Evidence‐based guideline: Neuromuscular ultrasound for the diagnosis of carpal tunnel syndrome

Muscle and Nerve - Tập 46 Số 2 - Trang 287-293 - 2012
Catherine French1, Michael S. Cartwright1, Lisa D. Hobson‐Webb2, Andrea J. Boon3, Christopher H. Hunt4,5, V. Flores6, Steven J. Shook7, T. Darrell Thomas8, Francis O. Walker9
1Wake Forest University
2Duke University
3Physical Medicine and Rehabilitation
4Mount Washington Pediatric Hospital
5NATIONAL INSTITUTES OF HEALTH
6Mayo Clinic Rochester-MN
7Center for Ergonomics
8Knoxville Neurology Specialists
9Colorado Rehabilitation and Occupational Medicine

Tóm tắt

AbstractIntroduction: The purpose of this study was to develop an evidence‐based guideline for the use of neuromuscular ultrasound in the diagnosis of carpal tunnel syndrome (CTS). Methods: Two questions were asked: (1) What is the accuracy of median nerve cross‐sectional area enlargement as measured with ultrasound for the diagnosis of CTS? (2) What added value, if any, does neuromuscular ultrasound provide over electrodiagnostic studies alone for the diagnosis of CTS? A systematic review was performed, and studies were classified according to American Academy of Neurology criteria for rating articles of diagnostic accuracy (question 1) and for screening articles (question 2). Results: Neuromuscular ultrasound measurement of median nerve cross‐sectional area at the wrist is accurate and may be offered as a diagnostic test for CTS (Level A). Neuromuscular ultrasound probably adds value to electrodiagnostic studies when diagnosing CTS and should be considered in screening for structural abnormalities at the wrist in those with CTS (Level B). Muscle Nerve 46: 287–293, 2012

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Muscle and Nerve

Tập 46 Số 2

287-293

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