Diagnostik des Karpaltunnelsyndroms: Wert der Sonographie zur elektrophysiologischen Untersuchung

Schmid, Patrik; Badur, Nicole; Kluge, Sebastian; Vögelin, Esther (2018). Diagnostik des Karpaltunnelsyndroms: Wert der Sonographie zur elektrophysiologischen Untersuchung. Praxis - schweizerische Rundschau für Medizin, 107(6), pp. 309-314. Huber 10.1024/1661-8157/a003169

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Diagnosis of Carpal Tunnel Syndrome: Value of Ultrasound Compared to Nerve Conduction Studies Abstract. Carpal tunnel syndrome is the most common compression syndrome of the peripheral nerves. The patient's history with nocturnal brachialgia, daytime brachialgia, nocturnal paraesthesia and daytime paraesthesia (part of the 6-item CTS symptom scale) and a specific clinical exam take part while making a diagnosis. Additional diagnostics include electrophysiological testings. A high-resolution ultrasound examination for the evaluation of the morphology of the median nerve has gained importance in diagnosis of a carpal tunnel syndrome, whilst an electrophysiological exam allows a functional evaluation. Cardinal finding in ultrasound is an absolute or relative enlargement of the cross-section of the nerve at the edge proximal to the flexor retinaculum. Despite multiple studies that demonstrated ultrasound as a fist-line diagnostic tool, there is no consensus on optimal sonographic criteria for the definition of a compressed median nerve. Our aim was to demonstrate the use of ultrasound and electrophysiological exams for diagnostics of carpal tunnel syndrome in our own patient population and compared to the literature.

Item Type:

Journal Article (Further Contribution)

Division/Institute:

04 Faculty of Medicine > Department of Orthopaedic, Plastic and Hand Surgery (DOPH) > Clinic of Plastic and Hand Surgery
04 Faculty of Medicine > Pre-clinic Human Medicine > BioMedical Research (DBMR) > Forschungsbereich Mu50 > Forschungsgruppe Handchirurgie
04 Faculty of Medicine > Department of Orthopaedic, Plastic and Hand Surgery (DOPH) > Clinic of Plastic and Hand Surgery > Hand Surgery

UniBE Contributor:

Schmid, Patrik; Badur, Nicole; Kluge, Sebastian and Vögelin, Esther

Subjects:

600 Technology > 610 Medicine & health

ISSN:

1661-8157

Publisher:

Huber

Language:

German

Submitter:

Veronika Picha

Date Deposited:

15 Nov 2018 15:28

Last Modified:

15 Nov 2018 17:11

Publisher DOI:

10.1024/1661-8157/a003169

PubMed ID:

30426839

Uncontrolled Keywords:

Carpal tunnel syndrome ENMG KTS Karpaltunnelsyndrom Sonografie Syndrome du canal carpien Ultraschall nerve conduction studies sonography ultrason ultrasound échographie électromyogramme

BORIS DOI:

10.7892/boris.121271

URI:

https://boris.unibe.ch/id/eprint/121271

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