Sie können Bookmarks mittels Listen verwalten, loggen Sie sich dafür bitte in Ihr SLUB Benutzerkonto ein.
Medientyp:
E-Artikel
Titel:
A Single-Center Prospective Observational Study of Ultrasonography for 6 Months after Surgical Decompression of the Median Nerve at the Carpal Tunnel
Beteiligte:
Tas, Suleyman;
Staub, Frank;
Dombert, Thomas;
Marquardt, Gerhard;
Senft, Christian;
Seifert, Volker;
Duetzmann, Stephan
Erschienen:
Georg Thieme Verlag KG, 2017
Erschienen in:Journal of Neurological Surgery Part A: Central European Neurosurgery
Beschreibung:
<jats:p>
Objective To determine the natural history of the morphology of the median nerve after carpal tunnel decompression.</jats:p><jats:p>
Methods Between October and December 2014, patients with suspected carpal tunnel were prospectively enrolled and underwent pre- and postoperative (3 and 6 months) high-definition ultrasonography, electrophysiology, and clinical testing.</jats:p><jats:p>
Results A total of 81 patients were enrolled in the study; 75 (93%) could be reached for the 6-month follow-up, and 100% were clinically better at the 6-month follow-up. The mean cross-sectional area decreased from 14.3 ± 4.4 mm2 to 9.6 ± 2.3 mm2 (mean ± standard deviation [SD]). The mean distal motor latency decreased from 6.5 ± 2.2 msec to 4.4 ± 0.8 msec (mean ± SD). Distal motor latency improved statistically significantly after surgical decompression as well, but sooner.</jats:p><jats:p>
Conclusion We present the second largest series of patients with sonographic follow-up after surgical decompression of the carpal tunnel.</jats:p>