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Median Nerve’s Microcirculation in Carpal Tunnel Syndrome: Superb Microvascular Imaging
- Source :
- Plastic & Reconstructive Surgery. 147:1355-1360
- Publication Year :
- 2021
- Publisher :
- Ovid Technologies (Wolters Kluwer Health), 2021.
-
Abstract
- The objectivity of physical and electrodiagnostic tests is limited in detecting carpal tunnel syndrome and its recurrence. Predicting the median nerve blood supply using superb microvascular imaging will allow exact diagnosis and a good follow-up system. The aims of this study include using superb microvascular imaging to correlate with electromyographic diagnosis, and to determine the impact of surgery on improvement in superb microvascular imaging.Between July of 2019 and January of 2020, 32 wrists of 21 patients were evaluated prospectively. After preoperative electrodiagnostic studies and vascular index measurement with superb microvascular imaging, open carpal tunnel release was performed by a single surgeon, and 3 months later standardized superb microvascular imaging was performed. Preoperative vascular indexes were compared with the mild, moderate, and severe electrodiagnostic study results. Preoperative and postoperative vascular index results were compared.The average of the preoperative and postoperative imaging groups was 2.77 and 1.48, respectively, and there was a statistically significant difference between the two groups (p0.05). Although no significant difference was found between preoperative and postoperative vascular index values in patients presenting with mild carpal tunnel syndrome (p0.05), there was a significant decrease in vascular index values in patients presenting with moderate and severe carpal tunnel syndrome after surgical decompression.Superb microvascular imaging is emerging as a groundbreaking, new, and reliable technique. Evaluation of the median nerve blood supply is a reliable method that would be helpful for early diagnosis, planning treatment, determining the severity of carpal tunnel syndrome, and postoperative follow-up.Diagnostic, IV.
- Subjects :
- Adult
Male
medicine.medical_specialty
030230 surgery
Microcirculation
03 medical and health sciences
0302 clinical medicine
medicine
Humans
In patient
Carpal tunnel syndrome
Aged
Aged, 80 and over
business.industry
Electrodiagnosis
Significant difference
Ultrasonography, Doppler
Middle Aged
Decompression, Surgical
medicine.disease
Carpal Tunnel Syndrome
Median nerve
Single surgeon
Median Nerve
Clinical question
030220 oncology & carcinogenesis
Female
Surgery
Blood supply
Radiology
business
Subjects
Details
- ISSN :
- 00321052
- Volume :
- 147
- Database :
- OpenAIRE
- Journal :
- Plastic & Reconstructive Surgery
- Accession number :
- edsair.doi.dedup.....008bc909503b6bec71e0bd4f01568202