Median nerve deformation and displacement in the carpal tunnel during finger motion.
Median nerve deformation and displacement in the carpal tunnel during finger motion.
复制标题
手指运动期间腕管中的正中神经变形和移位。
DOI：
10.1002/jor.22462
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发表时间：
2013
期刊：
影响因子：
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通讯作者：
Amadio,PeterC
中科院分区：
文献类型：
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作者：
Yoshii,Yuichi;Ishii,Tomoo;Tung,Wen-Lin;Sakai,Shinsuke;Amadio,PeterC
本研究的目的是评估腕管综合征（CTS）患者和健康对照者手指在腕管内运动时正中神经和屈肌腱变形和移位之间的相关性。通过超声评价了31名无症状志愿者的62个手腕和28名特发性CTS患者的51个手腕。在手指伸展和屈曲位置测量正中神经和中指指浅屈肌腱的位移，以及正中神经的面积、周长、最小外接矩形的长宽比和圆度。变形指数定义为手指伸展和屈曲位置的指数之比。评价了位移和变形指标之间的相关性。神经掌背移位与变形指数之间存在显著相关性（p< 0.05）。纵横比变形指数与神经的掌背移位相关性最强（-0.572，p < 0.01）。这项研究表明，有正中神经变形指数和神经掌背移位在腕管之间的关系。由于掌背神经移位方向和纵横比变形指数之间的相关性最高，这些参数可能有助于理解CTS的病理生理。© 2013骨科研究学会。由威利期刊公司出版J Orthop Res 31：1876-1880，2013
The objective of this study was to evaluate the correlations between deformation and displacement of median nerve and flexor tendons during finger motion in the carpal tunnel for both carpal tunnel syndrome (CTS) patients and healthy controls. Sixty‐two wrists of 31 asymptomatic volunteers and fifty‐one wrists of 28 idiopathic CTS patients were evaluated by ultrasound. The displacement of the median nerve and the middle finger flexor digitorum superficialis (FDS) tendon, as well as area, perimeter, aspect ratio of a minimum enclosing rectangle, and circularity of the median nerve were measured in finger extension and flexion positions. Deformation indices were defined as the ratios of indices in finger extension and flexion positions. The correlations between displacement and deformation indices were evaluated. There were significant correlations between nerve palmar–dorsal displacement and deformation indices (p< 0.05). The aspect ratio deformation index showed the strongest correlation to palmar–dorsal displacement of the nerve (−0.572,p< 0.01). This study showed that there is a relationship between median nerve deformation indices and nerve palmar–dorsal displacement in the carpal tunnel. Since the highest correlations were between palmar–dorsal nerve displacement direction and aspect ratio deformation index, these parameters may be helpful to understand the pathophysiology of CTS. © 2013 Orthopaedic Research Society. Published by Wiley Periodicals, Inc. J Orthop Res 31:1876–1880, 2013