Ultrasound for carpal tunnel syndrome screening in manual laborers.

Ultrasound for carpal tunnel syndrome screening in manual laborers.
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DOI:
10.1002/mus.23735
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发表时间:
2013-07
期刊:
影响因子:
3.4
通讯作者:
Quandt, Sara A.
Quandt, Sara A.
中科院分区:
医学3区
文献类型:
--
作者:
Cartwright, Michael S.;Walker, Francis O.;Blocker, Jill N.;Schulz, Mark R.;Arcury, Thomas A.;Grzywacz, Joseph G.;Mora, Dana;Chen, Haiying;Marin, Antonio J.;Quandt, Sara A.

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体力劳动者患腕管综合征 (CTS) 的风险较高,通常结合病史、体格检查和神经传导研究来筛查该人群的 CTS。神经肌肉超声可能是更好的筛查工具,因为它是无痛的。在这项研究中,我们比较了神经传导研究和超声 CTS 筛查的准确性。使用神经传导研究和神经肌肉超声对 513 名体力劳动者进行了 CTS 前瞻性筛查,并使用 Katz 手图作为诊断标准比较了两种技术的准确性。两种技术的 ROC 曲线没有显着差异 (P = 0.542),表明这些方法具有相似的诊断准确性。神经肌肉超声是一种无痛技术,其诊断准确性与神经传导研究相似,可用于筛查大量有 CTS 风险的人群。
Manual laborers are at increased risk for carpal tunnel syndrome (CTS), and a combination of history, physical examination, and nerve conduction studies is often used to screen for CTS in this population. Neuromuscular ultrasound may be a better screening tool, because it is painless. In this study we compare the accuracy of nerve conduction studies and ultrasound for CTS screening. Five hundred thirteen manual laborers were screened prospectively for CTS using nerve conduction studies and neuromuscular ultrasound, and the accuracy of the 2 techniques was compared using the Katz hand diagram as the diagnostic standard. The ROC curves for the 2 techniques were not significantly different (P = 0.542), indicating that the approaches had similar diagnostic accuracy. Neuromuscular ultrasound is a painless technique that has diagnostic accuracy similar to nerve conduction studies and can be used to screen large populations at risk for CTS.
DOI: 10.1016/0363-5023(90)90124-a
发表时间: 1990-03-01
影响因子: 1.9
作者:
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通讯作者: STIRRAT, CR
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发表时间: 1988-01-01
期刊: NEUROLOGY
影响因子: 9.9
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期刊: MUSCLE & NERVE
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通讯作者: Quandt SA