An evaluation of radial and ulnar artery flow characteristics in diabetic patients with carpal tunnel syndrome and the diagnostic value of ultrasonography in these patients

Abstract

Objectives: This study aimed to research the value of ultrasonography in the diagnosis of carpal tunnel syndrome (CTS) in patients with diabetes mellitus (DM) and to examine the flow characteristics of the radial and ulnar arteries in diabetic patients with CTS. Methods: A total of 23 diabetic hands diagnosed with CTS from electrophysiological evaluation (DM-CTS), 47 asymptomatic diabetic hands (DM) and 50 healthy hands (C) as the control group were evaluated with high resolution ultrasonography. The median nerve was measured in the cross-sectional area (CSA), flattening ratio (FR) and at the level of the carpal tunnel inlet [proximal (p)] and the wrist crease [distal (d)]. The radial and ulnar arteries were evaluated with both hands in a neutral position. Results: In the DM-CTS group, the CSA-p and CSA-d values were statistically signficantly greater compared to the DM and C groups (p

Keywords

• Carpal tunnel syndrome, Cross-sectional area, Median nerve, Ultrasonography

Diabetik karpal tünel sendromlu hastalarda radial ve ulnar arterlerin akım karakteristiklerinin değerlendirilmesi ve bu hastalarda ultrasonografinin tanısal değeri

Öz

Amaç: Diabetes mellituslu (DM) hastalarda karpal tünel sendromu (KTS) teşhisinde ultrasonografinin değerini ve diabetik KTS\'li hastalarda radial ve ulnar arterlerin akım karakteristiklerini araştırmak amaçlanmıştır. Yöntemler: Elektrofizyolojik değerlendirme ile KTS tesbit edilen 23 el (DM-KTS), asemptomatik 47 el (DM) ve 50 sağlıklı el kontrol grubu (C), yüksek rezolüsyonlu ultrasonografiyle değerlendirildi. Median sinir kesit alanı (CSA) ve düzleşme oranı (FR), karpal tünel girişi [proksimal (p)] ve bilek kıvrımı [distal (d)] düzeylerden ölçüldü. Her iki el nötral pozisyonda iken radial ve ulnar arterler değerlendirildi. Bulgular: DM-KTS grubunda, CSA-p ve CSA-d değerleri DM ve C gruplarına göre anlamlı olarak daha büyüktü (p

Anahtar Kelimeler

• Karpal tünel sendromu, kesit alanı, median sinir, ultrasonografi

Kaynakça

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