Optimal Ultrasonographic Measurements for Diagnosing Carpal Tunnel Syndrome in Patients With Diabetic Sensorimotor Polyneuropathy: A Case-Control Study
OBJECTIVE: To investigate the optimal sonographic method for diagnosing carpal tunnel syndrome (CTS) in patients with diabetic sensorimotor polyneuropathy (DSP). METHODS: A total of 190 participants were divided into four groups based on DSP history and electrodiagnostic results of CTS. The absolute...
Autores principales: | , , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
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Korean Academy of Rehabilitation Medicine
2019
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Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6409665/ https://www.ncbi.nlm.nih.gov/pubmed/30852870 http://dx.doi.org/10.5535/arm.2019.43.1.45 |
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author | Park, Ji Woong Lee, Seokmin Jang, Rhee Wook Lee, Sungche Lee, Sanghoon Cho, Hyunchul Choi, Yoon-Hee Kwak, Jinmyoung |
author_facet | Park, Ji Woong Lee, Seokmin Jang, Rhee Wook Lee, Sungche Lee, Sanghoon Cho, Hyunchul Choi, Yoon-Hee Kwak, Jinmyoung |
author_sort | Park, Ji Woong |
collection | PubMed |
description | OBJECTIVE: To investigate the optimal sonographic method for diagnosing carpal tunnel syndrome (CTS) in patients with diabetic sensorimotor polyneuropathy (DSP). METHODS: A total of 190 participants were divided into four groups based on DSP history and electrodiagnostic results of CTS. The absolute parameters were measured at baseline and the relative values were calculated: maximal cross-sectional area (CSA) of the median nerve throughout the carpal tunnel (Mmax), median nerve CSA at the forearm level (Mf), ulnar nerve CSA at the pisiform level (Upi), difference between Mmax and Mf (∆MM), and difference between Mmax and Upi (∆MU). Then, the optimal ultrasonographic parameters for diagnosing CTS, according to the presence of DSP, using absolute and relative cutoff values were analyzed. RESULTS: Median and ulnar nerve CSAs were significantly larger in the DSP group than in the control group. In the DSP participants, the mean Mmax, ∆MM, and ∆MU values were significantly larger in patients with both DSP and CTS than in patients with DSP only. The Mmax thresholds of 9.5 mm(2) in the control group and 11.5 mm(2) in the DSP group showed the greatest sensitivity and specificity for diagnosing CTS. The ∆MM thresholds of 2.5 mm(2) and ∆MU thresholds of 4.5 mm(2) had the greatest sensitivity and specificity in both the DSP and control groups. CONCLUSION: Measurement of Mmax, ∆MM and ∆MU is an optimal ultrasonographic evaluation method for diagnosing CTS in patients with DSP. |
format | Online Article Text |
id | pubmed-6409665 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2019 |
publisher | Korean Academy of Rehabilitation Medicine |
record_format | MEDLINE/PubMed |
spelling | pubmed-64096652019-03-15 Optimal Ultrasonographic Measurements for Diagnosing Carpal Tunnel Syndrome in Patients With Diabetic Sensorimotor Polyneuropathy: A Case-Control Study Park, Ji Woong Lee, Seokmin Jang, Rhee Wook Lee, Sungche Lee, Sanghoon Cho, Hyunchul Choi, Yoon-Hee Kwak, Jinmyoung Ann Rehabil Med Original Article OBJECTIVE: To investigate the optimal sonographic method for diagnosing carpal tunnel syndrome (CTS) in patients with diabetic sensorimotor polyneuropathy (DSP). METHODS: A total of 190 participants were divided into four groups based on DSP history and electrodiagnostic results of CTS. The absolute parameters were measured at baseline and the relative values were calculated: maximal cross-sectional area (CSA) of the median nerve throughout the carpal tunnel (Mmax), median nerve CSA at the forearm level (Mf), ulnar nerve CSA at the pisiform level (Upi), difference between Mmax and Mf (∆MM), and difference between Mmax and Upi (∆MU). Then, the optimal ultrasonographic parameters for diagnosing CTS, according to the presence of DSP, using absolute and relative cutoff values were analyzed. RESULTS: Median and ulnar nerve CSAs were significantly larger in the DSP group than in the control group. In the DSP participants, the mean Mmax, ∆MM, and ∆MU values were significantly larger in patients with both DSP and CTS than in patients with DSP only. The Mmax thresholds of 9.5 mm(2) in the control group and 11.5 mm(2) in the DSP group showed the greatest sensitivity and specificity for diagnosing CTS. The ∆MM thresholds of 2.5 mm(2) and ∆MU thresholds of 4.5 mm(2) had the greatest sensitivity and specificity in both the DSP and control groups. CONCLUSION: Measurement of Mmax, ∆MM and ∆MU is an optimal ultrasonographic evaluation method for diagnosing CTS in patients with DSP. Korean Academy of Rehabilitation Medicine 2019-02 2019-02-28 /pmc/articles/PMC6409665/ /pubmed/30852870 http://dx.doi.org/10.5535/arm.2019.43.1.45 Text en Copyright © 2019 by Korean Academy of Rehabilitation Medicine 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 Article Park, Ji Woong Lee, Seokmin Jang, Rhee Wook Lee, Sungche Lee, Sanghoon Cho, Hyunchul Choi, Yoon-Hee Kwak, Jinmyoung Optimal Ultrasonographic Measurements for Diagnosing Carpal Tunnel Syndrome in Patients With Diabetic Sensorimotor Polyneuropathy: A Case-Control Study |
title | Optimal Ultrasonographic Measurements for Diagnosing Carpal Tunnel Syndrome in Patients With Diabetic Sensorimotor Polyneuropathy: A Case-Control Study |
title_full | Optimal Ultrasonographic Measurements for Diagnosing Carpal Tunnel Syndrome in Patients With Diabetic Sensorimotor Polyneuropathy: A Case-Control Study |
title_fullStr | Optimal Ultrasonographic Measurements for Diagnosing Carpal Tunnel Syndrome in Patients With Diabetic Sensorimotor Polyneuropathy: A Case-Control Study |
title_full_unstemmed | Optimal Ultrasonographic Measurements for Diagnosing Carpal Tunnel Syndrome in Patients With Diabetic Sensorimotor Polyneuropathy: A Case-Control Study |
title_short | Optimal Ultrasonographic Measurements for Diagnosing Carpal Tunnel Syndrome in Patients With Diabetic Sensorimotor Polyneuropathy: A Case-Control Study |
title_sort | optimal ultrasonographic measurements for diagnosing carpal tunnel syndrome in patients with diabetic sensorimotor polyneuropathy: a case-control study |
topic | Original Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6409665/ https://www.ncbi.nlm.nih.gov/pubmed/30852870 http://dx.doi.org/10.5535/arm.2019.43.1.45 |
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