Physical Medicine and Rehabilitation Research Center, Shahid Beheshti University of Medical Sciences, Tehran, Iran.
BMC Musculoskelet Disord. 2024 Oct 29;25(1):864. doi: 10.1186/s12891-024-07987-w.
Carpal tunnel syndrome is the most common compression neuropathy. Grading the severity of carpal tunnel syndrome is an important factor in deciding on the type of treatment. This study aims to determine the relationships between the findings of the electrodiagnosis and ultrasonography methods based on the severity of carpal tunnel syndrome.
In this prospective clinical study, 50 patients (96 wrists) who were referred to the Physical Medicine and Rehabilitation Department of the Shohada Tajrish Hospital, Tehran, Iran (from March 2021 to November 2022) were studied. All patients with a history and clinical examination related to CTS underwent electrodiagnosis studies. Based on the results of electrodiagnosis, patients were divided into three groups: mild, moderate, and severe. All eligible patients underwent ultrasound at the cross-section of the wrist (at the level of the pisiform bone, the entrance of the canal) and the middle of the forearm.
In this study, the cross-sectional area of the median nerve was measured in 96 wrists of 50 patients with a mean age of 51.78 ± 9.80 years. The mean CSA of the median nerve in the mild, moderate, and severe groups was reported as 0.12 ± 0.03, 0.14 ± 0.02, and 0.21 ± 0.06, respectively. The mean WFR in different groups of CTS was reported as 1.85 ± 0.56, 1.93 ± 0.56, and 2.45 ± 0.49, respectively. A significant relationship between ultrasound findings, including CSA-inlet and WFR, and electrodiagnosis findings was presented (P value < 0.05).
Based on our findings, there is a statistically significant relationship between the sonographic findings, including the mean CSA-inlet and WFR, and the severity of CTS based on the electrodiagnosis study. Our findings revealed that as disease severity increases, sonographic parameters also increase significantly.
腕管综合征是最常见的压迫性神经病变。对腕管综合征的严重程度进行分级是决定治疗类型的一个重要因素。本研究旨在根据腕管综合征的严重程度确定电诊断和超声检查方法的结果之间的关系。
在这项前瞻性临床研究中，研究了 50 名（96 只手腕）患者，他们均来自伊朗德黑兰 Shohada Tajrish 医院的物理医学和康复科（2021 年 3 月至 2022 年 11 月）。所有有腕管综合征病史和临床检查的患者均进行了电诊断研究。根据电诊断结果，患者被分为三组：轻度、中度和重度。所有符合条件的患者均在手腕的横截面上（在豌豆骨水平、通道入口处）和前臂中部进行了超声检查。
在这项研究中，对 50 名患者的 96 只手腕的正中神经横截面积进行了测量，这些患者的平均年龄为 51.78±9.80 岁。轻度、中度和重度组的正中神经 CSA 平均值分别为 0.12±0.03、0.14±0.02 和 0.21±0.06。不同 CTS 组的平均 WFR 分别报告为 1.85±0.56、1.93±0.56 和 2.45±0.49。超声检查结果，包括 CSA 入口和 WFR，与电诊断检查结果之间存在显著关系（P 值<0.05）。
根据我们的发现，超声检查结果，包括平均 CSA 入口和 WFR，与电诊断研究中腕管综合征的严重程度之间存在统计学显著关系。我们的发现表明，随着疾病严重程度的增加，超声参数也显著增加。
