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The effectiveness of ultrasonography and ultrasonographic elastography in the diagnosis of carpal tunnel syndrome and evaluation of treatment response after steroid injection

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dc.contributor.authorEKİNCİ, GAZANFER
dc.contributor.authorsAsadov, Ruslan; Erdal, Ayse; Bugdayci, Onur; Gunduz, Osman Hakan; Ekinci, Gazanfer
dc.date.accessioned2022-03-12T22:24:41Z
dc.date.available2022-03-12T22:24:41Z
dc.date.issued2018
dc.description.abstractPurpose: To evaluate if there is a place for ultrasonography (US) and ultrasonographic elastography (UE) in the diagnosis and follow up of carpal tunnel syndrome treatment. Materials and methods: The study was performed on 25 patients (study group) and 17 healthy volunteers (control group). Measured US and UE criteria were median nerve area (MNA), proximal median nerve area (pMNA), difference between MNA and pMNA (dMNA) and strain values of carpal tunnel content (CTC) and median nerve (MN). Patients in the study group were also evaluated using the Boston questionnaire, Visual Analogue Scale (VAS) and nerve conduction studies. Thirty-three wrists in 23 patients received steroid injections on the same day. Patients were re-evaluated 6 weeks after steroid injection. To establish a cut off value for MNA, ROC Curve analysis was used. Results: Mean MNA and dMNA values in the control group were significantly lower than in the study group (7.33 +/- 1.31 vs. 15.44 +/- 5.10; p = < 0.05 and 1.58 +/- 0.75 vs. 8.91 +/- 4.93; p = 0.00 respectively). Median nerve and CTC strain indices were significantly higher in the control group (p = 0.00 and p = 0.036). Decrease in MNA and dMNA values after treatment was meaningful (p = 0.00). While there was no significant change in MN elasticity, mean CTC strain index of the study group (4.680 +/- 1.664) decreased significantly after treatment (3.621 +/- 1.054 p = 0.002). This decrease in the CTC index was more pronounced in patients who benefited from treatment (p = 0.001). Conclusion: US and UE can be useful in the diagnosis of CTS and its response to treatment, if used together with clinical and electroneurophysiological tests.
dc.identifier.doi10.1016/j.ejrad.2018.09.027
dc.identifier.eissn1872-7727
dc.identifier.issn0720-048X
dc.identifier.pubmed30396651
dc.identifier.urihttps://hdl.handle.net/11424/234818
dc.identifier.wosWOS:000449074400023
dc.language.isoeng
dc.publisherELSEVIER IRELAND LTD
dc.relation.ispartofEUROPEAN JOURNAL OF RADIOLOGY
dc.rightsinfo:eu-repo/semantics/closedAccess
dc.subjectCarpal tunnel syndrome
dc.subjectUltrasound
dc.subjectUltrasound elastography
dc.subjectSUBSYNOVIAL CONNECTIVE-TISSUE
dc.subjectNERVE COMPRESSION
dc.subjectMEDIAN NERVE
dc.subjectSONOGRAPHY
dc.subjectULTRASOUND
dc.subjectUS
dc.subjectPATHOPHYSIOLOGY
dc.subjectCONDUCTION
dc.subjectCOLLAGEN
dc.titleThe effectiveness of ultrasonography and ultrasonographic elastography in the diagnosis of carpal tunnel syndrome and evaluation of treatment response after steroid injection
dc.typearticle
dspace.entity.typePublication
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local.import.packageSS17
local.indexed.atWOS
local.indexed.atSCOPUS
local.indexed.atPUBMED
local.journal.numberofpages5
local.journal.quartileQ2
oaire.citation.endPage176
oaire.citation.startPage172
oaire.citation.titleEUROPEAN JOURNAL OF RADIOLOGY
oaire.citation.volume108
relation.isAuthorOfPublication0e0e14ee-3c58-457f-8b29-cae606bb7fc4
relation.isAuthorOfPublication.latestForDiscovery0e0e14ee-3c58-457f-8b29-cae606bb7fc4

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