Sonographic Examination of Median Nerve Variations
Sonographic Examination of Median Nerve Variations and Characteristics Observed in Healthy and Carpal Tunnel Syndrome Patients
Yunus Burak Bayır
129 participants
Sep 1, 2024
OBSERVATIONAL
Summary
The aim of the study is to evaluate the prevalence of bifid median nerve in patients diagnosed with carpal tunnel syndrome (CTS) and whether it has a higher prevalence in CTS patients than in asymptomatic individuals, and to evaluate the characteristics of the bifid median nerve found and whether median nerve variations are predisposing factors in the development of CTS.
Eligibility
Inclusion Criteria3
- Having typical Carpal Tunnel Sydnrome symptoms lasting longer than 3 months
- Carpal tunnel syndrome diagnosed with EMG
- Being a male/female >18 years of age
Exclusion Criteria3
- History of polyneuropathy, brachial plexopathy, thoracic outlet syndrome, or surgery in the wrist area
- Presence of inflammatory arthritis, hypothyroidism, pregnancy, rheumatological disorders, diabetes mellitus
- Presence of peripheral vascular disease
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Interventions
Patients' general pain will be assessed with Visual Analog Scale (Global Pain), symptom severity and functional status will be assessed with Boston Carpal Tunnel Questionnaire, hand grip strength will be measured with dynamometer. Patient hand diagram will be marked according to patient's sensory symptoms. Median nerve cross-sectional area measurement at pisiform level with ultrasound, distal motor latency and sensory nerve conduction velocity with emg will be performed and recorded. Median nerve stiffness will be assessed with real-time elastography.
Locations(1)
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NCT06538779