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The Journal of the American Academy of Orthopaedic Surgeons · 2019

Median Nerve Ultrasonography Measurements Correlate With Electrodiagnostic Carpal Tunnel Syndrome Severity.

СтатьяНазвание и аннотация: Перевод в очереди
Обработка статьи · этапы, ошибки и управление
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Ting Beverlie L, Blazar Philip E, Collins Jamie E, Mora Ariana N, Salajegheh Mohammad Kian, Amato Anthony A, Earp Brandon E

Аннотация

INTRODUCTION: The purpose of this study was to assess whether median nerve ultrasonography (US) measurements correlate with the severity scale of electrodiagnostic studies (EDS) of carpal tunnel syndrome (CTS).

METHODS: A retrospective review was conducted of patients aged ≥18 years who underwent both median nerve US and EDS. US measurements of the median nerve cross-sectional area at the distal wrist crease and forearm were used to calculate the median nerve wrist-to-forearm ratio. EDS severity was classified according to guidelines from the American Association of Electrodiagnostic Medicine.

RESULTS: A total of 112 wrists (n = 112) in 78 consecutive patients with a mean age of 59 (range, 26 to 88) years were included. Increased cross-sectional area at the distal wrist crease and wrist-to-forearm ratio were significantly correlated with increased EDS severity (P < 0.0001).

DISCUSSION: Median nerve US measurements not only distinguished between normal and abnormal EDS but also correlated with the category of EDS severity.

LEVEL OF EVIDENCE: Diagnostic III.

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