Sonographic Wrist Measurements and Detection of Anatomical Features in Carpal Tunnel Syndrome
Introduction. This study compares anatomical findings at wrist level in patients with known carpal tunnel syndrome (CTS) and controls by ultrasonography (US). Material and Methods. Wrist-US investigations of 28 consecutive patients with 38 diagnosed, idiopathic CTS were compared to 49 healthy volun...
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Wiley
2014-01-01
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| Series: | The Scientific World Journal |
| Online Access: | http://dx.doi.org/10.1155/2014/657906 |
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| author | Esther Vögelin Thomas Mészàros Franziska Schöni Mihai A. Constantinescu |
| author_facet | Esther Vögelin Thomas Mészàros Franziska Schöni Mihai A. Constantinescu |
| author_sort | Esther Vögelin |
| collection | DOAJ |
| description | Introduction. This study compares anatomical findings at wrist level in patients with known carpal tunnel syndrome (CTS) and controls by ultrasonography (US).
Material and Methods. Wrist-US investigations of 28 consecutive patients with 38 diagnosed, idiopathic CTS were compared to 49 healthy volunteers without history of CTS. Internal wrists dimensions, the presence of flexor muscle bellies in the carpal tunnel, and cross-sectional area of the median nerve were analyzed. The findings were correlated to gender, age, and BMI. Results. US demonstrated a square internal carpal tunnel configuration in CTS patients compared to controls (P<0.001). Patients with CTS showed a trend towards the presence of flexor muscles bellies in the carpal tunnel (odds ratio 1.77, 95% CI 0.337–8.33). CTS was present in women with higher BMI (P=0.015). Conclusion. US allowed detection of specific anatomical features at wrist level in CTS patients. This observation may enable—following confirmation in larger prospective studies—risk evaluation for CTS development. |
| format | Article |
| id | doaj-art-99a15335478d43c1bb6c90ed8f65329b |
| institution | Kabale University |
| issn | 2356-6140 1537-744X |
| language | English |
| publishDate | 2014-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | The Scientific World Journal |
| spelling | doaj-art-99a15335478d43c1bb6c90ed8f65329b2025-02-03T01:28:51ZengWileyThe Scientific World Journal2356-61401537-744X2014-01-01201410.1155/2014/657906657906Sonographic Wrist Measurements and Detection of Anatomical Features in Carpal Tunnel SyndromeEsther Vögelin0Thomas Mészàros1Franziska Schöni2Mihai A. Constantinescu3Department of Plastic and Hand Surgery, University Hospital, Inselspital, University of Bern, Freiburgstraße, 3010 Bern, SwitzerlandDepartment of Plastic and Hand Surgery, University Hospital, Inselspital, University of Bern, Freiburgstraße, 3010 Bern, SwitzerlandEtude Suisse de Cohorte VIH, CHUV, Bipôle 2, Route de la Corniche 10, 1010 Lausanne, SwitzerlandDepartment of Plastic and Hand Surgery, University Hospital, Inselspital, University of Bern, Freiburgstraße, 3010 Bern, SwitzerlandIntroduction. This study compares anatomical findings at wrist level in patients with known carpal tunnel syndrome (CTS) and controls by ultrasonography (US). Material and Methods. Wrist-US investigations of 28 consecutive patients with 38 diagnosed, idiopathic CTS were compared to 49 healthy volunteers without history of CTS. Internal wrists dimensions, the presence of flexor muscle bellies in the carpal tunnel, and cross-sectional area of the median nerve were analyzed. The findings were correlated to gender, age, and BMI. Results. US demonstrated a square internal carpal tunnel configuration in CTS patients compared to controls (P<0.001). Patients with CTS showed a trend towards the presence of flexor muscles bellies in the carpal tunnel (odds ratio 1.77, 95% CI 0.337–8.33). CTS was present in women with higher BMI (P=0.015). Conclusion. US allowed detection of specific anatomical features at wrist level in CTS patients. This observation may enable—following confirmation in larger prospective studies—risk evaluation for CTS development.http://dx.doi.org/10.1155/2014/657906 |
| spellingShingle | Esther Vögelin Thomas Mészàros Franziska Schöni Mihai A. Constantinescu Sonographic Wrist Measurements and Detection of Anatomical Features in Carpal Tunnel Syndrome The Scientific World Journal |
| title | Sonographic Wrist Measurements and Detection of Anatomical Features in Carpal Tunnel Syndrome |
| title_full | Sonographic Wrist Measurements and Detection of Anatomical Features in Carpal Tunnel Syndrome |
| title_fullStr | Sonographic Wrist Measurements and Detection of Anatomical Features in Carpal Tunnel Syndrome |
| title_full_unstemmed | Sonographic Wrist Measurements and Detection of Anatomical Features in Carpal Tunnel Syndrome |
| title_short | Sonographic Wrist Measurements and Detection of Anatomical Features in Carpal Tunnel Syndrome |
| title_sort | sonographic wrist measurements and detection of anatomical features in carpal tunnel syndrome |
| url | http://dx.doi.org/10.1155/2014/657906 |
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