External wrist ratio is not a proxy for internal carpal tunnel shape: Implications for evaluating carpal tunnel syndrome risk
Carpal tunnel syndrome (CTS) is highly prevalent, resulting in decreased function and increased need for costly healthcare services. External wrist ratio (depth/width >0.70) is a strong predictor of the development of CTS and has been suggested to be a proxy for internal carpal tunnel (CT) shape....
Gespeichert in:
| Veröffentlicht in: | Clinical anatomy (New York, N.Y.) N.Y.), 2024-11, Vol.37 (8), p.869-877 |
|---|---|
| Hauptverfasser: | , |
| Format: | Artikel |
| Sprache: | eng |
| Schlagworte: | |
| Online-Zugang: | Volltext |
| Tags: |
Tag hinzufügen
Keine Tags, Fügen Sie den ersten Tag hinzu!
|
| container_end_page | 877 |
|---|---|
| container_issue | 8 |
| container_start_page | 869 |
| container_title | Clinical anatomy (New York, N.Y.) |
| container_volume | 37 |
| creator | Loomis, Katherine J. Roll, Shawn C. |
| description | Carpal tunnel syndrome (CTS) is highly prevalent, resulting in decreased function and increased need for costly healthcare services. External wrist ratio (depth/width >0.70) is a strong predictor of the development of CTS and has been suggested to be a proxy for internal carpal tunnel (CT) shape. Conversely, sonography can more directly evaluate CT shape. The purpose of our study was to explore the relationship between wrist ratio and sonographic CT measurements to (1) evaluate the reliability of sonographic CT measurements and (2) explore how external wrist measures relate to anthropometric features of the CT. We used sonographic imaging on a sample of healthy participants (n = 226) to measure CT cross‐sectional area, depth, width, and depth/width ratio. We conducted exploratory correlation and regression analyses to identify relationships of these measures with external wrist ratio. Reliability for dominant and nondominant sonographic CT measures ranged from good to excellent (0.79–0.95). Despite a moderate correlation between CT width and depth and their external wrist counterparts (0.33–0.41, p |
| doi_str_mv | 10.1002/ca.24132 |
| format | Article |
| fullrecord | <record><control><sourceid>proquest_cross</sourceid><recordid>TN_cdi_proquest_miscellaneous_2910196587</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sourcerecordid>2910196587</sourcerecordid><originalsourceid>FETCH-LOGICAL-c3102-ce320c5e9465646e2ad561341c14c66da57a87069839671d97cd9a488fc2bedc3</originalsourceid><addsrcrecordid>eNp1kU1LxDAQhoMo7voB_gIJePFSzSRpmniTxS9Y8KLnkE2z2rVNa9K69uB_t-uuCoKnYeB5n2F4EToCcgaE0HNrzigHRrfQGIiSCWUp20ZjIlWWMEnECO3FuCAEgGdyF42YhIxRxcfo4-q9dcGbEi9DEVscTFvUuIjY1y02uAn1e4_ndcCF33DWhGYYbee9K3F8No27wHdVUxZ2lfXxC3dvpuyG3T_9DfQ-D3Xl8HDu5QDtzE0Z3eFm7qPH66uHyW0yvb-5m1xOE8uA0MQ6RolNneIiFVw4avJUAONggVshcpNmRmZEKMmUyCBXmc2V4VLOLZ253LJ9dLr2Dv-8di62uiqidWVpvKu7qKkCAkqkMhvQkz_oou5Wj0fNAFJBQVH6K7ShjjG4uW5CUZnQayB6VYm2Rn9VMqDHG2E3q1z-A353MADJGlgWpev_FenJ5Vr4Cam8lMc</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>3115621922</pqid></control><display><type>article</type><title>External wrist ratio is not a proxy for internal carpal tunnel shape: Implications for evaluating carpal tunnel syndrome risk</title><source>Wiley Online Library All Journals</source><creator>Loomis, Katherine J. ; Roll, Shawn C.</creator><creatorcontrib>Loomis, Katherine J. ; Roll, Shawn C.</creatorcontrib><description>Carpal tunnel syndrome (CTS) is highly prevalent, resulting in decreased function and increased need for costly healthcare services. External wrist ratio (depth/width >0.70) is a strong predictor of the development of CTS and has been suggested to be a proxy for internal carpal tunnel (CT) shape. Conversely, sonography can more directly evaluate CT shape. The purpose of our study was to explore the relationship between wrist ratio and sonographic CT measurements to (1) evaluate the reliability of sonographic CT measurements and (2) explore how external wrist measures relate to anthropometric features of the CT. We used sonographic imaging on a