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Comparison of the median and ulnar nerves of rheumatoid arthritis patients and healthy subjects by ultrasound
OBJECTIVES: In this study, we aimed to investigate ulnar and median nerve cross-sectional areas (CSAs) by ultrasonography in RA patients who had no signs or symptoms of neurologic involvement. PATIENTS AND METHODS: This case-control study was conducted with 76 participants (72 females, 4 males; mean...
Autores principales: | , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
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Turkish League Against Rheumatism
2022
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10481700/ https://www.ncbi.nlm.nih.gov/pubmed/37680523 http://dx.doi.org/10.46497/ArchRheumatol.2023.9027 |
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author | Atan Uzun, Çiğdem Sunar, İsmihan Günendi, Zafer Göğüş, Feride Nur |
author_facet | Atan Uzun, Çiğdem Sunar, İsmihan Günendi, Zafer Göğüş, Feride Nur |
author_sort | Atan Uzun, Çiğdem |
collection | PubMed |
description | OBJECTIVES: In this study, we aimed to investigate ulnar and median nerve cross-sectional areas (CSAs) by ultrasonography in RA patients who had no signs or symptoms of neurologic involvement. PATIENTS AND METHODS: This case-control study was conducted with 76 participants (72 females, 4 males; mean age: 53.2+10.9 years; range, 18 to 65 years) between April 2011 and April 2013. Of the participants, 38 were RA patients without any signs or symptoms of ulnar or median nerve involvement, and 38 were healthy subjects. All participants were evaluated with ultrasound. The median and ulnar nerve CSAs were measured at the proximal inlet of the carpal tunnel using the pisiform bone as a landmark. RESULTS: There were no statistically significant differences between patients and controls in terms of median and ulnar CSAs (p>0.05). There were no correlations between median and ulnar CSAs of the dominant hand and age, height, weight, and disease duration. The median nerve CSA was >10 mm(2) in 24% of the RA patients and 14% of controls, but the difference was not statistically significant (p=0.20). CONCLUSION: Similar median and ulnar CSAs were detected in RA patients and healthy controls. These findings cannot rule out a subclinical neurologic involvement. |
format | Online Article Text |
id | pubmed-10481700 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2022 |
publisher | Turkish League Against Rheumatism |
record_format | MEDLINE/PubMed |
spelling | pubmed-104817002023-09-07 Comparison of the median and ulnar nerves of rheumatoid arthritis patients and healthy subjects by ultrasound Atan Uzun, Çiğdem Sunar, İsmihan Günendi, Zafer Göğüş, Feride Nur Arch Rheumatol Original Article OBJECTIVES: In this study, we aimed to investigate ulnar and median nerve cross-sectional areas (CSAs) by ultrasonography in RA patients who had no signs or symptoms of neurologic involvement. PATIENTS AND METHODS: This case-control study was conducted with 76 participants (72 females, 4 males; mean age: 53.2+10.9 years; range, 18 to 65 years) between April 2011 and April 2013. Of the participants, 38 were RA patients without any signs or symptoms of ulnar or median nerve involvement, and 38 were healthy subjects. All participants were evaluated with ultrasound. The median and ulnar nerve CSAs were measured at the proximal inlet of the carpal tunnel using the pisiform bone as a landmark. RESULTS: There were no statistically significant differences between patients and controls in terms of median and ulnar CSAs (p>0.05). There were no correlations between median and ulnar CSAs of the dominant hand and age, height, weight, and disease duration. The median nerve CSA was >10 mm(2) in 24% of the RA patients and 14% of controls, but the difference was not statistically significant (p=0.20). CONCLUSION: Similar median and ulnar CSAs were detected in RA patients and healthy controls. These findings cannot rule out a subclinical neurologic involvement. Turkish League Against Rheumatism 2022-10-21 /pmc/articles/PMC10481700/ /pubmed/37680523 http://dx.doi.org/10.46497/ArchRheumatol.2023.9027 Text en Copyright © 2023, Turkish League Against Rheumatism https://creativecommons.org/licenses/by-nc/4.0/This is an open access article under the terms of the Creative Commons Attribution-NonCommercial License, which permits use, distribution and reproduction in any medium, provided the original work is properly cited and is not used for commercial purposes. |
spellingShingle | Original Article Atan Uzun, Çiğdem Sunar, İsmihan Günendi, Zafer Göğüş, Feride Nur Comparison of the median and ulnar nerves of rheumatoid arthritis patients and healthy subjects by ultrasound |
title | Comparison of the median and ulnar nerves of rheumatoid arthritis patients and healthy subjects by ultrasound |
title_full | Comparison of the median and ulnar nerves of rheumatoid arthritis patients and healthy subjects by ultrasound |
title_fullStr | Comparison of the median and ulnar nerves of rheumatoid arthritis patients and healthy subjects by ultrasound |
title_full_unstemmed | Comparison of the median and ulnar nerves of rheumatoid arthritis patients and healthy subjects by ultrasound |
title_short | Comparison of the median and ulnar nerves of rheumatoid arthritis patients and healthy subjects by ultrasound |
title_sort | comparison of the median and ulnar nerves of rheumatoid arthritis patients and healthy subjects by ultrasound |
topic | Original Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10481700/ https://www.ncbi.nlm.nih.gov/pubmed/37680523 http://dx.doi.org/10.46497/ArchRheumatol.2023.9027 |
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