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Is there a relationship between impaired median nerve excursion and carpal tunnel syndrome ? A systematic review

ELLIS R; BLYTH R; ARNOLD N; MINER WILLIAMS W
J HAND THER , 2017, vol. 30, n° 1, p. 3-12
Doc n°: 181923
Localisation : Documentation IRR

D.O.I. : http://dx.doi.org/DOI:10.1016/j.jht.2016.09.002
Descripteurs : AC232 - ATTEINTES DES NERFS RACHIDIENS

The objective of this
systematic review was to establish if there is a relationship between impaired
median nerve excursion and CTS. METHODS: A systematic review, following the
Preferred Reporting Items for Systematic Reviews and Meta-analyses guidelines,
was conducted. Studies were sought where in vivo median nerve excursion was
compared between people with CTS to an appropriate control group. Quality
appraisal for each study was conducted using the Newcastle-Ottawa Scale by 2
independent evaluators. RESULTS: Ten case-control studies using ultrasound
imaging to quantify median nerve excursion were included. All studies were rated
as of "moderate" methodologic quality having scored 6 or 7 (of 9 stars) for the
Newcastle-Ottawa Scale. Seven of the 10 studies concluded that median nerve
excursion was reduced in a CTS population when compared with controls.
CONCLUSION: The literature suggests that median nerve excursion is reduced in
people with CTS when compared with healthy controls. LEVEL OF EVIDENCE: 3a.
CI - Copyright (c) 2016 The Authors. Published by Elsevier Inc. All rights reserved.

Langue : ANGLAIS

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