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Wrist Ultrasound

Tanya Sapundzhieva, Rositsa Karalilova, Anastas Batalov
To assess the role of musculoskeletal ultrasound as a predictor for the achievement of DAS28 remission in patients with rheumatoid arthritis (RA). One hundred and forty-one patients underwent physical and ultrasound examination at five visits (at baseline and after 1, 3, 6 and 12 months). Patients were divided into two groups according to the type of treatment, which involved synthetic (sDMARDs) and biologic (bDMARDs) disease-modifying antirheumatic drugs. Ultrasound assessment of the wrist, second and third metacarpophalangeal, second and third proximal interphalangeal joint, second and fifth metatarsophalangeal joint (the German US7 score) was performed on gray scale (GS) and on power Doppler ultrasound (PDUS)...
August 18, 2018: Rheumatology International
Teun Wilmink, Maria Corte-Real Houlihan
OBJECTIVE: To determine the value of diameter measurements for prediction of functional dialysis use (FDU) of arteriovenous fistulas (AVF). METHODS: Review of access operations and dialysis databases from January 1, 2007 to August 1, 2015. Follow up until July 1, 2016. FDU defined as six consecutive dialysis sessions with two needles on the AVF. Artery and vein diameters measured by portable ultrasound in access clinic. Contribution of diameter to predict FDU assessed with logistic regression...
August 9, 2018: European Journal of Vascular and Endovascular Surgery
Consuelo B Gonzalez-Suarez, Lorraine D Buenavente, Ronald Christopher A Cua, Maria Belinda C Fidel, Jan-Tyrone C Cabrera, Carina Fatima G Regala
Background: Electrophysiologic studies have been considered the "gold standard" in diagnosing carpal tunnel syndrome (CTS); however, reports of false-negative results, as well as discomfort for the patient during the procedure has paved the use of ultrasound, being a painless and cost-efficient tool, as an alternative means for its diagnosis. Various ultrasound parameters assessing the median nerve and wrist dimensions have been described, but description of landmarks to assess these in a reliable manner has been lacking...
January 2018: Journal of Medical Ultrasound
Troy H Maetani, Cody Schwartz, Robert J Ward, Daniel B Nissman
RATIONALE AND OBJECTIVES: Many medical specialties have incorporated portable ultrasound into their educational curriculum. Our objective was to determine the utility of an individual smart portable ultrasound device (iSPUD) as an educational tool in resident and fellowship Musculoskeletal Radiology training. MATERIALS AND METHODS: After Institutional Review Board approval, volunteer radiology trainees were instructed to use the iSPUD (Philips Lumify ultrasound probe and Samsung Galaxy Tab S2 8 inch tablet), asked to identify 10 wrist structures with the iSPUD and completed a Likert scale-based, pretest survey...
July 29, 2018: Academic Radiology
Sarah Razaq, Falak Nigar, Sakinnah Hussain Naqvi
We report the case of a young 25-year male, a known case of end-stage renal disease (ESRD), undergoing irregular dialysis sessions, who presented with multiple swellings along the extensor surfaces of large joints of body including shoulders, sacrum, wrists and elbows. The swellings were initially painless, but later became painful on movements alone, were causing hindrance in movement and the sacral lump was causing difficulty in lying supine. On evaluation by laboratory investigations, he revealed borderline hyperphosphatemia and hypocalcemia...
August 2018: Journal of the College of Physicians and Surgeons—Pakistan: JCPSP
Jacob Tulipan, Pedro Beredjiklian, Jigar S Gandhi, Frederic Liss, Michael Rivlin
PURPOSE: Advanced noninvasive imaging of the upper extremity joints, including computed tomography (CT), magnetic resonance imaging (MRI), and ultrasound (US) , has numerous applications in the evaluation of musculoskeletal pathology. Choice of modality is influenced by clinical and cost concerns, with US and CT traditionally considered less expensive than MRI. We analyzed the changes in Medicare reimbursement for these imaging modalities with the hypothesis that recent reimbursement decreases in MRI have made this modality more cost-competitive than other commonly used imaging modalities...
July 26, 2018: Journal of Hand Surgery
Ing-Jeng Chen, Ke-Vin Chang, Wei-Ting Wu, Levent Özçakar
OBJECTIVE: To investigate the diagnostic performance of available ultrasound (US) parameters, other than the direct measurements of ulnar nerve size i.e. cross-sectional area (CSA) and diameter, for diagnosing cubital tunnel syndrome (CuTS). DATA SOURCES: Databases, including PubMed and Embase, were searched from the earliest record of CuTS ultrasound to April 24th, 2018. STUDY SELECTION: Thirteen published studies comparing US parameters of ulnar nerves between patients with CuTS and healthy controls were included...
