Location-dependent change of median nerve mobility in the carpal tunnel of patients with carpal tunnel syndrome.
carpal tunnel syndrome, cross-correlation speckle tracking, dynamic ultrasound, median nerve mobility
Journal
Muscle & nerve
ISSN: 1097-4598
Titre abrégé: Muscle Nerve
Pays: United States
ID NLM: 7803146
Informations de publication
Date de publication:
10 2020
10 2020
Historique:
received:
07
05
2019
revised:
26
06
2020
accepted:
30
06
2020
pubmed:
10
7
2020
medline:
28
11
2020
entrez:
10
7
2020
Statut:
ppublish
Résumé
The purpose of this study was to investigate in vivo median nerve longitudinal mobility in different segments of the carpal tunnel associated with active finger motion in carpal tunnel syndrome (CTS) patients in a comparison with healthy controls. Eleven healthy volunteers and 11 CTS patients participated in this study. Dynamic ultrasound images captured location-dependent longitudinal median nerve mobility within the carpal tunnel during finger flexion at the metacarpophalangeal joints using a speckle cross-correlation algorithm. Median nerve longitudinal mobility in the carpal tunnel was significantly smaller in CTS patients (0.0037 ± 0.0011 mm/degree) compared with controls (0.0082 ± 0.0026 mm/degree) (P < .05), especially in the proximal (0.0064 vs 0.0132 mm/degree on average) and middle (0.0033 vs 0.0074 mm/degree on average) carpal tunnel sections. Median nerve mobility can potentially serve as a biomechanical marker when diagnosing CTS, or when assessing the effectiveness of surgical and conservative treatments.
Types de publication
Journal Article
Research Support, N.I.H., Extramural
Langues
eng
Sous-ensembles de citation
IM
Pagination
522-527Subventions
Organisme : National Institute of Arthritis and Musculoskeletal and Skin Diseases of the National Institutes of Health, Award No. R01AR068278.
Pays : International
Organisme : National Institute of Arthritis and Musculoskeletal and Skin Diseases of the National Institutes of Health, Award No. R01AR068278
Pays : International
Informations de copyright
© 2020 Wiley Periodicals LLC.
Références
Wang Y, Filius A, Zhao C, et al. Altered median nerve deformation and transverse displacement during wrist movement in patients with carpal tunnel syndrome. Acad Radiol. 2014;21:472-480.
Topp KS, Boyd BS. Structure and biomechanics of peripheral nerves: nerve responses to physical stresses and implications for physical therapist practice. Phys Ther. 2006;86:92-109.
Phillips JB, Smit X, De Zoysa N, Afoke A, Brown RA. Peripheral nerves in the rat exhibit localized heterogeneity of tensile properties during limb movement. J Physiol. 2004;557:879-887.
Bay BK, Sharkey NA, Szabo RM. Displacement and strain of the median nerve at the wrist. J Hand Surg. 1997;22:621-627.
Kuo TT, Lee MR, Liao YY, Chen JP, Hsu YW, Yeh CK. Assessment of median nerve mobility by ultrasound dynamic imaging for diagnosing carpal tunnel syndrome. PLoS One. 2016;11:e0147051.
McLellan DL, Swash M. Longitudinal sliding of the median nerve during movements of the upper limb. J Neurol Neurosurg Psychiatry. 1976;39:566-570.
Szabo RM, Bay BK, Sharkey NA, Gaut C. Median nerve displacement through the carpal canal. J Hand Surg Am. 1994;19:901-906.
Valls-Sole J, Alvarez R, Nunez M. Limited longitudinal sliding of the median nerve in patients with carpal tunnel syndrome. Muscle Nerve. 1995;18:761-767.
Wright TW, Glowczewskie F, Wheeler D, Miller G, Cowin D. Excursion and strain of the median nerve. J Bone Joint Surg Am. 1996;78:1897-1903.
Jinrok O, Zhao C, Amadio PC, An KN, Zobitz ME, Wold LE. Vascular pathologic changes in the flexor tenosynovium (subsynovial connective tissue) in idiopathic carpal tunnel syndrome. J Orthop Res. 2004;22:1310-1315.
Lluch AL. Thickening of the synovium of the digital flexor tendons: cause or consequence of the carpal tunnel syndrome? J Hand Surg. 1992;17:209-212.
Uchiyama S, Itsubo T, Nakamura K, Kato H, Yasutomi T, Momose T. Current concepts of carpal tunnel syndrome: pathophysiology, treatment, and evaluation. J Orthop Sci. 2010;15:1-13.
