RééDOC
75 Boulevard Lobau
54042 NANCY cedex

Christelle Grandidier Documentaliste
03 83 52 67 64


F Nous contacter

0

Article

--";3! O
     

-A +A

Sonography of the median nerve in carpal tunnel syndrome with diabetic neuropathy

The aim of this study was to determine the criteria for
ultrasonographic measurement of the cross-sectional area (CSA) of the median
nerve and differential diagnosis of patients with carpal tunnel syndrome (CTS)
with or without diabetic polyneuropathy (DPN). DESIGN: One hundred eighty-seven
patients were divided into five groups: healthy controls, CTS, diabetes with CTS
but without DPN, DPN only, and both DPN and CTS. The CSAs of the median nerve
were measured at four levels, and cutoff values to diagnose CTS with DPN were
obtained. RESULTS: All the CSAs were larger in the DPN group compared with those
in the control group. The CSAs of the median nerve at the wrist revealed no
significant differences among the groups with CTS; however, these groups
demonstrated larger CSAs at the wrist and a higher wrist/forearm ratio compared
with the DPN only group. The cutoff value for the CSA at the wrist that yielded
the highest sensitivity and specificity was 11.6 mm. CONCLUSIONS: The CSA of the
median nerve at the wrist and the wrist/forearm ratio could be useful for
diagnosing the comorbidity of CTS with DPN.

Langue : ANGLAIS

Mes paniers

4

Gerer mes paniers

0