sample of healthy participants (n = 226) to measure CT cross‐sectional area, depth, width, and depth/width ratio. We conducted exploratory correlation and regression analyses to identify relationships of these measures with external wrist ratio. Reliability for dominant and nondominant sonographic CT measures ranged from good to excellent (0.79–0.95). Despite a moderate correlation between CT width and depth and their external wrist counterparts (0.33–0.41, p < 0.001), wrist ratio and CT ratio demonstrated weak to no correlation (dominant: r = 0.12, p = 0.053; nondominant: r = 0.20, p = 0.002) and the mean CT ratio was far lower than the mean wrist ratio (0.45 vs. 0.71 bilaterally). Supporting this, we observed several key differences in the relationship between external wrist measures compared to corresponding CT measures. Additionally, regression analyses combining participant factors and CT measurements produced models accounting for less than 15% of the variability in external wrist ratio (linear models) or correctly predicting less than 68% of wrist ratio‐based risk categorization (logistic models). Overall, among healthy young adults, wrist shape is not an adequate proxy for CT shape.</description><identifier>ISSN: 0897-3806</identifier><identifier>ISSN: 1098-2353</identifier><identifier>EISSN: 1098-2353</identifier><identifier>DOI: 10.1002/ca.24132</identifier><identifier>PMID: 38173294</identifier><language>eng</language><publisher>Hoboken, USA: John Wiley & Sons, Inc</publisher><subject>anthropometric measurement ; carpal tunnel ; Carpal tunnel syndrome ; Computed tomography ; Correlation ; Logit models ; Regression analysis ; Reliability ; sonography ; Wrist ; wrist ratio ; Young adults</subject><ispartof>Clinical anatomy (New York, N.Y.), 2024-11, Vol.37 (8), p.869-877</ispartof><rights>2024 American Association of Clinical Anatomists and British Association of Clinical Anatomists.</rights><rights>2024 American Association of Clinical Anatomists</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><cites>FETCH-LOGICAL-c3102-ce320c5e9465646e2ad561341c14c66da57a87069839671d97cd9a488fc2bedc3</cites><orcidid>0000-0003-4015-9764 ; 0000-0002-4202-396X</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%2Fca.24132$$EPDF$$P50$$Gwiley$$H</linktopdf><linktohtml>$$Uhttps://onlinelibrary.wiley.com/doi/full/10.1002%2Fca.24132$$EHTML$$P50$$Gwiley$$H</linktohtml><link.rule.ids>314,780,784,1417,27924,27925,45574,45575</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/38173294$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Loomis, Katherine J.</creatorcontrib><creatorcontrib>Roll, Shawn C.</creatorcontrib><title>External wrist ratio is not a proxy for internal carpal tunnel shape: Implications for evaluating carpal tunnel syndrome risk</title><title>Clinical anatomy (New York, N.Y.)</title><addtitle>Clin Anat</addtitle><description>Carpal tunnel syndrome (CTS) is highly prevalent, resulting in decreased function and increased need for costly healthcare services. External wrist ratio (depth/width >0.70) is a strong predictor of the development of CTS and has been suggested to be a proxy for internal carpal tunnel (CT) shape. Conversely, sonography can more directly evaluate CT shape. The purpose of our study was to explore the relationship between wrist ratio and sonographic CT measurements to (1) evaluate the reliability of sonographic CT measurements and (2) explore how external wrist measures relate to anthropometric features of the CT. We used sonographic imaging on a sample of healthy participants (n = 226) to measure CT cross‐sectional area, depth, width, and depth/width ratio. We conducted exploratory correlation and regression analyses to identify relationships of these measures with external wrist ratio. Reliability for dominant and nondominant sonographic CT measures ranged from good to excellent (0.79–0.95). Despite a moderate correlation between CT width and depth and their external wrist counterparts (0.33–0.41, p < 0.001), wrist ratio and CT ratio demonstrated