Ultrasonographic analysis of the median nerve bundles in the carpal tunnel area in normal conditions and in Carpal Tunnel Syndrome

Postgraduate Thesis uoadl:3228389 10 Read counter

Unit:
Κατεύθυνση Κλινική Νευροφυσιολογία
Library of the School of Health Sciences
Deposit date:
2022-08-04
Year:
2022
Author:
Maili Maria
Supervisors info:
Καρανδρέας Νικόλαος Ομότιμος Καθηγητής Ιατρική Σχολή, ΕΚΠΑ, Επιβλέπων
Ζαμπέλης Θωμάς, Αναπληρωτής καθηγητής Ιατρική Σχολή, ΕΚΠΑ
Κοκότης Παναγιώτης, Αναπληρωτής καθηγητής Ιατρική Σχολή, ΕΚΠΑ
Original Title:
Υπερηχογραφική ανάλυση των δεματίων του Μέσου νεύρου στη περιοχή του καρπού σε φυσιολογικές συνθήκες και στο σύνδρομο του καρπιαίου σωλήνα.
Languages:
Greek
Translated title:
Ultrasonographic analysis of the median nerve bundles in the carpal tunnel area in normal conditions and in Carpal Tunnel Syndrome
Summary:
Peripheral nerve entrapment syndromes in the upper and lower extremities, have an increased frequency. Mostly in the upper extremities, the most common epidemiologically trapped syndrome is carpal tunnel syndrome. The purpose of this diploma thesis is to investigate, whether ultrasound analysis of the median nerve bundles in the wrist area, could detect the presence of CTS, as diagnosed with EMG. A quantitative prospective study was conducted on a random sample of 120 individuals who had been referred for CTS examination, during one year. Participants were divided into one control group (N = 30) and three experimental groups: mild severity group (A2, N = 30), moderate severity group (B, N = 30), and high severity group (C1, N =30). The type of ultrasound used is Sonosite EDJE with a linear head of 6- 15 MHZ.Comparison of the mean values of the surface area of the median nerve bundle revealed a statistically significant difference between all the groups tested (independent t-test) p = 5.6 * 10-7 between control-A2, p = 7.6 * 10-4 between A2-B, p = 0.012 between B-C1. In general, it appears that in relation to inflammatory polyneuropathies and compressive mononeuritis, there is an increase in the size of the largest bundle that can be measured, and the increase actually follows the severity of compressive mononeuritis.
Main subject category:
Health Sciences
Keywords:
Median nerve, Carpal tunnel, Carpal tunnel syndrome, Ultrasound study
Index:
No
Number of index pages:
0
Contains images:
Yes
Number of references:
80
Number of pages:
49
File:
File access is restricted only to the intranet of UoA.

Maili Maria MSc.pdf
12 MB
File access is restricted only to the intranet of UoA.