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INTERNATIONAL JOURNAL OF SCIENTIFIC DEVELOPMENT AND RESEARCH International Peer Reviewed & Refereed Journals, Open Access Journal ISSN Approved Journal No: 2455-2631 | Impact factor: 8.15 | ESTD Year: 2016 open access , Peer-reviewed, and Refereed Journals, Impact factor 8.15 |
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| Paper Title: | ULTRASONOGRAPHY IN THE EVALUATION OF MEDIAN NERVE IN CARPAL TUNNEL SYNDROME PRE AND POST OPERATIVELY AND ITS CORRELATION WITH CLINICAL SYMPTOMS |
| Authors Name: | Dr.Sheima Mangadan , Dr. Josey Verghese , Dr.Beenamol , Dr.Chinchu , Dr.Vaishak |
| Unique Id: | IJSDR2208022 |
| Published In: | Volume 7 Issue 8, August-2022 |
| Abstract: | Introduction: Carpal tunnel syndrome (CTS) is the most common upper extremity compression neuropathy and results from median nerve compression beneath the transverse carpal ligament. The current reference standard for CTS diagnosis consists of evaluating clinical symptoms and their location in combination with abnormal median nerve function based on nerve conduction studies. Recent advances in high- frequency and duplex ultrasound have improved its ability to visualize and grade abnormalities, thus increasing the scope for less expensive, non-invasive, real-time assessment of median nerve in carpal tunnel syndrome. Objectives: To determine the correlation between clinical and ultrasonographic findings in median nerve cross sectional area in patients with carpal tunnel syndrome before and 12 weeks after surgery. Materials and Methods: A longitudinal study of thirty-seven patients of Govt. T. D. Medical College Alappuzha, diagnosed as carpal tunnel syndrome and planning for surgery, were subjected to ultrasonographical evaluation of median nerve cross sectional area at the carpal tunnel inlet, before and 12 weeks after surgery and the results were correlated with clinical symptoms using BCTQ scores. The study was conducted over a period of 18 months. Results: In our study, the mean CSA of median nerve in carpal tunnel in CTS patients reduced from 13.0 to 9.16 mm2, the mean BCTQ-S score from 2.5 to 1.35 and mean BCTQ-F from 2.43 to 1.38, 12 weeks after surgery. Conclusion: The median nerve CSA measurement in CTS by ultrasonography predict preoperative symptom severity and functional disabilities. But, postoperative reduction in median nerve swelling was not found to be associated with postoperative reduction in clinical symptoms or functional disabilities. Hence, our study concludes that high- |
| Keywords: | Carpal tunnel syndrome, median nerve cross sectional area, ultrasonography, BCTQ score |
| Cite Article: | "ULTRASONOGRAPHY IN THE EVALUATION OF MEDIAN NERVE IN CARPAL TUNNEL SYNDROME PRE AND POST OPERATIVELY AND ITS CORRELATION WITH CLINICAL SYMPTOMS ", International Journal of Science & Engineering Development Research (www.ijsdr.org), ISSN:2455-2631, Vol.7, Issue 8, page no.149 - 160, August-2022, Available :http://www.ijsdr.org/papers/IJSDR2208022.pdf |
| Downloads: | 000337209 |
| Publication Details: | Published Paper ID: IJSDR2208022 Registration ID:201092 Published In: Volume 7 Issue 8, August-2022 DOI (Digital Object Identifier): Page No: 149 - 160 Publisher: IJSDR | www.ijsdr.org ISSN Number: 2455-2631 |
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