Advanced searches left 3/3

Carpal Tunnel Ultrasound - Crossref

Summarized by Plex Scholar
Last Updated: 13 November 2022

* If you want to update the article please login/register

Long-term Clinical Results of Carpal Tunnel Release Using Ultrasound Guidance

Background: The aim of this study was to determine the long-term safety and effectiveness of carpal tunnel deployment using ultrasound guidance in a group of patients treated by a single physician. Methods: The study group consisted of 76 consecutive CTRs performed on 47 patients between June 2017 and April 2019, for whom a one-year follow-up was available. Twenty-five patients had simultaneous bilateral CTRs, four patients had staged bilateral CTRs, and 18 patients had unilateral CTRs. The mean global satisfaction score at 1-year was 4. 63 percent. Conclusions: CTR using ultrasound guidance is a safe and convenient procedure that results in statistically and clinically significant improvements within 1 to 2 weeks postprocedure, which can last to 1 year. In addition, simultaneous bilateral CTRs using U. S. recommendations are feasible and may be cost-effective for patients who are candidates for bilateral CTR.

Source link: https://doi.org/10.1177/1558944720988080


Ultrasound of the Median Nerve in the Surgical Treatment of Severe Carpal Tunnel Syndrome

Background The cross-sectional area of the median nerve has been measured in the diagnosis and treatment of carpal tunnel syndrome by high-resolution ultrasound. We investigated whether HRU could be able to determine the results of carpal tunnel transplantation in patients with severe CTS. Patients older than 18 years of age, with severe CTS on electrodiagnostic studies, and those who are scheduled to have carpal tunnel release were registered. HRU was used to determine median nerve CSA at the carpal tunnel inlet and forearm, at a baseline visit within 6 weeks preoperatively, and the wrist/forearm ratio was determined. Patients completed the Boston Carpal Tunnel Questionnaire, which was also completed by patients. At 6 weeks and 6 months, Boston Carpal Tunnel Questionnaire symptoms and function scores increased dramatically. Conclusions in our series of happy cases High-resolution ultrasound provides an objective assessment of surgical outcomes in cases of severe CTS, showing normalization of WFR in a variety of cases.

Source link: https://doi.org/10.1177/1558944720988075


A deep learning approach to median nerve evaluation in ultrasound images of carpal tunnel inlet

Abstract Ultrasound imaging is widely used for Carpal Tunnel Syndrome diagnosis by the analysis of median nerve morphology. The present study, which recommends a fully automated deep learning technique to median nerve segmentation from U. S. images, in order to assist sonographers. To accurately identify the median nerve on transverse U. S. images, we developed a Mask R-CNN with two additional transposed layers at segmentation head. We estimated the predicted median nerve nerve's cross-sectional area. 0. 916, 0. 235, and 0. 868 respectively, for median nerve detection and segmentation: Precision, Recall, Mean Average Precision, and Dice Similarity Coefficient values are 0. 290, 0. 936, respectively. The CSA results measured on true positive expectations were comparable to the sonographer manual tests, with a mean absolute error of 0. 918 m 2.

Source link: https://doi.org/10.1007/s11517-022-02662-5


Diagnostic potential of ultrasound in carpal tunnel syndrome with different etiologies: correlation of sonographic median nerve measures with electrodiagnostic severity.

Abstract Background: Carpal tunnel syndrome is the most common entrapment neuropathy. In the diagnosis of CTS in the Saudi population, the aim of this report was to determine the reliability and validity of high resolution musculoskeletal ultrasound. With a new analysis of their difference and their mean average, or CSAd+CSAp/2, a high resolution ultrasound was conducted to determine median nerve cross sectional area distal at the entry to the carpal tunnel and proximally at the level of pronator quadratus muscle. A positive significant correlation was also found between the CSAd, u2206 CSA, and the CSApd data with a CTS disability severity rating of CTS. Conclusions High resolution ultrasound is a reliable and accurate diagnostic tool for carpal tunnel syndrome and is closely related to CTS severity. Patients with diabetes who have diabetes tend to have higher median nerve U. S. measurement results.

Source link: https://doi.org/10.21203/rs.2.16396/v3


The Efficacy of Ultrasound Guided Platelet Rich Plasma Injection Versus Perineural Dextrose Injection in the Treatment of Severe Carpal Tunnel Syndrome

Aims: To compare the ultrasound-guided platelet rich plasma efficacy to ultrasound-guided dextrose perineural injection therapy in severe idiopathic carpal tunnel syndrome patients, patients with severe idiopathic tunnel syndrome syndrome. Patients were divided into two groups based on line of care: Group I: 30 patients were treated by two ultrasound guided injections with 3 mL PRP two weeks apart, according to Group II: 30 patients were divided into two groups according to line of care: Group I: 30 patients were divided into two groups, according to line of care: two weeks apart, two ultrasound guided injections with 3 mL PRP. Two weeks apart, 30 patients were treated by two ultrasound guided perineural injection therapy with 3 ml of 5% dextrose. Conclusions: Comparing to before treatment, there was significant clinical change, electrophysiological enhancement, and, ultrasonic improvement three month after treatment, with more improvement in group 1 than before treatment. For paresthesia, there was a significant difference between the two groups regarding VAS for pain and VAS for paresthesia three months after treatment yielded substantial improvement in the PRP group. BCTQ was a significant difference between the two groups three months after treatment, with improved results in the PRP group.

