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High-frequency ultrasound in carpal tunnel syndrome: assessment of patient eligibility for surgical treatment

Carpal tunnel syndrome (CTS) is the most common entrapment neuropathy and a frequent cause of sick leaves because of work-related hand overload. That is why an early diagnosis and adequate treatment (conservative or surgical) are essential for optimal patient management. AIM: The aim of the study is...

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Autores principales: Kapuścińska, Katarzyna, Urbanik, Andrzej
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Medical Communications Sp. z o.o. 2015
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4657392/
https://www.ncbi.nlm.nih.gov/pubmed/26673415
http://dx.doi.org/10.15557/JoU.2015.0025
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author Kapuścińska, Katarzyna
Urbanik, Andrzej
author_facet Kapuścińska, Katarzyna
Urbanik, Andrzej
author_sort Kapuścińska, Katarzyna
collection PubMed
description Carpal tunnel syndrome (CTS) is the most common entrapment neuropathy and a frequent cause of sick leaves because of work-related hand overload. That is why an early diagnosis and adequate treatment (conservative or surgical) are essential for optimal patient management. AIM: The aim of the study is to assess the usefulness of high-frequency ultrasound in CTS for the assessment of patient eligibility for surgical treatment. MATERIAL AND METHODS: The study involved 62 patients (50 women and 12 men, aged 28–70, mean age 55.2) with scheduled surgeries of CTS on the basis of clinical symptoms, physical examination performed by a neurosurgeon and a positive result of EMG testing. The ultrasound examinations of the wrist were performed in all these patients. On the basis of the collected data, the author has performed multiple analyses to confirm the usefulness of ultrasound imaging in assessing patient eligibility for surgical treatment of CTS. RESULTS: US examinations showed evidence of median nerve compression at the level of the carpal tunnel in all of the examined patients. This was further confirmed during surgical procedures. The mean value of the cross-sectional area at the proximal part of the pisiform bone was 17.45 mm(2) (min. 12 mm(2), max. 31 mm(2)). Nerve hypoechogenicity proximal to the nerve compression site was visible in all 62 patients (100%). Increased nerve vascularity on the transverse section was present in 50 patients (80.65%). CONCLUSIONS: Ultrasonography with the use of high-frequency transducers is a valuable diagnostic tool both for assessing patient eligibility for surgical treatment of CTS, and in postoperative assessment of the treatment efficacy.
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spelling pubmed-46573922015-12-15 High-frequency ultrasound in carpal tunnel syndrome: assessment of patient eligibility for surgical treatment Kapuścińska, Katarzyna Urbanik, Andrzej J Ultrason Original Papers Carpal tunnel syndrome (CTS) is the most common entrapment neuropathy and a frequent cause of sick leaves because of work-related hand overload. That is why an early diagnosis and adequate treatment (conservative or surgical) are essential for optimal patient management. AIM: The aim of the study is to assess the usefulness of high-frequency ultrasound in CTS for the assessment of patient eligibility for surgical treatment. MATERIAL AND METHODS: The study involved 62 patients (50 women and 12 men, aged 28–70, mean age 55.2) with scheduled surgeries of CTS on the basis of clinical symptoms, physical examination performed by a neurosurgeon and a positive result of EMG testing. The ultrasound examinations of the wrist were performed in all these patients. On the basis of the collected data, the author has performed multiple analyses to confirm the usefulness of ultrasound imaging in assessing patient eligibility for surgical treatment of CTS. RESULTS: US examinations showed evidence of median nerve compression at the level of the carpal tunnel in all of the examined patients. This was further confirmed during surgical procedures. The mean value of the cross-sectional area at the proximal part of the pisiform bone was 17.45 mm(2) (min. 12 mm(2), max. 31 mm(2)). Nerve hypoechogenicity proximal to the nerve compression site was visible in all 62 patients (100%). Increased nerve vascularity on the transverse section was present in 50 patients (80.65%). CONCLUSIONS: Ultrasonography with the use of high-frequency transducers is a valuable diagnostic tool both for assessing patient eligibility for surgical treatment of CTS, and in postoperative assessment of the treatment efficacy. Medical Communications Sp. z o.o. 2015-09-30 2015-09 /pmc/articles/PMC4657392/ /pubmed/26673415 http://dx.doi.org/10.15557/JoU.2015.0025 Text en 2015 Polish Ultrasound Society. Published by Medical Communications Sp. z o.o. All rights reserved. http://creativecommons.org/licenses/by-nc-nd This is an open-access article distributed under the terms of the Creative Commons Attribution-NonCommercial-NoDerivatives License (CC BY-NC-ND). Reproduction is permitted for personal, educational, non-commercial use, provided that the original article is in whole, unmodified, and properly cited.
spellingShingle Original Papers
Kapuścińska, Katarzyna
Urbanik, Andrzej
High-frequency ultrasound in carpal tunnel syndrome: assessment of patient eligibility for surgical treatment
title High-frequency ultrasound in carpal tunnel syndrome: assessment of patient eligibility for surgical treatment
title_full High-frequency ultrasound in carpal tunnel syndrome: assessment of patient eligibility for surgical treatment
title_fullStr High-frequency ultrasound in carpal tunnel syndrome: assessment of patient eligibility for surgical treatment
title_full_unstemmed High-frequency ultrasound in carpal tunnel syndrome: assessment of patient eligibility for surgical treatment
title_short High-frequency ultrasound in carpal tunnel syndrome: assessment of patient eligibility for surgical treatment
title_sort high-frequency ultrasound in carpal tunnel syndrome: assessment of patient eligibility for surgical treatment
topic Original Papers
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4657392/
https://www.ncbi.nlm.nih.gov/pubmed/26673415
http://dx.doi.org/10.15557/JoU.2015.0025
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