Document Detail


Ultrasonography before and after surgery in carpal tunnel syndrome and relationship with clinical and electrophysiological findings. A new outcome predictor?
MedLine Citation:
PMID:  18465458     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
OBJECTIVE: To measure the cross-sectional area (CSA) of the median nerve by ultrasonography (US) before and after surgery in subjects with carpal tunnel syndrome (CTS), and to verify whether the normalization of presurgical parameters can be predicted by presurgical CSA values. PATIENTS AND METHODS: Sixty-seven consecutive cases, mean age 60.5 years, underwent surgical decompression. Before surgery, clinical and electrophysiological severity and self-assessment of symptoms (using the Boston questionnaire, BQ) were recorded. CSAs were measured proximal to the carpal tunnel inlet (CSA-I), at mid-tunnel (CSA-M), and at the tunnel outlet (CSA-O). Follow-ups were performed 1 and 6 months after surgery. Logistic regressions were performed with normalization of CSA, clinical and electrophysiological parameters as independent variables, and presurgical findings as dependent variables. RESULTS: Before and after surgery there were correlations between CSA-I and clinical and electrophysiological severity scales. After 1 and 6 months, the clinical, electrophysiological, and BQ findings improved. CSA-I reduced at the 1-month follow-up and CSA-O increased between the first and second follow-up. Presurgical values of CSA-I could predict the normalization of its postsurgical value, normalization of the clinical severity scale, BQ, and full patient satisfaction postsurgery. CONCLUSIONS: CSA-I is the most sensitive US measurement before surgery. The presurgical value of CSA-I is a predictor of postsurgical normalization of clinical parameters and of its own value.
Authors:
M Mondelli; G Filippou; A Aretini; B Frediani; F Reale
Related Documents :
16423568 - Nonsurgical treatment of abdominal or pelvic abscess in consecutive patients with crohn...
10521978 - High-dose intravenous cyclosporine in steroid refractory attacks of inflammatory bowel ...
18418858 - Insulin-like growth factor i improves aspects of mycophenolate mofetil-impaired anastom...
11802508 - Infliximab in severe steroid-refractory ulcerative colitis: a pilot study.
10361328 - Vascular surgical society of great britain and ireland: randomized double-blind study o...
7995648 - Changes in patient age and tooth distribution for root canal treatment in a teaching ho...
Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Scandinavian journal of rheumatology     Volume:  37     ISSN:  0300-9742     ISO Abbreviation:  Scand. J. Rheumatol.     Publication Date:    2008 May-Jun
Date Detail:
Created Date:  2008-05-09     Completed Date:  2008-06-24     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  0321213     Medline TA:  Scand J Rheumatol     Country:  Norway    
Other Details:
Languages:  eng     Pagination:  219-24     Citation Subset:  IM    
Affiliation:
EMG Service, Local Health Unit No. 7, Siena, Italy. m.mondelli@us17.toscana.it
Export Citation:
APA/MLA Format     Download EndNote     Download BibTex
MeSH Terms
Descriptor/Qualifier:
Adult
Aged
Aged, 80 and over
Anatomy, Cross-Sectional
Carpal Tunnel Syndrome / surgery,  ultrasonography*
Electrophysiology
Female
Humans
Male
Median Nerve / physiopathology*
Middle Aged
Postoperative Care
Predictive Value of Tests
Preoperative Care
Prospective Studies

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


Previous Document:  Sjögren's syndrome - not just Sicca: renal involvement in Sjögren's syndrome.
Next Document:  Interleukin (IL)-6 and receptor activator of nuclear factor (NF)-kappaB ligand (RANKL) are increased...