Role of Ultrasound to Monitor Patients With Carpal Tunnel Syndrome Treated With a Local Corticosteroid
Objectives Carpal tunnel syndrome (CTS) is an entrapment neuropathy resulting from compression of the median nerve at the carpal tunnel (CT). We assessed the role of high‐resolution ultrasound (US) in monitoring patients with CTS treated with corticosteroid injection. Methods We performed high‐resol...
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| Veröffentlicht in: | Journal of ultrasound in medicine 2019-09, Vol.38 (9), p.2373-2378 |
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| creator | Chakkalakkoombil, Sunitha Vellathussery Nair, Pradeep Pankajakshan Govindarajalou, Ramkumar Barathi, Deepak Marusani, Revanth Kumar Kottyen Thazhath, Harichandra |
| description | Objectives
Carpal tunnel syndrome (CTS) is an entrapment neuropathy resulting from compression of the median nerve at the carpal tunnel (CT). We assessed the role of high‐resolution ultrasound (US) in monitoring patients with CTS treated with corticosteroid injection.
Methods
We performed high‐resolution US evaluations of the wrists of patients with CTS before and after treatment with local corticosteroid. Thirty‐nine and 17 wrists were included for analysis at the end of 1 and 3 months, respectively. The cross‐sectional area (CSA) and anteroposterior diameter (APD) of the median nerve at the CT and clinical and electrophysiologic data were recorded. We assessed whether changes in US measurements before and after the treatment correlated with clinical and electrophysiologic parameters.
Results
The Boston symptom severity scale (p |
| doi_str_mv | 10.1002/jum.14932 |
| format | Article |
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Carpal tunnel syndrome (CTS) is an entrapment neuropathy resulting from compression of the median nerve at the carpal tunnel (CT). We assessed the role of high‐resolution ultrasound (US) in monitoring patients with CTS treated with corticosteroid injection.
Methods
We performed high‐resolution US evaluations of the wrists of patients with CTS before and after treatment with local corticosteroid. Thirty‐nine and 17 wrists were included for analysis at the end of 1 and 3 months, respectively. The cross‐sectional area (CSA) and anteroposterior diameter (APD) of the median nerve at the CT and clinical and electrophysiologic data were recorded. We assessed whether changes in US measurements before and after the treatment correlated with clinical and electrophysiologic parameters.
Results
The Boston symptom severity scale (p < .01), Boston functional status scale (p < .01), median nerve motor latency (p = .017), median nerve sensory velocity (p = .003), and difference in motor latencies (p = 0.03) and difference in sensory latencies (p = .03) between median and ulnar nerves showed significant changes over 1 or/and 3 months compared to baseline values. Changes in the CSA and APD correlated with changes in some clinical and electrophysiologic parameters. However, measurements of the CSA and APD at 1 or 3 months were not significantly different from baseline values.
Conclusions
High‐resolution US parameters such as the APD and CSA of the median nerve at the CT inlet were not useful to monitor patients with CTS treated with corticosteroid injections.</description><identifier>ISSN: 0278-4297</identifier><identifier>EISSN: 1550-9613</identifier><identifier>DOI: 10.1002/jum.14932</identifier><identifier>PMID: 30653694</identifier><language>eng</language><publisher>Hoboken, USA: John Wiley & Sons, Inc</publisher><subject>Adrenal Cortex Hormones - therapeutic use ; Boston symptom severity scale ; carpal tunnel syndrome ; Carpal Tunnel Syndrome - diagnostic imaging ; Carpal Tunnel Syndrome - drug therapy ; cross‐sectional area of the median nerve ; Female ; high‐resolution ultrasound ; Humans ; local corticosteroid injection ; Male ; Middle Aged ; short‐term follow‐up ; Treatment Outcome ; Ultrasonography - methods ; Wrist - diagnostic imaging</subject><ispartof>Journal of ultrasound in medicine, 2019-09, Vol.38 (9), p.2373-2378</ispartof><rights>2019 by the American Institute of Ultrasound in Medicine</rights><rights>2019 by the American Institute of Ultrasound in Medicine.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c3252-e8ad60a3cf49a3a9daeb8bd0c76cd88ab5289fe3a34de13793720d6257fe39393</citedby><cites>FETCH-LOGICAL-c3252-e8ad60a3cf49a3a9daeb8bd0c76cd88ab5289fe3a34de13793720d6257fe39393</cites><orcidid>0000-0003-4941-2631</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://onlinelibrary.wiley.com/doi/pdf/10.1002%2Fjum.14932$$EPDF$$P50$$Gwiley$$H</linktopdf><linktohtml>$$Uhttps://onlinelibrary.wiley.com/doi/full/10.1002%2Fjum.14932$$EHTML$$P50$$Gwiley$$H</linktohtml><link.rule.ids>314,780,784,1416,27922,27923,45572,45573</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/30653694$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Chakkalakkoombil, Sunitha Vellathussery</creatorcontrib><creatorcontrib>Nair, Pradeep Pankajakshan</creatorcontrib><creatorcontrib>Govindarajalou, Ramkumar</creatorcontrib><creatorcontrib>Barathi, Deepak</creatorcontrib><creatorcontrib>Marusani, Revanth</creatorcontrib><creatorcontrib>Kumar Kottyen Thazhath, Harichandra</creatorcontrib><title>Role of Ultrasound to Monitor Patients With Carpal Tunnel Syndrome Treated With a Local Corticosteroid</title><title>Journal of ultrasound in medicine</title><addtitle>J Ultrasound Med</addtitle><description>Objectives
Carpal tunnel syndrome (CTS) is an entrapment neuropathy resulting from compression of the median nerve at the carpal tunnel (CT). We assessed the role of high‐resolution ultrasound (US) in monitoring patients with CTS treated with corticosteroid injection.
