild CTS groups regarding palmar displacement, distal flattening ratio, middle CSA and swelling ratio (p < 0.0001 for all) and between normal and moderate groups regarding all parameters (p < 0.01 - 0.0001). When combined middle CSA, palmar displacement and swelling ratio had an overall discriminatory accuracy of 83.8%. CONCLUSION: Additional diagnostic confirmation can be provided by ukrasonography and may be preferred as the initial step instead of etectrophysiotogical. studies. Detection of at least two of the three criteria (median nerve CSA >9 mm(2) at pisiform Level, swelling ratio 1.3, and palmar displacement >2.5 mm) may be helpful for the verification of the diagnosis. (C) 2004 Published by Elsevier Ltd on behalf of The Royal College of Radiologists.en_US
dc.identifier.doi10.1016/j.crad.2004.03.019
dc.identifier.endpage925en_US
dc.identifier.issn0009-9260
dc.identifier.issue10en_US
dc.identifier.pmid15451352en_US
dc.identifier.scopus2-s2.0-4644336805en_US
dc.identifier.scopusqualityN/Aen_US
dc.identifier.startpage916en_US
dc.identifier.urihttps://doi.org/10.1016/j.crad.2004.03.019
dc.identifier.urihttps://hdl.handle.net/11616/94585
dc.identifier.volume59en_US
dc.identifier.wosWOS:000224365200008en_US
dc.identifier.wosqualityQ2en_US
dc.indekslendigikaynakWeb of Scienceen_US
dc.indekslendigikaynakScopusen_US
dc.indekslendigikaynakPubMeden_US
dc.language.isoenen_US
dc.publisherW B Saunders Co Ltden_US
dc.relation.ispartofClinical Radiologyen_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/closedAccessen_US
dc.subjectcarpal tunnel syndromeen_US
dc.subjectultrasonographyen_US
dc.subjectdiagnosisen_US
dc.subjectwristen_US
dc.subjectmedian nerveen_US
dc.titleUltrasonographic assessment of mild and moderate idiopathic carpal tunnel syndromeen_US
dc.typeArticleen_US

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