Correlation of high-resolution ultrasonographic findings with the clinical symptoms and electrodiagnostic data in carpal tunnel syndrome

Chi Ho Lee, Taek Kun Kim, Eul Sik Yoon, Eun Sang Dhong

    Research output: Contribution to journalArticlepeer-review

    75 Citations (Scopus)

    Abstract

    There are several different imaging methods that are helpful in the diagnosis of carpal tunnel syndrome, including traditional radiography, computed tomography (CT), and magnetic resonance imaging (MRI). CT and MRI offer the advantage of providing direct visualization of the structural abnormality of the carpal tunnel and median nerve, but both of these modalities are expensive and time-consuming. Recently, high-resolution ultrasonography has been reported to be effective in the study of the musculoskeletal system. The authors designed a case-control study to assess the diagnostic value of high-resolution ultrasonography. Forty-eight patients, for a total of 96 hands, whose diagnosis was confirmed by self-administered questionnaire and electrodiagnostic tests, underwent high-resolution ultrasonographic studies. The authors compared the sonographic findings with the electromyographic data and the patients' severity scores on the self-questionnaires. Proximal swelling of the median nerve at the entrance to the carpal tunnel was found to correlate with the nerve conduction data. Also, compression of the median nerve under the transverse carpal ligament was found to correlate with the subjective symptoms. Although ultrasonography is not an ideal method of diagnosis for carpal tunnel syndrome, it may be helpful for estimating the symptom severity and nerve conduction deficit.

    Original languageEnglish
    Pages (from-to)20-23
    Number of pages4
    JournalAnnals of Plastic Surgery
    Volume54
    Issue number1
    DOIs
    Publication statusPublished - 2005 Jan

    Keywords

    • Carpal tunnel syndrome
    • Correlation
    • Ultrasonography

    ASJC Scopus subject areas

    • Surgery

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