MUSCULOSKELETAL ULTRASONOGRAPHIC VALUES FOR DIFFERENT SEVERITIES OF CARPAL TUNNEL SYNDROME IN A PAKISTANI COHORT

Objective: To identify the cutoff values suggested by musculoskeletal ultrasound for the diagnosis of different severities of carpal tunnel syndrome and compare the parameters among males and females and patients with and without comorbidities of hypertension, diabetes mellitus, and hypothyroidism....

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Autores principales:	Noreen Akhtar, Saeed Bin Ayaz, Atif Ahmed Khan, Rehana Yasmeen
Formato:	article
Lenguaje:	EN
Publicado:	Army Medical College Rawalpindi 2020
Materias:	carpal tunnel syndrome electrophysiology median nerve ultrasonography Medicine R Medicine (General) R5-920
Acceso en línea:	https://doaj.org/article/ef6e60d007fd4da7b12641f70c9141c5
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spelling	oai:doaj.org-article:ef6e60d007fd4da7b12641f70c9141c52021-12-02T17:38:58ZMUSCULOSKELETAL ULTRASONOGRAPHIC VALUES FOR DIFFERENT SEVERITIES OF CARPAL TUNNEL SYNDROME IN A PAKISTANI COHORT0030-96482411-8842https://doaj.org/article/ef6e60d007fd4da7b12641f70c9141c52020-10-01T00:00:00Zhttps://pafmj.org/index.php/PAFMJ/article/view/5556https://doaj.org/toc/0030-9648https://doaj.org/toc/2411-8842Objective: To identify the cutoff values suggested by musculoskeletal ultrasound for the diagnosis of different severities of carpal tunnel syndrome and compare the parameters among males and females and patients with and without comorbidities of hypertension, diabetes mellitus, and hypothyroidism. Study Design: A cross-sectional study. Place and Duration of Study: Department of Electrodiagnosis, Armed Forces Institute of Rehabilitation Medicine Rawalpindi, from Mar to Jun 2017. Methodology: Adults (20-75 years) with clinical and electrodiagnostic diagnosis of carpal tunnel syndrome were grouped into having mild, moderate, and severe disease and examined through musculoskeletal ultrasound for cross-sectional area and flattening ratio. A cross-sectional area of >9.8 mm2 was considered diagnostic of carpal tunnel syndrome. Results: There were 11 (22.9%) males and 37 (77.1%) females (mean age: 47 ± 9 years). Based on electrodiagnostic studies, 4 (8.3%) patients had mild, 18 (37.5%) had moderate, and 26 (54.2%) had severe carpal tunnel syndrome. All patients had carpal tunnel syndrome based on the cutoff value of musculoskeletal ultrasound. There was no significant difference among mean values of cross-sectional area and flattening ratio for both genders and for individuals who had diabetes mellitus, hypertension, or hypothyroidism compared to those who did not have these diseases. The cross-sectional area cutoff value for mild carpal tunnel syndrome was ≤14.4 mm2, for moderate carpal tunnel syndrome was 14.4 -15.55 mm2 and for severe carpal tunnel syndrome was >15.55 mm2. Conclusion: Musculoskeletal ultrasound is a useful modality to determine severity of carpal tunnel syndrome with cross-sectional area values of ≤14.4 mm2, 14.4-15.55 mm2, and >15.55 mm2 corresponding to mild, moderate, and severe carpal tunnel syndrome.Noreen AkhtarSaeed Bin AyazAtif Ahmed KhanRehana YasmeenArmy Medical College Rawalpindiarticlecarpal tunnel syndromeelectrophysiologymedian nerveultrasonographyMedicineRMedicine (General)R5-920ENPakistan Armed Forces Medical Journal, Vol 70, Iss 5, Pp 1315-1320 (2020)
institution	DOAJ
collection	DOAJ
language	EN
topic	carpal tunnel syndrome electrophysiology median nerve ultrasonography Medicine R Medicine (General) R5-920
spellingShingle	carpal tunnel syndrome electrophysiology median nerve ultrasonography Medicine R Medicine (General) R5-920 Noreen Akhtar Saeed Bin Ayaz Atif Ahmed Khan Rehana Yasmeen MUSCULOSKELETAL ULTRASONOGRAPHIC VALUES FOR DIFFERENT SEVERITIES OF CARPAL TUNNEL SYNDROME IN A PAKISTANI COHORT