July 25, 2018: Archives of Physical Medicine and Rehabilitation
Berdale S Colorado, Daniel A Osei
INTRODUCTION: Patients presenting with symptoms of pain/paresthesias primarily in an ulnar nerve distribution may be noted to have exclusive median mononeuropathy at the wrist on subsequent electrodiagnostic testing. There has been limited research looking at the prevalence of this clinical presentation. METHODS: A cohort of adults were surveyed to assess for severity and localization of hand symptoms using the Katz hand diagram and Boston Carpal Tunnel Questionnaire Symptoms Severity Scale...
July 27, 2018: Muscle & Nerve
Gideon Nkrumah, Alan R Blackburn, Robert J Goitz, John R Fowler
BACKGROUND: Increasing severity of carpal tunnel syndrome (CTS), as graded by nerve conduction studies (NCS), has been demonstrated to predict the speed and completeness of recovery after carpal tunnel release (CTR). The purpose of this study is to compare the cross-sectional area (CSA) of the median nerve in patients with severe and nonsevere CTS as defined by NCS. METHODS: Ultrasound CSA measurements were taken at the carpal tunnel inlet at the level of the pisiform bone by a hand fellowship-trained orthopedic surgeon...
July 1, 2018: Hand: Official Journal of the American Association for Hand Surgery
Yu-Ichi Noto, Nidhi Garg, Tiffany Li, Hannah C Timmins, Susanna B Park, Kazumoto Shibuya, Nortina Shahrizaila, William Huynh, José M Matamala, Thanuja Dharmadasa, Con Yiannikas, Steve Vucic, Matthew C Kiernan
INTRODUCTION: The present study explored potential diagnostic markers of nerve ultrasound in differentiating amyotrophic lateral sclerosis (ALS) from mimic disorders. METHODS: Ultrasound of the median, ulnar and tibial nerves was undertaken in 53 ALS patients, 32 patients with ALS-mimic disorders and 30 controls. Nerve cross-sectional area (CSA) and distal-proximal ratios were calculated. RESULTS: The median nerve CSA in the upper arm was decreased (7...
July 17, 2018: Muscle & Nerve
Bianka Heiling, Albrecht Waschke, Mihai Ceanga, Alexander Grimm, Otto W Witte, Hubertus Axer
We present a case of a patient with acute wrist drop caused by radial nerve torsion. NCS showed axonal lesion of the radial nerve. High-resolution ultrasound was able to visualize a constriction of the radial nerve. Nerve torsion is a rare differential diagnosis to Saturday night palsy. The patient was subjected to early surgical intervention and showed a favorable outcome in follow-up. Thus, high-resolution ultrasound may subject these patients early to surgical therapy.
July 9, 2018: Clinical Neurology and Neurosurgery
Andrea Picchianti Diamanti, Luca Navarini, Filippo Messina, Milica Markovic, Luisa Arcarese, Fabio Basta, Giorgia Meneguzzi, Paolo Emanuele Domenico Margiotta, Bruno Laganà, Antonella Afeltra, Raffaele D'Amelio, Annamaria Iagnocco
OBJECTIVES: The ability of ultrasound (US) to identify subclinical joint inflammation in rheumatoid arthritis (RA) patients in remission has been already reported. Nonetheless, current studies present a lack of homogeneity in patient's characteristics and number of joints assessed by US. The aim of this study was to identify a reduced set of target joints to be scanned in RA patients in clinical remission in order to detect subclinical synovitis. METHODS: Forty RA patients in clinical remission (DAS28 ≤2...
June 14, 2018: Clinical and Experimental Rheumatology
Leila Kanafi Vahed, Afshin Arianpur, Mohammad Gharedaghi, Hosein Rezaei
Carpal tunnel syndrome (CTS) is reveled to be the most common peripheral nerve entrapment syndrome, estimating for 90% of all compressive. The diagnosis of CTS is based on the use of clinical criteria and imaging technique tests such as ultrasonography (US) and magnetic resonance imaging (MRI). US is a time-saving method in the diagnosis of CTS, which induces less discomfort to the patient and may be a more cost-effective approach to confirm clinical suspicion of this syndrome .The current study was aimed to evaluate the value of US and physical examinations in the diagnosis of CTS...
