Diagnosis Accuracy of Carpal Tunnel Syndrome in Diabetic Neuropathy.

Medicina
Nicu Cătălin DrăghiciDafin Fior Mureșanu

Abstract

Background and objectives: Carpal tunnel syndrome (CTS) is a common pathology, but sometimes the diagnosis is delayed in patients with diabetic neuropathy (DN). The aim of the study is twofold: first, to compare the accuracy of ultrasound (US) with that of electroneurography (ENG) in the diagnosis of CTS associated with DN, using the clinical diagnosis as a reference standard, and second, to investigate the correlation between morphological US parameters and electrodiagnosis (EDX) measurements in patients with CTS and DN. Materials and Methods: This study included patients with DN. They were divided into two groups: Control (patients without CTS) and Cases (patients with CTS). We performed US and ENG in both hands, totaling 56 wrists, with 28 wrists in each group. Results: We found that the difference in the sensory distal latencies between the median and the ulnar nerves (ring finger) exhibited the highest diagnostic accuracy of all the US and ENG parameters, areas under the receiver operating characteristic (AUC) = 0.99 (95% CI 0.97-1), and it was significantly different from the best US diagnostic method. The wrist cross-sectional area (CSA) had the most accurate US diagnosis, while the wrist-to-forearm ratio had the worst A...Continue Reading

References

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Citations

May 16, 2021·American Journal of Physical Medicine & Rehabilitation·Shawn P JorgensenJohn Norbury

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Methods Mentioned

BETA
glycosylation

Software Mentioned

R Foundation for Statistical Computing
irr
clusrank
R environment

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