Ultrasonographic evaluation of median and ulnar nerves in patients with carpal tunnel syndrome

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dc.authorscopusid56072325600
dc.authorscopusid15069811700
dc.authorscopusid6602822048
dc.contributor.authorAylanç N.
dc.contributor.authorTemizöz O.
dc.contributor.authorBalci K.
dc.date.accessioned2024-06-12T10:29:07Z
dc.date.available2024-06-12T10:29:07Z
dc.date.issued2015
dc.description.abstractCarpal tunnel syndrome, is the most common entrapment neuropathy caused by compression of the median nerve at the wrist. History, physical examination and provocative tests may be enough in moderate ve severe cases. In mild cases if physical examination and electrodiagnostic tests are normal and history and symptoms still suggest carpal tunnel syndrome than imaging methods (ultrasonography, magnetic resonance imaging,.) may be helpful for the diagnosis. In our study, sonographic cross-sectional areas of the median nerve and the ratio of median and ulnar nerve cross-sectional area were compared with the results of electromyography findings. In this study, between January 2010 and January 2011, 41 patients (36 female, 5 male) who who confirmed the diagnosis of carpal tunnel syndrome at our outpatient clinic of Neurology of Trakya University Faculty of Medicine and electromygraphy lab and 26 subjects (22 female, 4 male) of healthy control were examined and ultrasonography was performed for these in order to evaluate median and ulnar nevre. 71 wrists in patient group and 52 wrists in control group were examined. In patients with carpal tunnel syndrome, median nerve cross-sectional area and the ratio of median nerve cross-sectional area to ulnar nerve cross-sectional area values were significantly higher than the control group. However, these values were not differ significantly in terms of age and gender. Electrophysiologically in median motor nerve conduction velocity, there is a and mild groups (p = 0.002) but there is no significant difference between severe and moderate group statistically (p = 0.034). In ulnar motor nerve amplitude and ulnar sensory nerve amplitude there was no significant difference (p>0.005) between mild, moderate and severe groups while in ulnar motor nerve conduction velocity, ulnar sensory nerve conduction velocity, median motor nerve distal latency, median motor nerve amplitude, median sensory nerve amplitude, median sensory nerve conduction velocity there was significant difference (p<0,005) between these groups was detected. Ultrasonography is not an alternative diagnostic method for electrodiagnostic tests. Both of these are complementary to each other. We recommend that measurement of cross-sectional area of the median nerve with the ratio of cross-sectional area of median nerve to the ulnar nerve should also be evaluated in ultrasonographic examination in the diagnosis of carpal tunnel syndrome. © 2015 Anatolian Journal of Clinical Investigation. All rights reserved.en_US
dc.identifier.endpage111en_US
dc.identifier.issn1306-8814
dc.identifier.issue3en_US
dc.identifier.scopus2-s2.0-84936888061en_US
dc.identifier.scopusqualityN/Aen_US
dc.identifier.startpage103en_US
dc.identifier.urihttps://hdl.handle.net/20.500.14551/17568
dc.identifier.volume9en_US
dc.indekslendigikaynakScopusen_US
dc.language.isotren_US
dc.publisherAnatolian Journal of Clinical Investigationen_US
dc.relation.ispartofAnatolian Journal of Clinical Investigationen_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/closedAccessen_US
dc.subjectCarpal Tunnel Syndrome; Median Nerve Cross-Sectional Area; Ulnar Nerve Cross-Sectional Area; Ultrasonographyen_US
dc.subjectAge; Article; Carpal Tunnel Syndrome; Clinical Article; Controlled Study; Disease Severity; Echography; Electromyography; Female; Gender; Human; Intermethod Comparison; Male; Median Nerve; Motor Nerve Conduction; Nerve Cross Sectional Area; Nervous System Parameters; Neurology; Outpatient Department; Ulnar Nerve; Wristen_US
dc.titleUltrasonographic evaluation of median and ulnar nerves in patients with carpal tunnel syndromeen_US
dc.title.alternativeKarpal tünel sendromlu hastalarda median ve ulnar sinirin ultrasonografik olarak değerlendirilmesien_US
dc.typeArticleen_US

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