Transverse Ultrasound Assessment of Median Nerve Deformation and Displacement in the Human Carpal Tunnel during Wrist Movements

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Altered median nerve deformation and transverse displacement during wrist movement in patients with carpal tunnel syndrome.

RATIONALE AND OBJECTIVES Carpal tunnel syndrome (CTS) is the most common peripheral nerve entrapment syndrome. Strong pinch or grip with wrist flexion has been considered a risk factor for CTS. Studying median nerve displacement during wrist movements may provide useful information about median nerve kinematic changes in patients with CTS. The purpose of this study was to evaluate the deformabi...

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Transverse Ultrasound Assessment of the Displacement of the Median Nerve in the Carpal Tunnel during Wrist and Finger Motion in Healthy Volunteers.

PURPOSE The purpose of this study was to investigate the displacement of the median nerve in the carpal tunnel during finger motion at varied wrist positions using transverse ultrasound in healthy volunteers, in order to clarify the appropriate position of a wrist splint in treating carpal tunnel syndrome. METHODS Fifty wrists of 25 asymptomatic volunteers were evaluated by transverse ultraso...

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Ultrasound imaging of the carpal tunnel during median nerve compression

Median nerve (MN) compression is a recognized component of carpal tunnel syndrome (CTS). In order to document compressive changes in the MN during hand activity, the carpal tunnel was imaged with neuromuscular ultrasound (NMUS). Ten patients with CTS and five normal controls underwent NMUS of the MN at rest and during dynamic stress testing (DST). DST maneuvers involve sustained isometric flexi...

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Transverse Movement of the Median Nerve in the Carpal Tunnel during Wrist and Finger Motion in Patients with Carpal Tunnel Syndrome.

Carpal tunnel syndrome (CTS) is the most common peripheral compression neuropathy of the upper extremity. Repetitive wrist and finger motion has been suggested as a major factor of pathogenesis of CTS. However, little is known about the pathomechanics of CTS. We aimed to evaluate the movement of the median nerve in the carpal tunnel during wrist and finger motions using transverse ultrasound in...

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The median nerve in the carpal tunnel.

A study of the variations of the course and branching pattern of the median nerve within the carpal tunnel were carried out on 60 wrists from 30 fresh cadavers autopsied in the Department of Forensic Medicine of Jagiellonian University Medical College. The results were compared with the literature. The study confirmed that the extraligamentous type of motor branch variation is most common. The ...

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ژورنال

عنوان ژورنال: Ultrasound in Medicine & Biology

سال: 2014

ISSN: 0301-5629

DOI: 10.1016/j.ultrasmedbio.2013.09.009