Determination of cut-off point of cross-sectional area of median nerve at the wrist for diagnosing carpal tunnel syndrome

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GHASEMI MAJID; MASOUMI SANAZ; ANSARI BEHNAZ; FEREIDAN ESFAHANI MAHBOOBEH; MOUSAVI SEYED MORTEZA

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Journal: Current Journal of Neurology Year:2017 | Volume:16 | Issue:4 Page(s): 164-167

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Title

Determination of cut-off point of cross-sectional area of median nerve at the wrist for diagnosing carpal tunnel syndrome

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Keywords

Carpal Tunnel Syndrome

Electrophysiology

Ultrasonography

Abstract

Background: The most common entrapment mononeuropathy of the upper extremity is Carpal Tunnel Syndrome (CTS). It consists 90% of entrapment neuropathies. The purpose of this study was to compare cross-sectional area (CSA) of the median nerve at the wrist in CTS patients and healthy controls and define the best cut-off point of CSA to differentiate patients and controls in Iranian population. Methods: In this study, 45 patients with confirmed idiopathic CTS and 62 healthy controls were evaluated. Based on electrophysiological findings, patients were divided based on CTS severity into three groups of mild, moderate and severe. The largest CSA was measured at the level of distal wrist crease which is consistent with carpal tunnel inlet. Results: Mean CSA was 0. 124 ± 0. 031 mm2, 0. 146 ± 0. 028 mm2 and 0. 194 ± 0. 062 mm2 in mild, moderate and severe CTS patients respectively, and 0. 077 ± 0. 011 mm2 in controls. Our results showed that participants with CSA > 0. 010 had CTS with 100% specificity and 83. 12% sensitivity. Conclusion: It is possible to diagnose CTS by measuring CSA and using above-mentioned cut-off point.

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APA: Copy

GHASEMI, MAJID, MASOUMI, SANAZ, ANSARI, BEHNAZ, FEREIDAN ESFAHANI, MAHBOOBEH, & MOUSAVI, SEYED MORTEZA. (2017). Determination of cut-off point of cross-sectional area of median nerve at the wrist for diagnosing carpal tunnel syndrome. CURRENT JOURNAL OF NEUROLOGY (IRANIAN JOURNAL OF NEUROLOGY), 16(4), 164-167. SID. https://sid.ir/paper/717661/en

Vancouver: Copy

GHASEMI MAJID, MASOUMI SANAZ, ANSARI BEHNAZ, FEREIDAN ESFAHANI MAHBOOBEH, MOUSAVI SEYED MORTEZA. Determination of cut-off point of cross-sectional area of median nerve at the wrist for diagnosing carpal tunnel syndrome. CURRENT JOURNAL OF NEUROLOGY (IRANIAN JOURNAL OF NEUROLOGY)[Internet]. 2017;16(4):164-167. Available from: https://sid.ir/paper/717661/en

IEEE: Copy

MAJID GHASEMI, SANAZ MASOUMI, BEHNAZ ANSARI, MAHBOOBEH FEREIDAN ESFAHANI, and SEYED MORTEZA MOUSAVI, “Determination of cut-off point of cross-sectional area of median nerve at the wrist for diagnosing carpal tunnel syndrome,” CURRENT JOURNAL OF NEUROLOGY (IRANIAN JOURNAL OF NEUROLOGY), vol. 16, no. 4, pp. 164–167, 2017, [Online]. Available: https://sid.ir/paper/717661/en

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