weak to no correlation (dominant: r = 0.12, p = 0.053; nondominant: r = 0.20, p = 0.002) and the mean CT ratio was far lower than the mean wrist ratio (0.45 vs. 0.71 bilaterally). Supporting this, we observed several key differences in the relationship between external wrist measures compared to corresponding CT measures. Additionally, regression analyses combining participant factors and CT measurements produced models accounting for less than 15% of the variability in external wrist ratio (linear models) or correctly predicting less than 68% of wrist ratio‐based risk categorization (logistic models). Overall, among healthy young adults, wrist shape is not an adequate proxy for CT shape.</description><subject>anthropometric measurement</subject><subject>carpal tunnel</subject><subject>Carpal tunnel syndrome</subject><subject>Computed tomography</subject><subject>Correlation</subject><subject>Logit models</subject><subject>Regression analysis</subject><subject>Reliability</subject><subject>sonography</subject><subject>Wrist</subject><subject>wrist ratio</subject><subject>Young adults</subject><issn>0897-3806</issn><issn>1098-2353</issn><issn>1098-2353</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2024</creationdate><recordtype>article</recordtype><recordid>eNp1kU1LxDAQhoMo7voB_gIJePFSzSRpmniTxS9Y8KLnkE2z2rVNa9K69uB_t-uuCoKnYeB5n2F4EToCcgaE0HNrzigHRrfQGIiSCWUp20ZjIlWWMEnECO3FuCAEgGdyF42YhIxRxcfo4-q9dcGbEi9DEVscTFvUuIjY1y02uAn1e4_ndcCF33DWhGYYbee9K3F8No27wHdVUxZ2lfXxC3dvpuyG3T_9DfQ-D3Xl8HDu5QDtzE0Z3eFm7qPH66uHyW0yvb-5m1xOE8uA0MQ6RolNneIiFVw4avJUAONggVshcpNmRmZEKMmUyCBXmc2V4VLOLZ253LJ9dLr2Dv-8di62uiqidWVpvKu7qKkCAkqkMhvQkz_oou5Wj0fNAFJBQVH6K7ShjjG4uW5CUZnQayB6VYm2Rn9VMqDHG2E3q1z-A353MADJGlgWpev_FenJ5Vr4Cam8lMc</recordid><startdate>202411</startdate><enddate>202411</enddate><creator>Loomis, Katherine J.</creator><creator>Roll, Shawn C.</creator><general>John Wiley & Sons, Inc</general><general>Wiley Subscription Services, Inc</general><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7QG</scope><scope>7QP</scope><scope>7T5</scope><scope>7TK</scope><scope>7TM</scope><scope>7TS</scope><scope>H94</scope><scope>JQ2</scope><scope>K9.</scope><scope>7X8</scope><orcidid>https://orcid.org/0000-0003-4015-9764</orcidid><orcidid>https://orcid.org/0000-0002-4202-396X</orcidid></search><sort><creationdate>202411</creationdate><title>External wrist ratio is not a proxy for internal carpal tunnel shape: Implications for evaluating carpal tunnel syndrome risk</title><author>Loomis, Katherine J. ; Roll, Shawn C.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c3102-ce320c5e9465646e2ad561341c14c66da57a87069839671d97cd9a488fc2bedc3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2024</creationdate><topic>anthropometric measurement</topic><topic>carpal tunnel</topic><topic>Carpal tunnel syndrome</topic><topic>Computed tomography</topic><topic>Correlation</topic><topic>Logit models</topic><topic>Regression analysis</topic><topic>Reliability</topic><topic>sonography</topic><topic>Wrist</topic><topic>wrist ratio</topic><topic>Young adults</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Loomis, Katherine J.</creatorcontrib><creatorcontrib>Roll, Shawn C.</creatorcontrib><collection>PubMed</collection><collection>CrossRef</collection><collection>Animal Behavior Abstracts</collection><collection>Calcium & Calcified Tissue Abstracts</collection><collection>Immunology Abstracts</collection><collection>Neurosciences Abstracts</collection><collection>Nucleic Acids Abstracts</collection><collection>Physical Education Index</collection><collection>AIDS and Cancer Research Abstracts</collection><collection>ProQuest Computer Science Collection</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>MEDLINE - Academic</collection><jtitle>Clinical anatomy (New York, N.Y.)</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Loomis, Katherine J.</au><au>Roll, Shawn C.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>External wrist ratio is not a proxy for internal carpal tunnel shape: Implications for evaluating carpal tunnel syndrome risk</atitle><jtitle>Clinical anatomy (New York, N.Y.)