Multiparametric Ultrasound Assessment of Carpal Tunnel Syndrome: Beyond Nerve Cross-sectional Area.

IF 0.9 4区医学 Q4 RADIOLOGY, NUCLEAR MEDICINE & MEDICAL IMAGING Seminars in Musculoskeletal Radiology Pub Date : 2024-12-01 Epub Date: 2024-11-19 DOI:10.1055/s-0044-1790561

Tjaša Tomažin, Luka Pušnik, Domenico Albano, Suren Armeni Jengojan, Žiga Snoj

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Abstract

Carpal tunnel syndrome (CTS), the most common mononeuropathy, results from compression of the median nerve within the fibro-osseous carpal tunnel. Diagnosis is typically based on clinical evaluation and confirmed by nerve conduction studies. However, ultrasound (US) has emerged as a valuable noninvasive adjunct for CTS confirmation, offering potential advantages over electrodiagnostic testing in terms of patient comfort and diagnostic accuracy. This review begins with a concise summary of carpal tunnel anatomy and CTS pathophysiology as a foundation for exploring the diverse applications of US in CTS evaluation. B-mode US assessment is presented with a focus on cross-sectional imaging and dynamic evaluations, including the transverse translocation and longitudinal gliding of the median nerve. We also review current methods for assessing vascularization in CTS and explore the usefulness of elastography in CTS evaluation. The advantages and limitations of each US method are elucidated, highlighting their practical utility in clinical practice.

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腕管综合征的多参数超声评估：神经横截面积之外的问题

腕管综合征（CTS）是最常见的单神经病，是正中神经在纤维骨性腕管内受到压迫所致。诊断通常以临床评估为基础，并通过神经传导研究加以确认。然而，超声（US）已成为确诊 CTS 的一种有价值的无创辅助手段，在患者舒适度和诊断准确性方面比电诊断测试更具潜在优势。本综述首先简要概述了腕管解剖和 CTS 病理生理学，为探讨 US 在 CTS 评估中的各种应用奠定了基础。B 型 US 评估的重点是横断面成像和动态评估，包括正中神经的横向移位和纵向滑动。我们还回顾了目前评估 CTS 血管化的方法，并探讨了弹性成像在 CTS 评估中的作用。我们阐明了每种 US 方法的优势和局限性，强调了它们在临床实践中的实用性。

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来源期刊

Seminars in Musculoskeletal Radiology 医学-核医学

CiteScore

2.50

自引率

7.10%

发文量

112

审稿时长

>12 weeks

期刊介绍： Seminars in Musculoskeletal Radiology is a review journal that is devoted to musculoskeletal and associated imaging techniques. The journal''s topical issues encompass a broad spectrum of radiological imaging including body MRI imaging, cross sectional radiology, ultrasound and biomechanics. The journal also covers advanced imaging techniques of metabolic bone disease and other areas like the foot and ankle, wrist, spine and other extremities. The journal''s content is suitable for both the practicing radiologist as well as residents in training.

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