Joonshik Yoon, Korea, Republic of

Korea University Guro Hospital Physical Medicine and Rehabilitation

Presenter of 1 Presentation

SONOGRAPHIC ASSESSMENT OF CARPAL TUNNEL SYNDROME: A COMPARISON BETWEEN NON-DIABETIC NEUROPATHY AND DIABETIC NEUROPATHY

Session Name
ADVANCED MEDICAL TECHNOLOGIES TO BE USED IN HOSPITALS
Session Type
E-POSTER VIEWING (EXHIBITION HOURS)
Date
20.02.2020, Thursday
Session Time
09:30 - 15:30
Channel
E-Poster Area
Lecture Time
09:32 - 09:33

Abstract

Background and Aims

The purpose of this study is to compare the cross-section-area(CSA) of ​​the median nerve according to the severity of carpal tunnel syndrome(CTS) in patients electrophysiologically diagnosed as CTS alone and diabetic polyneuropathy(DPN) with CTS.

Methods

DPN is diagnosed according to the criteria set forth in The Diabetes Control and Complications Trial. CTS is characterized by the Steven’s criteria. The severity of CTS was determined using Steven's classification. The CSA of the median nerve is measured at the distal wrist crease and forearm 12cm proximal to the distal wrist crease using ultrasonography.

Results

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The comparison of median nerve CSA and wrist-to-forearm ratio showed significant differences between normal and CTS group, and normal and DPN-CTS group, but there was no significant difference between CTS group and DPN-CTS group (Table1,2).

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Median nerve CSA at the distal wrist crease and the wrist-to-forearm ratio of CTS group and DPN-CTS group were compared according to CTS severity. There was no significant difference between both groups of any severity (Table3,4).

Conclusions

The results of this study concluded that median nerve swelling at the wrist level in DPN CTS patients was thought to be due to compression effects on the wrist rather than the metabolic effect of diabetes.

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