Methods
We performed high‐resolution US evaluations of the wrists of patients with CTS before and after treatment with local corticosteroid. Thirty‐nine and 17 wrists were included for analysis at the end of 1 and 3 months, respectively. The cross‐sectional area (CSA) and anteroposterior diameter (APD) of the median nerve at the CT and clinical and electrophysiologic data were recorded. We assessed whether changes in US measurements before and after the treatment correlated with clinical and electrophysiologic parameters.
Results
The Boston symptom severity scale (p < .01), Boston functional status scale (p < .01), median nerve motor latency (p = .017), median nerve sensory velocity (p = .003), and difference in motor latencies (p = 0.03) and difference in sensory latencies (p = .03) between median and ulnar nerves showed significant changes over 1 or/and 3 months compared to baseline values. Changes in the CSA and APD correlated with changes in some clinical and electrophysiologic parameters. However, measurements of the CSA and APD at 1 or 3 months were not significantly different from baseline values.
Conclusions
High‐resolution US parameters such as the APD and CSA of the median nerve at the CT inlet were not useful to monitor patients with CTS treated with corticosteroid injections.</description><subject>Adrenal Cortex Hormones - therapeutic use</subject><subject>Boston symptom severity scale</subject><subject>carpal tunnel syndrome</subject><subject>Carpal Tunnel Syndrome - diagnostic imaging</subject><subject>Carpal Tunnel Syndrome - drug therapy</subject><subject>cross‐sectional area of the median nerve</subject><subject>Female</subject><subject>high‐resolution ultrasound</subject><subject>Humans</subject><subject>local corticosteroid injection</subject><subject>Male</subject><subject>Middle Aged</subject><subject>short‐term follow‐up</subject><subject>Treatment Outcome</subject><subject>Ultrasonography - methods</subject><subject>Wrist - diagnostic imaging</subject><issn>0278-4297</issn><issn>1550-9613</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2019</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp10D1PwzAQBmALgWgpDPwB5BGGtP5I4nhEEZ9qBYJWjJEbX0SqJC62I9R_jyGFDd1w0um5d3gROqdkSglhs03fTmksOTtAY5okJJIp5YdoTJjIophJMUInzm0CJVTEx2jESZrwVMZjVL2YBrCp8KrxVjnTdxp7gxemq72x-Fn5Gjrv8Fvt33Gu7FY1eNl3HTT4dddpa1rASwvKgx6MwnNTBpQb6-vSOA_W1PoUHVWqcXC23xO0ur1Z5vfR_OnuIb-eRyVnCYsgUzolipdVLBVXUitYZ2tNSpGWOsvUOmGZrIArHmugXEguGNEpS0Q4yjATdDnkbq356MH5oq1dCU2jOjC9KxgNP1LECQ30aqClNc5ZqIqtrVtldwUlxXetRai1-Kk12It9bL9uQf_J3x4DmA3gs25g939S8bhaDJFfRf6Ccg</recordid><startdate>201909</startdate><enddate>201909</enddate><creator>Chakkalakkoombil, Sunitha Vellathussery</creator><creator>Nair, Pradeep Pankajakshan</creator><creator>Govindarajalou, Ramkumar</creator><creator>Barathi, Deepak</creator><creator>Marusani, Revanth</creator><creator>Kumar Kottyen Thazhath, Harichandra</creator><general>John Wiley & Sons, Inc</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope><orcidid>https://orcid.org/0000-0003-4941-2631</orcidid></search><sort><creationdate>201909</creationdate><title>Role of Ultrasound to Monitor Patients With Carpal Tunnel Syndrome Treated With a Local Corticosteroid</title><author>Chakkalakkoombil, Sunitha Vellathussery ; Nair, Pradeep Pankajakshan ; Govindarajalou, Ramkumar ; Barathi, Deepak ; Marusani, Revanth ; Kumar Kottyen Thazhath, Harichandra</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c3252-e8ad60a3cf49a3a9daeb8bd0c76cd88ab5289fe3a34de13793720d6257fe39393</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2019</creationdate><topic>Adrenal Cortex Hormones - therapeutic use</topic><topic>Boston symptom severity scale</topic><topic>carpal tunnel syndrome</topic><topic>Carpal Tunnel Syndrome - diagnostic imaging</topic><topic>Carpal Tunnel Syndrome - drug therapy</topic><topic>cross‐sectional area of the median