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The Impact of Rheumatoid Arthritis (RA) in Median Nerve Area in the Wrist Joint: A Case-Control Study

Background Rheumatoid arthritis (RA) is one cause of carpal tunnel syndromes (CTS); due to increased intracarpal pressure in the rheumatoid wrist, synovial enlargement, joint erosions, and ligamentous laxity cause the compression of the median nerve (MN). Materials and methods A case-control study w...

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Autores principales: Abdullah, Abdulmalek Y, Yousif, Rihab A, Suliman, Awadia G, Ibn Idris, Amel A, Hassan, Sujood A, Ali, Shima I, Alshoabi, Sultan A, Algorashi, Eman M, Mohammed, Bassam N, Elzaki, Maisa
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Cureus 2023
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10241703/
https://www.ncbi.nlm.nih.gov/pubmed/37288223
http://dx.doi.org/10.7759/cureus.38580
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author Abdullah, Abdulmalek Y
Yousif, Rihab A
Suliman, Awadia G
Ibn Idris, Amel A
Hassan, Sujood A
Ali, Shima I
Alshoabi, Sultan A
Algorashi, Eman M
Mohammed, Bassam N
Elzaki, Maisa
author_facet Abdullah, Abdulmalek Y
Yousif, Rihab A
Suliman, Awadia G
Ibn Idris, Amel A
Hassan, Sujood A
Ali, Shima I
Alshoabi, Sultan A
Algorashi, Eman M
Mohammed, Bassam N
Elzaki, Maisa
author_sort Abdullah, Abdulmalek Y
collection PubMed
description Background Rheumatoid arthritis (RA) is one cause of carpal tunnel syndromes (CTS); due to increased intracarpal pressure in the rheumatoid wrist, synovial enlargement, joint erosions, and ligamentous laxity cause the compression of the median nerve (MN). Materials and methods A case-control study was conducted to assess the measurement of median nerve areas in RA using high-frequency ultrasound (US) and to correlate the measurement with the disease duration. Forty patients with rheumatoid arthritis (RA) and 40 with non-rheumatoid arthritis (RA) as a control group were referred to the radiology department of Yastabshiron Hospital, Khartoum, Sudan, from June to August 2022. After assessing the wrist joint by ultrasound scans, median nerve (MN) cross-sectional area (CSA) measurements were performed using a Fukuda Denshi ultrasound machine (Tokyo, Japan) with a linear-array high-frequency transducer (10 MHz), after receiving ethical approval from the research committee of the faculty of radiological science at University of Medical Sciences and Technology (UMST) and the study participants. Results The study demonstrated that the mean measurement of MN cross-sectional area (CSA) in RA patients was 13.60 mm(2 )for the right and 13.25 mm(2) for the left MN. The study found that the MN CSA decreased by increasing the disease duration, with significant differences in the median nerve cross-sectional areas in RA and healthy control (p-value of <0.01). Conclusion The study concluded that rheumatoid arthritis (RA) had a greater influence on the median nerve cross-sectional areas. MN areas significantly decreased with increasing duration of diseases; the MN cross-sectional areas were more in RA than in the healthy control group.
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spelling pubmed-102417032023-06-07 The Impact of Rheumatoid Arthritis (RA) in Median Nerve Area in the Wrist Joint: A Case-Control Study Abdullah, Abdulmalek Y Yousif, Rihab A Suliman, Awadia G Ibn Idris, Amel A Hassan, Sujood A Ali, Shima I Alshoabi, Sultan A Algorashi, Eman M Mohammed, Bassam N Elzaki, Maisa Cureus Radiology Background Rheumatoid arthritis (RA) is one cause of carpal tunnel syndromes (CTS); due to increased intracarpal pressure in the rheumatoid wrist, synovial enlargement, joint erosions, and ligamentous laxity cause the compression of the median nerve (MN). Materials and methods A case-control study was conducted to assess the measurement of median nerve areas in RA using high-frequency ultrasound (US) and to correlate the measurement with the disease duration. Forty patients with rheumatoid arthritis (RA) and 40 with non-rheumatoid arthritis (RA) as a control group were referred to the radiology department of Yastabshiron Hospital, Khartoum, Sudan, from June to August 2022. After assessing the wrist joint by ultrasound scans, median nerve (MN) cross-sectional area (CSA) measurements were performed using a Fukuda Denshi ultrasound machine (Tokyo, Japan) with a linear-array high-frequency transducer (10 MHz), after receiving ethical approval from the research committee of the faculty of radiological science at University of Medical Sciences and Technology (UMST) and the study participants. Results The study demonstrated that the mean measurement of MN cross-sectional area (CSA) in RA patients was 13.60 mm(2 )for the right and 13.25 mm(2) for the left MN. The study found that the MN CSA decreased by increasing the disease duration, with significant differences in the median nerve cross-sectional areas in RA and healthy control (p-value of <0.01). Conclusion The study concluded that rheumatoid arthritis (RA) had a greater influence on the median nerve cross-sectional areas. MN areas significantly decreased with increasing duration of diseases; the MN cross-sectional areas were more in RA than in the healthy control group. Cureus 2023-05-05 /pmc/articles/PMC10241703/ /pubmed/37288223 http://dx.doi.org/10.7759/cureus.38580 Text en Copyright © 2023, Abdullah et al. https://creativecommons.org/licenses/by/3.0/This is an open access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.
spellingShingle Radiology
Abdullah, Abdulmalek Y
Yousif, Rihab A
Suliman, Awadia G
Ibn Idris, Amel A
Hassan, Sujood A
Ali, Shima I
Alshoabi, Sultan A
Algorashi, Eman M
Mohammed, Bassam N
Elzaki, Maisa
The Impact of Rheumatoid Arthritis (RA) in Median Nerve Area in the Wrist Joint: A Case-Control Study
title The Impact of Rheumatoid Arthritis (RA) in Median Nerve Area in the Wrist Joint: A Case-Control Study
title_full The Impact of Rheumatoid Arthritis (RA) in Median Nerve Area in the Wrist Joint: A Case-Control Study
title_fullStr The Impact of Rheumatoid Arthritis (RA) in Median Nerve Area in the Wrist Joint: A Case-Control Study
title_full_unstemmed The Impact of Rheumatoid Arthritis (RA) in Median Nerve Area in the Wrist Joint: A Case-Control Study
title_short The Impact of Rheumatoid Arthritis (RA) in Median Nerve Area in the Wrist Joint: A Case-Control Study
title_sort impact of rheumatoid arthritis (ra) in median nerve area in the wrist joint: a case-control study
topic Radiology
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10241703/
https://www.ncbi.nlm.nih.gov/pubmed/37288223
http://dx.doi.org/10.7759/cureus.38580
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