</jtitle><addtitle>Clin Anat</addtitle><date>2024-11</date><risdate>2024</risdate><volume>37</volume><issue>8</issue><spage>869</spage><epage>877</epage><pages>869-877</pages><issn>0897-3806</issn><issn>1098-2353</issn><eissn>1098-2353</eissn><abstract>Carpal tunnel syndrome (CTS) is highly prevalent, resulting in decreased function and increased need for costly healthcare services. External wrist ratio (depth/width >0.70) is a strong predictor of the development of CTS and has been suggested to be a proxy for internal carpal tunnel (CT) shape. Conversely, sonography can more directly evaluate CT shape. The purpose of our study was to explore the relationship between wrist ratio and sonographic CT measurements to (1) evaluate the reliability of sonographic CT measurements and (2) explore how external wrist measures relate to anthropometric features of the CT. We used sonographic imaging on a sample of healthy participants (n = 226) to measure CT cross‐sectional area, depth, width, and depth/width ratio. We conducted exploratory correlation and regression analyses to identify relationships of these measures with external wrist ratio. Reliability for dominant and nondominant sonographic CT measures ranged from good to excellent (0.79–0.95). Despite a moderate correlation between CT width and depth and their external wrist counterparts (0.33–0.41, p < 0.001), wrist ratio and CT ratio demonstrated weak to no correlation (dominant: r = 0.12, p = 0.053; nondominant: r = 0.20, p = 0.002) and the mean CT ratio was far lower than the mean wrist ratio (0.45 vs. 0.71 bilaterally). Supporting this, we observed several key differences in the relationship between external wrist measures compared to corresponding CT measures. Additionally, regression analyses combining participant factors and CT measurements produced models accounting for less than 15% of the variability in external wrist ratio (linear models) or correctly predicting less than 68% of wrist ratio‐based risk categorization (logistic models). Overall, among healthy young adults, wrist shape is not an adequate proxy for CT shape.</abstract><cop>Hoboken, USA</cop><pub>John Wiley & Sons, Inc</pub><pmid>38173294</pmid><doi>10.1002/ca.24132</doi><tpages>9</tpages><orcidid>https://orcid.org/0000-0003-4015-9764</orcidid><orcidid>https://orcid.org/0000-0002-4202-396X</orcidid></addata></record> |
| fulltext | fulltext |
| identifier | ISSN: 0897-3806 |
| ispartof | Clinical anatomy (New York, N.Y.), 2024-11, Vol.37 (8), p.869-877 |
| issn | 0897-3806 1098-2353 1098-2353 |
| language | eng |
| recordid | cdi_proquest_miscellaneous_2910196587 |
| source | Wiley Online Library All Journals |
| subjects | anthropometric measurement carpal tunnel Carpal tunnel syndrome Computed tomography Correlation Logit models Regression analysis Reliability sonography Wrist wrist ratio Young adults |
| title | External wrist ratio is not a proxy for internal carpal tunnel shape: Implications for evaluating carpal tunnel syndrome risk |
| url | https://sfx.bib-bvb.de/sfx_tum?ctx_ver=Z39.88-2004&ctx_enc=info:ofi/enc:UTF-8&ctx_tim=2025-01-07T00%3A15%3A23IST&url_ver=Z39.88-2004&url_ctx_fmt=infofi/fmt:kev:mtx:ctx&rfr_id=info:sid/primo.exlibrisgroup.com:primo3-Article-proquest_cross&rft_val_fmt=info:ofi/fmt:kev:mtx:journal&rft.genre=article&rft.atitle=External%20wrist%20ratio%20is%20not%20a%20proxy%20for%20internal%20carpal%20tunnel%20shape:%20Implications%20for%20evaluating%20carpal%20tunnel%20syndrome%20risk&rft.jtitle=Clinical%20anatomy%20(New%20York,%20N.Y.)&rft.au=Loomis,%20Katherine%20J.&rft.date=2024-11&rft.volume=37&rft.issue=8&rft.spage=869&rft.epage=877&rft.pages=869-877&rft.issn=0897-3806&rft.eissn=1098-2353&rft_id=info:doi/10.1002/ca.24132&rft_dat=%3Cproquest_cross%3E2910196587%3C/proquest_cross%3E%3Curl%3E%3C/url%3E&disable_directlink=true&sfx.directlink=off&sfx.report_link=0&rft_id=info:oai/&rft_pqid=3115621922&rft_id=info:pmid/38173294&rfr_iscdi=true |