1. Visualization of the morphological changes in the median nerve after carpal tunnel release using three-dimensional magnetic resonance imaging
- Author
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Takuya Funahashi, Taku Suzuki, Katsuhiko Hayakawa, Takashi Nakane, Atsushi Maeda, Takashi Kuroiwa, Yusuke Kawano, Takuji Iwamoto, and Nobuyuki Fujita
- Subjects
Wrist Joint ,Humans ,Radiology, Nuclear Medicine and imaging ,General Medicine ,Wrist ,Carpal Tunnel Syndrome ,Magnetic Resonance Imaging ,Median Nerve - Abstract
This study aimed to compare the pre- and postoperative morphology of the median nerve using three-dimensional (3-D) MRI in patients with carpal tunnel syndrome (CTS).We assessed 31 patients with CTS who underwent open carpal tunnel release and T2*-weighted MRI of the wrist preoperatively and at 6 months postoperatively. The median nerve morphology was evaluated on the basis of the cross-sectional areas (CSAs) and cross-sectional volumes (CSVs). The association between these MRI findings and nerve conduction studies was also evaluated.The mean preoperative CSA and CSV values at the proximal carpal tunnel level significantly decreased from 22.2 mmVisual confirmation of the median nerve morphology using 3-D MRI is useful when considering postoperative recovery and explaining the nerve condition to the patients.• The 3-D morphology of the median nerve after carpal tunnel release can be delineated using 3-D MRI. • Preoperative swelling of the median nerve in the 2-D and 3-D planes reflects the severity of carpal tunnel syndrome. • Visual confirmation of the median nerve morphology is useful when considering median nerve recovery after carpal tunnel release and for explaining the condition of the nerve to patients.
- Published
- 2022
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