Sonographic measurements of subsynovial connective tissue thickness in patients with carpal tunnel syndrome.
Sonographic measurements of subsynovial connective tissue thickness in patients with carpal tunnel syndrome.
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DOI：
10.7863/jum.2012.31.1.31
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发表时间：
2012-01
期刊：
影响因子：
--
通讯作者：
Amadio PC
中科院分区：
文献类型：
--
作者：
van Doesburg MH;Mink van der Molen A;Henderson J;Cha SS;An KN;Amadio PC
特发性腕管综合征患者的主要病理表现是非炎症性纤维化和滑膜下结缔组织增厚。本研究的目的是通过比较腕管综合征患者和健康对照者的滑膜下结缔组织厚度来确定超声描述这种增厚的能力。在腕沟（近端隧道）、钩骨钩（中端隧道）和腕横韧带远端边缘（远端隧道）3个水平获得中指浅屈肌腱和滑膜下结缔组织的纵向超声图。测量垂直于肌腱方向的滑膜下结缔组织厚度和同一水平点的指浅屈肌腱直径。然后，创建一个厚度比。在所有3个水平上，患者的滑膜下结缔组织比对照组厚（P < 0.0001），患者的厚度范围为0.60至0.63 mm，对照组的厚度范围为0.46至0.50 mm。患者在钩端和远端水平的厚度比明显更大（P = 0.018和P = 0.018）。013年,分别)。在这项研究中，我们已经证明可以用超声测量滑膜下结缔组织的厚度，并且腕管综合征患者的组织比健康对照者更厚。
A major pathologic finding in patients with idiopathic carpal tunnel syndrome is noninflammatory fibrosis and thickening of the subsynovial connective tissue. The objective of this study was to determine the ability of sonography to depict this thickening by comparing subsynovial connective tissue thickness in patients with carpal tunnel syndrome and healthy control participants. Longitudinal sonograms of the middle finger superficial flexor tendon and subsynovial connective tissue were obtained at 3 levels: at the wrist crease (proximal tunnel), at the hook of the hamate (mid tunnel), and at the distal edge of the transverse carpal ligament (distal tunnel). The thickness of the subsynovial connective tissue perpendicular to the direction of the tendon and the diameter of the flexor digitorum superficialis tendon at the same level were measured. Then, a thickness ratio was created. At all 3 levels, the subsynovial connective tissue was thicker in patients than in controls (P < .0001) with a thickness ranging from 0.60 to 0.63 mm in patients and 0.46 to 0.50 mm in controls. The thickness ratio was significantly greater in patients at the hamate and distal levels (P = .018 and .013, respectively). With this study, we have shown that it is possible to measure subsynovial connective tissue thickness with sonography, and the tissue is thicker in patients with carpal tunnel syndrome than in healthy controls.
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DOI：
10.1054/jhsb.2001.0582
发表时间：
2001-10-01
期刊：
JOURNAL OF HAND SURGERY-BRITISH AND EUROPEAN VOLUME
影响因子：
--
作者：
Greening, J;Lynn, B;Hall-Craggs, M
通讯作者：
Hall-Craggs, M
影响因子：
19.7
作者：
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通讯作者：
Wong, KS
影响因子：
2.8
作者：
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通讯作者：
Gasparini, Giorgio
DOI：
10.2106/00004623-200407000-00014
发表时间：
2004-07-01
影响因子：
5.3
作者：
Ettema, AM;Amadio, PC;An, KN
通讯作者：
An, KN
影响因子：
2.4
作者：
Korstanje, Jan-Wiebe H.;Selles, Ruud W.;Bosch, Johan G.
通讯作者：
Bosch, Johan G.