دورية أكاديمية

T2 magnetic resonance imaging mapping and morphology of the median nerve before and after surgery in carpal tunnel syndrome.

التفاصيل البيبلوغرافية
العنوان: T2 magnetic resonance imaging mapping and morphology of the median nerve before and after surgery in carpal tunnel syndrome.
المؤلفون: Kondo H; Department of Orthopedic Surgery, Fujita Health University, Toyoake, Aichi, Japan., Suzuki T; Department of Orthopedic Surgery, Keio University School of Medicine, Tokyo, Japan., Hayakawa K; Aiko Orthopedic Surgery Hospital, Nagoya, Aichi, Japan., Maeda A; Department of Orthopedic Surgery, Fujita Health University, Toyoake, Aichi, Japan., Funahashi T; Department of Orthopedic Surgery, Fujita Health University, Toyoake, Aichi, Japan., Kuroiwa T; Department of Orthopedic Surgery, Fujita Health University, Toyoake, Aichi, Japan., Kawano Y; Department of Orthopedic Surgery, Fujita Health University, Toyoake, Aichi, Japan., Iwamoto T; Department of Orthopedic Surgery, Keio University School of Medicine, Tokyo, Japan., Fujita N; Department of Orthopedic Surgery, Fujita Health University, Toyoake, Aichi, Japan.
المصدر: Muscle & nerve [Muscle Nerve] 2024 Sep; Vol. 70 (3), pp. 346-351. Date of Electronic Publication: 2024 Jun 26.
نوع المنشور: Journal Article
اللغة: English
بيانات الدورية: Publisher: John Wiley & Sons Country of Publication: United States NLM ID: 7803146 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1097-4598 (Electronic) Linking ISSN: 0148639X NLM ISO Abbreviation: Muscle Nerve Subsets: MEDLINE
أسماء مطبوعة: Publication: <2005-> : Hoboken, NJ : John Wiley & Sons
Original Publication: New York, NY : John Wiley & Sons
مواضيع طبية MeSH: Carpal Tunnel Syndrome*/surgery , Carpal Tunnel Syndrome*/diagnostic imaging , Median Nerve*/diagnostic imaging , Magnetic Resonance Imaging* , Neural Conduction*/physiology, Humans ; Female ; Male ; Middle Aged ; Aged ; Prospective Studies ; Adult
مستخلص: Introduction/aims: T2 magnetic resonance imaging (MRI) mapping has been applied to carpal tunnel syndrome (CTS) for quantitative assessment of the median nerve. However, quantitative changes in the median nerve before and after surgery using T2 MRI mapping remain unclear. We aimed to investigate whether pathological changes could be identified by pre- and postoperative T2 MRI mapping of the median nerve in CTS patients after open carpal tunnel release.
Methods: This was a prospective study that measured median nerve T2 and cross-sectional area (CSA) values at the distal carpal tunnel, hamate bone, proximal carpal tunnel, and forearm levels pre- and postoperatively. Associations between T2, CSA, and nerve conduction latency were also evaluated.
Results: A total of 36 patients with CTS (mean age, 64.5 ± 11.7 years) who underwent surgery were studied. The mean preoperative T2 values significantly decreased from 56.3 to 46.9 ms at the proximal carpal tunnel levels (p = .001), and from 52.4 to 48.7 ms at the hamate levels postoperatively (p = .04). Although there was a moderate association between preoperative T2 values at the distal carpal tunnel levels and distal motor latency values (r = -.46), other T2 values at all four carpal tunnel levels were not significantly associated with CSA or nerve conduction latency pre- or postoperatively.
Discussion: T2 MRI mapping of the carpal tunnel suggested a decrease in nerve edema after surgery. T2 MRI mapping provides quantitative information on the median nerve before and after surgery.
(© 2024 Wiley Periodicals LLC.)
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فهرسة مساهمة: Keywords: T2 mapping; T2 value; carpal tunnel syndrome; magnetic resonance imaging; median nerve
تواريخ الأحداث: Date Created: 20240626 Date Completed: 20240814 Latest Revision: 20240814
رمز التحديث: 20240814
DOI: 10.1002/mus.28191
PMID: 38924089
قاعدة البيانات: MEDLINE
الوصف
تدمد:1097-4598
DOI:10.1002/mus.28191