April 24, 2018: European Journal of Translational Myology
Leonhard Gruber, Marnix T van Holsbeeck, Viviane Khoury, Christian Deml, Markus Franz Gabl, Werner Jaschke, Andrea Sabine Klauser
OBJECTIVES: To assess the diagnostic performance of median nerve (MN) flip-angle measurements, deformation during wrist flexion [transit deformation coefficient (TDC)], during compression [compression deformation coefficient (CDC)] and fascicular freedom to potentially identify fibrotic MN changes in patients with carpal tunnel syndrome (CTS). METHODS: This prospective study was performed with institutional review board approval; all participants provided oral and written informed consent...
July 9, 2018: European Radiology
Vincenzo Ricci, Levent Özçakar
No abstract text is available yet for this article.
July 3, 2018: American Journal of Physical Medicine & Rehabilitation
Yi-Chih Hsu, Fu-Chi Yang, Hsian-He Hsu, Guo-Shu Huang
Background Corticosteroid injections are a popular technique for carpal tunnel syndrome (CTS) treatment and are believed to provide rapid symptom relief. Purpose To use magnetic resonance diffusion tensor imaging (MR-DTI) to determine the association between diffusion values of the median nerve (MN) at several anatomic locations and symptom relief in patients with CTS following corticosteroid injection. Material and Methods MR-DTI was performed on 15 wrists of 12 patients with CTS before and two weeks after ultrasound-guided corticosteroid injections...
January 1, 2018: Acta Radiologica
Fabian Steinkohl, Alexander Loizides, Leonhard Gruber, Michael Karpf, Gabriele Mörsdorf, Ingrid Gruber, Bernhard Glodny, Wolfgang Löscher, Hannes Gruber
PURPOSE:  Diabetes mellitus (DM) and carpal tunnel syndrome (CTS) are common pathologies. The diagnosis of CTS can be facilitated by the use of an ultrasound-based wrist-to-forearm ratio (WFR) of the nerve diameter. However, the applicability of WFR in DM-patients is not yet clear. MATERIALS AND METHODS:  233 wrists of 153 patients were examined. Cross-sectional areas (CSA) of the median nerve were obtained using a linear array probe. The WFR was calculated...
July 2, 2018: RöFo: Fortschritte Auf Dem Gebiete der Röntgenstrahlen und der Nuklearmedizin
Semra Aktürk, Raikan Büyükavcı, Yüksel Ersoy
INTRODUCTION: To evaluate the ultrasound findings of the median nerve in patients with clinical assigned carpal tunnel syndrome but normal nerve conduction studies. METHODS: This prospective, cross-sectional study involved 41 patients (51 hands) with clinically assigned CTS and normal nerve conduction studies and 20 healthy controls (30 hands). Ultrasonography was performed in all participants, and cross-sectional area (CSA), hypoechogenicity, and mobility of the median nerve were evaluated...
June 11, 2018: Acta Neurologica Belgica
Ying-Hua Zhang, Kang Li, Jing Xiao, Hai-Dong Zhang, Xiao-Yan Zhang
BACKGROUND Early diagnosis and treatment of rheumatoid synovitis can reduce the progression of rheumatoid arthritis (RA). However, in the early stages of rheumatoid synovitis, patients may only have non-specific musculoskeletal symptoms, and plain film radiographs may not detect early synovial changes. The aim of this study was to compare the sensitivity and specificity of ultrasound with radiography, and clinical investigations in the detection of rheumatoid synovitis in patients presenting with nonspecific musculoskeletal symptoms...
June 25, 2018: Medical Science Monitor: International Medical Journal of Experimental and Clinical Research
Hugo Hauraix, Benjamin Goislard de Monsabert, Alexis Herbaut, Eric Berton, Laurent Vigouroux
INTRODUCTION: Because the hand joints possess a broad range of motion, the muscle length can vary importantly which might result in significant variations of the muscle force-generating capacities. However, facing the complexity of this musculoskeletal system, no study has examined the effect of hand muscles length change on muscle force. This study aimed to characterize the force-length relationship of muscles involved in wrist and metacarpophalangeal (MCP) flexion. METHODS: Eleven participants performed two sessions: i) one for the wrist flexor muscles, and ii) one for the finger flexor muscles...
June 21, 2018: Medicine and Science in Sports and Exercise
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