nerve</topic><topic>Female</topic><topic>high‐resolution ultrasound</topic><topic>Humans</topic><topic>local corticosteroid injection</topic><topic>Male</topic><topic>Middle Aged</topic><topic>short‐term follow‐up</topic><topic>Treatment Outcome</topic><topic>Ultrasonography - methods</topic><topic>Wrist - diagnostic imaging</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Chakkalakkoombil, Sunitha Vellathussery</creatorcontrib><creatorcontrib>Nair, Pradeep Pankajakshan</creatorcontrib><creatorcontrib>Govindarajalou, Ramkumar</creatorcontrib><creatorcontrib>Barathi, Deepak</creatorcontrib><creatorcontrib>Marusani, Revanth</creatorcontrib><creatorcontrib>Kumar Kottyen Thazhath, Harichandra</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Journal of ultrasound in medicine</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Chakkalakkoombil, Sunitha Vellathussery</au><au>Nair, Pradeep Pankajakshan</au><au>Govindarajalou, Ramkumar</au><au>Barathi, Deepak</au><au>Marusani, Revanth</au><au>Kumar Kottyen Thazhath, Harichandra</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Role of Ultrasound to Monitor Patients With Carpal Tunnel Syndrome Treated With a Local Corticosteroid</atitle><jtitle>Journal of ultrasound in medicine</jtitle><addtitle>J Ultrasound Med</addtitle><date>2019-09</date><risdate>2019</risdate><volume>38</volume><issue>9</issue><spage>2373</spage><epage>2378</epage><pages>2373-2378</pages><issn>0278-4297</issn><eissn>1550-9613</eissn><abstract>Objectives
Carpal tunnel syndrome (CTS) is an entrapment neuropathy resulting from compression of the median nerve at the carpal tunnel (CT). We assessed the role of high‐resolution ultrasound (US) in monitoring patients with CTS treated with corticosteroid injection.
Methods
We performed high‐resolution US evaluations of the wrists of patients with CTS before and after treatment with local corticosteroid. Thirty‐nine and 17 wrists were included for analysis at the end of 1 and 3 months, respectively. The cross‐sectional area (CSA) and anteroposterior diameter (APD) of the median nerve at the CT and clinical and electrophysiologic data were recorded. We assessed whether changes in US measurements before and after the treatment correlated with clinical and electrophysiologic parameters.
Results
The Boston symptom severity scale (p < .01), Boston functional status scale (p < .01), median nerve motor latency (p = .017), median nerve sensory velocity (p = .003), and difference in motor latencies (p = 0.03) and difference in sensory latencies (p = .03) between median and ulnar nerves showed significant changes over 1 or/and 3 months compared to baseline values. Changes in the CSA and APD correlated with changes in some clinical and electrophysiologic parameters. However, measurements of the CSA and APD at 1 or 3 months were not significantly different from baseline values.
Conclusions
High‐resolution US parameters such as the APD and CSA of the median nerve at the CT inlet were not useful to monitor patients with CTS treated with corticosteroid injections.</abstract><cop>Hoboken, USA</cop><pub>John Wiley & Sons, Inc</pub><pmid>30653694</pmid><doi>10.1002/jum.14932</doi><tpages>6</tpages><orcidid>https://orcid.org/0000-0003-4941-2631</orcidid></addata></record> |
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| subjects | Adrenal Cortex Hormones - therapeutic use Boston symptom severity scale carpal tunnel syndrome Carpal Tunnel Syndrome - diagnostic imaging Carpal Tunnel Syndrome - drug therapy cross‐sectional area of the median nerve Female high‐resolution ultrasound Humans local corticosteroid injection Male Middle Aged short‐term follow‐up Treatment Outcome Ultrasonography - methods Wrist - diagnostic imaging |
| title | Role of Ultrasound to Monitor Patients With Carpal Tunnel Syndrome Treated With a Local Corticosteroid |
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