description	Objective: To identify the cutoff values suggested by musculoskeletal ultrasound for the diagnosis of different severities of carpal tunnel syndrome and compare the parameters among males and females and patients with and without comorbidities of hypertension, diabetes mellitus, and hypothyroidism. Study Design: A cross-sectional study. Place and Duration of Study: Department of Electrodiagnosis, Armed Forces Institute of Rehabilitation Medicine Rawalpindi, from Mar to Jun 2017. Methodology: Adults (20-75 years) with clinical and electrodiagnostic diagnosis of carpal tunnel syndrome were grouped into having mild, moderate, and severe disease and examined through musculoskeletal ultrasound for cross-sectional area and flattening ratio. A cross-sectional area of >9.8 mm2 was considered diagnostic of carpal tunnel syndrome. Results: There were 11 (22.9%) males and 37 (77.1%) females (mean age: 47 ± 9 years). Based on electrodiagnostic studies, 4 (8.3%) patients had mild, 18 (37.5%) had moderate, and 26 (54.2%) had severe carpal tunnel syndrome. All patients had carpal tunnel syndrome based on the cutoff value of musculoskeletal ultrasound. There was no significant difference among mean values of cross-sectional area and flattening ratio for both genders and for individuals who had diabetes mellitus, hypertension, or hypothyroidism compared to those who did not have these diseases. The cross-sectional area cutoff value for mild carpal tunnel syndrome was ≤14.4 mm2, for moderate carpal tunnel syndrome was 14.4 -15.55 mm2 and for severe carpal tunnel syndrome was >15.55 mm2. Conclusion: Musculoskeletal ultrasound is a useful modality to determine severity of carpal tunnel syndrome with cross-sectional area values of ≤14.4 mm2, 14.4-15.55 mm2, and >15.55 mm2 corresponding to mild, moderate, and severe carpal tunnel syndrome.
format	article
author	Noreen Akhtar Saeed Bin Ayaz Atif Ahmed Khan Rehana Yasmeen
author_facet	Noreen Akhtar Saeed Bin Ayaz Atif Ahmed Khan Rehana Yasmeen
author_sort	Noreen Akhtar
title	MUSCULOSKELETAL ULTRASONOGRAPHIC VALUES FOR DIFFERENT SEVERITIES OF CARPAL TUNNEL SYNDROME IN A PAKISTANI COHORT
title_short	MUSCULOSKELETAL ULTRASONOGRAPHIC VALUES FOR DIFFERENT SEVERITIES OF CARPAL TUNNEL SYNDROME IN A PAKISTANI COHORT
title_full	MUSCULOSKELETAL ULTRASONOGRAPHIC VALUES FOR DIFFERENT SEVERITIES OF CARPAL TUNNEL SYNDROME IN A PAKISTANI COHORT
title_fullStr	MUSCULOSKELETAL ULTRASONOGRAPHIC VALUES FOR DIFFERENT SEVERITIES OF CARPAL TUNNEL SYNDROME IN A PAKISTANI COHORT
title_full_unstemmed	MUSCULOSKELETAL ULTRASONOGRAPHIC VALUES FOR DIFFERENT SEVERITIES OF CARPAL TUNNEL SYNDROME IN A PAKISTANI COHORT
title_sort	musculoskeletal ultrasonographic values for different severities of carpal tunnel syndrome in a pakistani cohort
publisher	Army Medical College Rawalpindi
publishDate	2020
url	https://doaj.org/article/ef6e60d007fd4da7b12641f70c9141c5
work_keys_str_mv	AT noreenakhtar musculoskeletalultrasonographicvaluesfordifferentseveritiesofcarpaltunnelsyndromeinapakistanicohort AT saeedbinayaz musculoskeletalultrasonographicvaluesfordifferentseveritiesofcarpaltunnelsyndromeinapakistanicohort AT atifahmedkhan musculoskeletalultrasonographicvaluesfordifferentseveritiesofcarpaltunnelsyndromeinapakistanicohort AT rehanayasmeen musculoskeletalultrasonographicvaluesfordifferentseveritiesofcarpaltunnelsyndromeinapakistanicohort
_version_	1718379856962519040

MUSCULOSKELETAL ULTRASONOGRAPHIC VALUES FOR DIFFERENT SEVERITIES OF CARPAL TUNNEL SYNDROME IN A PAKISTANI COHORT

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