Vol. 4, Issue 4, Part D (2020)

The accuracy of ultrasound study in the diagnosis of carpal tunnel syndrome in comparison with nerve conduction study

Author(s):

Dr. Sarmad Raheem Muslim, Dr. Israa Abbas Alia and Dr. Saad Shayeaa Shubrem

Abstract:
Back ground: Carpal tunnel syndrome (CTS) is one of the most common upper limb compression neuropathies. CTS accounts for approximately 90% of all entrapment neuropathies. The diagnosis of carpal tunnel syndrome (CTS) is mainly based on clinical findings and nerve conduction study. It has been recently suggested that ultrasonography (U/S) can be used to diagnose CTS.
Aim of study: The aim of this study is to determine the accuracy of Ultrasound (U/S) in diagnosis of (CTS) in comparison with nerve conduction study (NCS) of median nerve.
Patient and Methods: The study was a comparative cross sectional study, which done in ALshaheed Gazi AL-Hariri Hospital for specialized surgery/Baghdad–Iraq, From June 2011 to May 2012. sample included 40 patients who met the inclusion criteria they were 37 (92.5%) females, with a mean age was 38.74 ± 6.7 years range (22- 52 years), in addition, 3 (7.5%) males with a mean age was 38.83 ± 6.35years range (39-47), the mean age for all patients (40) was 38.76 ± 6.6., and 80 Asymptomatic healthy comparison group. 72 of them (90%) were females with a mean age 37.8 ± 7.43 years range (25–53 years), and the remaining 8 comparision group 10% were males with a mean age 38.4 ± 6.3 ranges (23-52), and the mean age of all comparision group was 38.1 ± 6.5. All subjects in both groups were underwent and U/S and NCS, then the Statistical analysis for the results were done.
Results: The Ultrasound signs show the following results: AP diameter of median nerve: show accuracy rate, sensitivity, specificity, as 80%, 78%, 81% respectively. Cross sectional area of median nerve: show accuracy rate, sensitivity, and specificity, as 85%, 85%, 85 respectively.
Conclusions: 1. CTS is mainly affect middle age females. 2. We can concluded that sonography can be adds a benefit in diagnosis of CTS. 3. U/S has potential advantages to other diagnostic tools as availability, shorter Examination time and non-invasive.

Pages: 199-207  |  1597 Views  730 Downloads



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How to cite this article:
Dr. Sarmad Raheem Muslim, Dr. Israa Abbas Alia and Dr. Saad Shayeaa Shubrem. The accuracy of ultrasound study in the diagnosis of carpal tunnel syndrome in comparison with nerve conduction study. Int. J. Surg. Sci. 2020;4(4):199-207. DOI: https://doi.org/10.33545/surgery.2020.v4.i4d.557