Optimal Ultrasonographic Measurements for Diagnosing Carpal Tunnel Syndrome in Patients With Diabetic Sensorimotor Polyneuropathy: A Case-Control Study

• DOI: 10.5535/arm.2019.43.1.45
• Publication Date: 2019-02-28T03:06:19Z
• Authors: Ji Woong Park; Seokmin Lee; Rhee Wook Jang; Sungche Lee; Sanghoon Lee; Hyunchul Cho; Yoon-Hee Choi; Jinmyoung Kwak
• Keywords: 03 medical and health sciences; 0302 clinical medicine; Electromyography; R; Median nerve; Medicine; Original Article; Carpal tunnel syndrome; Ultrasonography; Diabetic neuropathies; 3. Good health

To investigate the optimal sonographic method for diagnosing carpal tunnel syndrome (CTS) in patients with diabetic sensorimotor polyneuropathy (DSP). A total of 190 participants were divided into four groups based on DSP history and electrodiagnostic results CTS. The absolute parameters measured at baseline relative values calculated: maximal cross-sectional area (CSA) median nerve throughout (Mmax), CSA forearm level (Mf), ulnar pisiform (Upi), difference between Mmax Mf (∆MM), Upi (∆MU). Then, ultrasonographic CTS, according to presence DSP, using cutoff analyzed. Median CSAs significantly larger group than control group. In participants, mean Mmax, ∆MM, ∆MU both CTS only. thresholds 9.5 mm2 11.5 showed greatest sensitivity specificity ∆MM 2.5 4.5 had groups. Measurement is an evaluation DSP.