Correlation between Ultrasonography Findings and Electrodiagnostic Severity in Carpal Tunnel Syndrome: 3D Ultrasonography

• Published in: Journal of clinical neurology (Seoul, Korea) Vol. 10; no. 4; pp. 348 - 353
• Main Authors: Kwon, Hee Kyu, Kang, Hyo Jung, Byun, Chan Woo, Yoon, Joon Shik, Kang, Chang Ho, Pyun, Sung Bum
• Format: Journal Article
• Language: English
• Published: Korea (South) Korean Neurological Association 01.10.2014; 대한신경과학회
• Subjects: Original; 신경과학; cross-sectional area; carpal tunnel syndrome; median nerve; electrophysiological severity; three-dimensional ultrasonography
• ISSN: 1738-6586; 2005-5013
• DOI: 10.3988/jcn.2014.10.4.348

To determine the correlation between the cross-sectional area (CSA) of the median nerve measured at the wrist using three-dimensional (3D) ultrasonography (US) and the electrophysiological severity of carpal tunnel syndrome (CTS). We prospectively examined 102 wrists of 51 patients with clinical CTS, which were classified into 3 groups according to the electrodiagnostic (EDX) findings. Median nerve CSAs were measured using 3D US at the carpal tunnel inlet and at the level of maximal swelling. Ten wrists were negative for CTS. Of the 92 CTS-positive wrists, 23, 30, and 39 were classified as having mild, moderate, and severe CTS, respectively. The median nerve CSA differed significantly between the severe- and moderate-CTS groups (p=0.0007 at the carpal tunnel inlet and p<0.0001 at the maximal swelling site). There was a correlation between median nerve CSA and EDX parameters among those wrists with severe and mild CTS (p<0.0001 at both sites). The median nerve CSA as measured by 3D US could provide additional information about the severity of CTS, as indicated by the strong correlation with standard EDX findings.