Source link: https://doi.org/10.9734/jammr/2022/v34i2131525


Nerve Ultrasound Findings in Carpal Tunnel Syndrome and its Correlation with Clinical and Electrophysiological Data

Background: The median nerve examination has been shown to be a valuable tool in carpal tunnel syndrome diagnosis by sonologic testing. Objectives: To determine the median nerve ultrasound parameters in carpal tunnel syndrome patients and find their correlation with patient reported clinical and electrophysiology findings, as well as electrophysiology findings, in order to determine the diagnostic accuracy of nerve ultrasound in CTS in comparison to clinical evaluation coupled with electrodiagnosis as the reference standard. Methods: 23 consecutive patients with carpal tunnel syndrome underwent neurosonological examination with high resolution ultrasound, including median nerve cross sectional area at carpal tunnel inlet, flattening ratio, and Wrist/forearm CSA ratio figures. Hand function status had a significant relationship with electrodiagnostic severity class, according to statistically significant correlation.

Source link: https://doi.org/10.46347/jmsh.v8i1.21.125


A Controlled Trial Evaluating the Safety and Effectiveness of Ultrasound-Guided Looped Thread Carpal Tunnel Release

Background: The opening of a transparent carpal tunnel normally takes several weeks of recovery. A less invasive, ultrasound-guided percutaneous method of releasing the transverse carpal ligament using a thread has been described. Methods: A convenience sample of 20 people with refractory moderate or severe carpal tunnel syndrome underwent TCTR of their most symptomatic hand. Hand pain and dysfunction were noticeable during the month post-TCTRTR. The following significant changes were made in the treated versus control hand: Boston Questionnaire scores, median nerve distal motor latency, transcarpal tunnel motor, and sensory nerve action potential amplitudes were among the experimental nerve stimulation amplitudes. Neither of the TCTR or control teams had significant differences in sensibility, pinch or grip strength, median nerve cross-sectional area at the carpal tunnel inlet, or wrist: the forearm median nerve CSA ratio was reported. Conclusions: This report supports previous findings that the TCTR treatment is safe and effective.

Source link: https://doi.org/10.1177/1558944719842199


Comparison of Borderline Ultrasound and Nerve Conduction Studies for Carpal Tunnel Syndrome

Background The selection of cutoff values for nerve conduction studies and ultrasound cross-sectional area in the diagnosis of carpal tunnel syndrome is crucial in determining the diagnostic accuracy of the tests. The aim of this research was to: establish the sensitivity and specificity of various electrodiagnostic and ultrasound threshold values for diagnosis of CTS diagnosis; and identify the number of hands that underwent NCS and ultrasound that were within 10% of threshold values; and determine the number of hands that were within 10% of threshold values. The median nerve pall latency of 4. 2 ms, distal sensory latency of 3. 6+ ms, the difference in median-ulnar mixed nerve palmar latency of 0. 4+ ms, and CSA of the median nerve of ten+ mm 2 were among the factors reviewed. Overall, 141 hands had at least 1 of the three electrodiagnostic variables within 10% of the diagnostic cutoff values, with 137 hands having a median nerve CSA within 10% of 10 mm 2.

Source link: https://doi.org/10.1177/1558944720964963


Localization of the Median Nerve and Flexor Pollicis Longus at the Carpal Tunnel Inlet in Patients With and Without Carpal Tunnel Syndrome Using Ultrasound

Background: The carpal tunnel's latest photos are highly varied. The aim of this investigation was to determine the presence of the median nerve and FPL in the carpal tunnel using ultrasound, and to determine whether or not the median nerve changes in carpal tunnel syndrome are related to the median nerve changes. Patients with and without CTS underwent U. S. examination of the wrist. Results: In 115 wrists, the median nerve was found, and FPL was identified in 90 wrists. CTS and 17 wrists without CTS were found on 97 wrists, as well as 17 wrists with CTS. There was a significant difference between the vertical position of the median nerve between No CTS and CTS wrists, according to a chart. Conclusions: Using U. S. of 115 wrists, the median nerve and FPL within the carpal tunnel were established, and a heat map was created to show these locations.

Source link: https://doi.org/10.1177/15589447221120841

* Please keep in mind that all text is summarized by machine, we do not bear any responsibility, and you should always check original source before taking any actions

* Please keep in mind that all text is summarized by machine, we do not bear any responsibility, and you should always check original source before taking any actions