Nakamichi K, Tachibana S. Restricted motion of the median nerve in carpal tunnel syndrome. J Hand Surg. 1995;20:460-464.
van Doesburg MH, Henderson J, van der Molen AB M, An KN, Amadio PC. Transverse plane tendon and median nerve motion in the carpal tunnel: ultrasound comparison of carpal tunnel syndrome patients and healthy volunteers. PLoS One. 2012;7:e37081.
Yoshii Y, Ishii T, Tung WL, Sakai S, Amadio PC. Median nerve deformation and displacement in the carpal tunnel during finger motion. J Orthop Res. 2013;31:1876-1880.
Filius A, Scheltens M, Bosch HG, et al. Multidimensional ultrasound imaging of the wrist: changes of shape and displacement of the median nerve and tendons in carpal tunnel syndrome. J Orthop Res. 2015;33:1332-1340.
Hough AD, Moore AP, Jones MP. Reduced longitudinal excursion of the median nerve in carpal tunnel syndrome. Arch Phys Med Rehabil. 2007;88:569-576.
Liong K, Lahiri A, Lee S, Chia D, Biswas A, Lee HP. Predominant patterns of median nerve displacement and deformation during individual finger motion in early carpal tunnel syndrome. Ultrasound Med Biol. 2014;40:1810-1818.
Erel E, Dilley A, Greening J, Morris V, Cohen B, Lynn B. Longitudinal sliding of the median nerve in patients with carpal tunnel syndrome. J Hand Surg. 2003;28:439-443.
Levine DW, Simmons BP, Koris MJ, et al. A self-administered questionnaire for the assessment of severity of symptoms and functional status in carpal tunnel syndrome. J Bone Joint Surg Am. 1993;75:1585-1592.
Marquardt TL, Gabra JN, Li ZM. Morphological and positional changes of the carpal arch and median nerve during wrist compression. Clin Biomech (Bristol, Avon). 2015;30:248-253.
Dilley A, Greening J, Lynn B, Leary R, Morris V. The use of cross-correlation analysis between high-frequency ultrasound images to measure longitudinal median nerve movement. Ultrasound Med Biol. 2001;27:1211-1218.
Li ZM, Marquardt TL, Evans PJ, Seitz WH Jr. Biomechanical role of the transverse carpal ligament in carpal tunnel compliance. J Wrist Surg. 2014;3:227-232.
Xiu KH, Kim JH, Li ZM. Biomechanics of the transverse carpal arch under carpal bone loading. Clin Biomech (Bristol, Avon). 2010;25:776-780.
McDonagh C, Alexander M, Kane D. The role of ultrasound in the diagnosis and management of carpal tunnel syndrome: a new paradigm. Rheumatology (Oxford). 2015;54:9-19.
Duncan I, Sullivan P, Lomas F. Sonography in the diagnosis of carpal tunnel syndrome. AJR Am J Roentgenol. 1999;173:681-684.
Kim JM, Kim MW, Ko YJ. Correlating ultrasound findings of carpal tunnel syndrome with nerve conduction studies. Muscle Nerve. 2013;48:905-910.
Lee D, van Holsbeeck MT, Janevski PK, Ganos DL, Ditmars DM, Darian VB. Diagnosis of carpal tunnel syndrome. Ultrasound versus electromyography. Radiol Clin North Am. 1999;37:859-872. x.
Sernik RA, Abicalaf CA, Pimentel BF, Braga-Baiak A, Braga L, Cerri GG. Ultrasound features of carpal tunnel syndrome: a prospective case-control study. Skeletal Radiol. 2008;37:49-53.
Akalin E, El O, Peker O, et al. Treatment of carpal tunnel syndrome with nerve and tendon gliding exercises. Am J Phys Med Rehabil. 2002;81:108-113.
Ballestero-Perez R, Plaza-Manzano G, Urraca-Gesto A, et al. Effectiveness of nerve gliding exercises on carpal tunnel syndrome: a systematic review. J Manipulative Physiol Ther. 2017;40:50-59.
Coppieters MW, Alshami AM. Longitudinal excursion and strain in the median nerve during novel nerve gliding exercises for carpal tunnel syndrome. J Orthop Res. 2007;25:972-980.
Rozmaryn LM, Dovelle S, Rothman ER, Gorman K, Olvey KM, Bartko JJ. Nerve and tendon gliding exercises and the conservative management of carpal tunnel syndrome. J Hand Ther. 1998;11:171-179.