PMID: 11924755Apr 2, 2002Paper

Ultrasound changes of the carpal tunnel in patients receiving long-term hemodialysis: a cross-sectional and longitudinal study

Clinical Nephrology
T TakahashiM Takahashi

Abstract

Carpal tunnel syndrome (CTS) is one of the major problems of long-term hemodialysis (HD), but sometimes difficult to distinguish from uremic or diabetic neuropathy by clinical symptoms. To evaluate the diagnosis of CTS more precisely, we examined the ultrasonographic alterations of the carpal tunnel and tendons of 90 wrists from 45 patients undergoing HD for more than 5 years. We measured the thickness of the palmar radiocarpal ligament (PRL), corresponding to the posterior wall of the carpal tunnel (CT), and the width of the CT, and compared those values with sensory (SCV), motor conduction velocity (MCV) of the median nerve and clinical symptoms. In addition, we longitudinally measured CT and PRL in the same patients for 5 years, and compared ultrasonographic changes and clinical parameters. A linear positive relationship was found between HD duration and PRL thickness (r = 0.43, p < 0.01) or CT width (r = 0.53, p < 0.01). CT diameter was negatively correlated with MCV (r = -0.30, p < 0.01) and SCV (r = -0.33, p < 0.04). PRL thickness was also inversely correlated with MCV (r = -0.44, p < 0.01) and SCV (r = -0.46, p < 0.01) of the median nerve, respectively. The wrists with clinical CTS and/or previous CTS surgery had signifi...Continue Reading

Citations

Feb 15, 2011·Clinical Rheumatology·Marwin GutierrezWalter Grassi
Dec 19, 2003·Advances in Renal Replacement Therapy·James F WinchesterNathan W Levin
Oct 13, 2006·Journal of Endocrinological Investigation·K MüssigH J Quabbe
Oct 19, 2016·Therapeutic Apheresis and Dialysis : Official Peer-reviewed Journal of the International Society for Apheresis, the Japanese Society for Apheresis, the Japanese Society for Dialysis Therapy·Tadashi YamazakiShuichi Tsuruoka
Aug 9, 2008·The Journal of Hand Surgery, European Volume·I PinillaS Santiago
Jun 5, 2020·Kidney Research and Clinical Practice·Samar Tharwat, Mohammed Kamal Nassar
Aug 23, 2020·Diagnostics·Yuichi YoshiiPeter C Amadio

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