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Reliability, Feasibility and Value of Ecography in Clinical-functional Results in Patients Affected by Carpal Tunnel Syndrome: is There a Correlation?

BACKGROUND: The aim of this study was to evaluate how the ultrasound examination in the carpal tunnel diagnosis could contribute to the clinical and neurophysiological evaluation. This was done by evaluating the cross-sectional area (CSA) and its correlation with symptoms and functionality data asse...

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Autores principales: Manni, Mattia, Bisaccia, Michele, Rinonapoli, Giuseppe, Schiavone, Andrea, Meccariello, Luigi, Mccabe, Steven James, Bisaccia, Olga, Vicente, Cristina Ibáñez, Cappiello, Andrea, Caraffa, Auro
Formato: Online Artículo Texto
Lenguaje:English
Publicado: AVICENA, d.o.o., Sarajevo 2017
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5402368/
https://www.ncbi.nlm.nih.gov/pubmed/28484297
http://dx.doi.org/10.5455/aim.2017.25.44-48
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author Manni, Mattia
Bisaccia, Michele
Rinonapoli, Giuseppe
Schiavone, Andrea
Meccariello, Luigi
Mccabe, Steven James
Bisaccia, Olga
Vicente, Cristina Ibáñez
Cappiello, Andrea
Caraffa, Auro
author_facet Manni, Mattia
Bisaccia, Michele
Rinonapoli, Giuseppe
Schiavone, Andrea
Meccariello, Luigi
Mccabe, Steven James
Bisaccia, Olga
Vicente, Cristina Ibáñez
Cappiello, Andrea
Caraffa, Auro
author_sort Manni, Mattia
collection PubMed
description BACKGROUND: The aim of this study was to evaluate how the ultrasound examination in the carpal tunnel diagnosis could contribute to the clinical and neurophysiological evaluation. This was done by evaluating the cross-sectional area (CSA) and its correlation with symptoms and functionality data assessed by the BTQC questionnaire. METHODS: 60 patients were subjected to open CTR for idiopathic carpal tunnel syndrome. The median nerve CSA was assessed both pre-operatively and in follow-up at 4 and 12 weeks. The Boston Carpal Tunnel Questionanaire (BCTQ) was proposed at the same time. RESULTS: BCTQ score significantly improved after 4 weeks, but there was a less significant increase at 12 weeks for both the BCTQ-S and the BCTQ-F. The 4-week CSA, however, did not appear to have markedly improvement, where as the 12-week CSA turned out to be statistically significant. The correlation between BCTQ and CSA shows that post-surgery, the reduction of CSA of the median nerve is correlated with the symptomatic and functional reduction in patients. CONCLUSIONS: The study shows that the symptomatology and the functionality of the hand after surgery for the carpal tunnel resolves quickly. Furthermore, the reduction of the CSA proves to show that the use of ultrasound can help in the evaluation of patients with this state.
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spelling pubmed-54023682017-05-08 Reliability, Feasibility and Value of Ecography in Clinical-functional Results in Patients Affected by Carpal Tunnel Syndrome: is There a Correlation? Manni, Mattia Bisaccia, Michele Rinonapoli, Giuseppe Schiavone, Andrea Meccariello, Luigi Mccabe, Steven James Bisaccia, Olga Vicente, Cristina Ibáñez Cappiello, Andrea Caraffa, Auro Acta Inform Med Original Paper BACKGROUND: The aim of this study was to evaluate how the ultrasound examination in the carpal tunnel diagnosis could contribute to the clinical and neurophysiological evaluation. This was done by evaluating the cross-sectional area (CSA) and its correlation with symptoms and functionality data assessed by the BTQC questionnaire. METHODS: 60 patients were subjected to open CTR for idiopathic carpal tunnel syndrome. The median nerve CSA was assessed both pre-operatively and in follow-up at 4 and 12 weeks. The Boston Carpal Tunnel Questionanaire (BCTQ) was proposed at the same time. RESULTS: BCTQ score significantly improved after 4 weeks, but there was a less significant increase at 12 weeks for both the BCTQ-S and the BCTQ-F. The 4-week CSA, however, did not appear to have markedly improvement, where as the 12-week CSA turned out to be statistically significant. The correlation between BCTQ and CSA shows that post-surgery, the reduction of CSA of the median nerve is correlated with the symptomatic and functional reduction in patients. CONCLUSIONS: The study shows that the symptomatology and the functionality of the hand after surgery for the carpal tunnel resolves quickly. Furthermore, the reduction of the CSA proves to show that the use of ultrasound can help in the evaluation of patients with this state. AVICENA, d.o.o., Sarajevo 2017-03 /pmc/articles/PMC5402368/ /pubmed/28484297 http://dx.doi.org/10.5455/aim.2017.25.44-48 Text en Copyright: © 2017 Mattia Manni, Michele Bisaccia, Giuseppe Rinonapoli, Andrea Schiavone, Luigi Meccariello, Steven James Mccabe, Olga Bisaccia, Cristina Ibáñez Vicente, Andrea Cappiello, Auro Caraffa http://creativecommons.org/licenses/by-nc/4.0 This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/4.0/) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Original Paper
Manni, Mattia
Bisaccia, Michele
Rinonapoli, Giuseppe
Schiavone, Andrea
Meccariello, Luigi
Mccabe, Steven James
Bisaccia, Olga
Vicente, Cristina Ibáñez
Cappiello, Andrea
Caraffa, Auro
Reliability, Feasibility and Value of Ecography in Clinical-functional Results in Patients Affected by Carpal Tunnel Syndrome: is There a Correlation?
title Reliability, Feasibility and Value of Ecography in Clinical-functional Results in Patients Affected by Carpal Tunnel Syndrome: is There a Correlation?
title_full Reliability, Feasibility and Value of Ecography in Clinical-functional Results in Patients Affected by Carpal Tunnel Syndrome: is There a Correlation?
title_fullStr Reliability, Feasibility and Value of Ecography in Clinical-functional Results in Patients Affected by Carpal Tunnel Syndrome: is There a Correlation?
title_full_unstemmed Reliability, Feasibility and Value of Ecography in Clinical-functional Results in Patients Affected by Carpal Tunnel Syndrome: is There a Correlation?
title_short Reliability, Feasibility and Value of Ecography in Clinical-functional Results in Patients Affected by Carpal Tunnel Syndrome: is There a Correlation?
title_sort reliability, feasibility and value of ecography in clinical-functional results in patients affected by carpal tunnel syndrome: is there a correlation?
topic Original Paper
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5402368/
https://www.ncbi.nlm.nih.gov/pubmed/28484297
http://dx.doi.org/10.5455/aim.2017.25.44-48
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