Multidimensional Ultrasound Imaging of the Wrist: Changes of Shape and Displacement of the Median Nerve and Tendons in Carpal Tunnel Syndrome
Multidimensional Ultrasound Imaging of the Wrist: Changes of Shape and Displacement of the Median Nerve and Tendons in Carpal Tunnel Syndrome
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DOI：
10.1002/jor.22909
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发表时间：
2015-09-01
影响因子：
2.8
通讯作者：
Selles, Ruud W.
中科院分区：
文献类型：
--
作者：
Filius, Anika;Scheltens, Marjan;Selles, Ruud W.
由于纤维化变化和腕管压力增加，腕管内结构的动力学可能会在腕管综合征（CTS）中改变。超声波可以可视化这些潜在的变化，使超声波可能成为一种准确的诊断工具。为了研究这一点，我们对113名患者和42名对照者的腕管进行了成像。根据经验证的临床和神经传导研究（NCS）分类对CTS严重程度进行分类。计算正中神经、肌腱和周围组织的横向和纵向位移和形状（变化）。应用二元逻辑回归模型预测诊断价值。减少纵向神经移位（p
Dynamics of structures within the carpal tunnel may alter in carpal tunnel syndrome (CTS) due to fibrotic changes and increased carpal tunnel pressure. Ultrasound can visualize these potential changes, making ultrasound potentially an accurate diagnostic tool. To study this, we imaged the carpal tunnel of 113 patients and 42 controls. CTS severity was classified according to validated clinical and nerve conduction study (NCS) classifications. Transversal and longitudinal displacement and shape (changes) were calculated for the median nerve, tendons and surrounding tissue. To predict diagnostic value binary logistic regression modeling was applied. Reduced longitudinal nerve displacement (p