Ultrasonographical Evaluation of the Median Nerve Mobility in Carpal Tunnel Syndrome: A Systematic Review and Meta-Analysis
學年 111
學期 1
出版(發表)日期 2022-09-28
作品名稱 Ultrasonographical Evaluation of the Median Nerve Mobility in Carpal Tunnel Syndrome: A Systematic Review and Meta-Analysis
作品名稱(其他語言)
著者 Yu-Ting Huang; Chii-Jen Chen; You-Wei Wang; Po-Lin Peng; Yan-Ting Luo; Yi-Shiung Horng
單位
出版者
著錄名稱、卷期、頁數 Diagnostics 12(10), 2349
摘要 Diagnostic ultrasound is widely used for evaluating carpal tunnel syndrome (CTS), an entrapment neuropathy of the median nerve (MN). Decreased mobility of the MN inside the carpal tunnel has been reported in CTS, and various methods have been used to evaluate MN mobility; however, there is still no conclusive understanding of its connection with CTS. The purpose of this study is to conduct a systematic review and meta-analysis of the current published literature on ultrasonographic evaluations of transverse and longitudinal MN displacement and to identify the relationship between MN mobility and CTS. This study was conducted in accordance with the 2020 PRISMA statement and the Cochrane Collaboration Handbook. Comparative studies that investigated differences in MN displacement between CTS patients and healthy controls were retrieved by searching the Cochrane Library, Embase and PubMed. A total of 15 case–control studies were included. Nine of 12 studies evaluating transverse MN displacement and 4 of 5 studies evaluating longitudinal MN gliding showed that the MN was less mobile in CTS patients than in healthy subjects. Despite the large heterogeneity among the 15 included studies, this systematic review and meta-analysis provide evidence that the mobility of the MN is significantly reduced in both transverse and longitudinal planes in CTS patients compared to healthy controls. Five of the 15 included studies reported that a decrease in transverse or longitudinal MN displacement in CTS was correlated with clinical symptoms or with severity as measured by a nerve conduction study (NCS).
關鍵字 carpal tunnel syndrome;median nerve;nerve displacement;ultrasound images;systematic review;meta-analysis
語言 en
ISSN 2075-4418
期刊性質 國外
收錄於 SCI
產學合作
通訊作者
審稿制度
國別 CHE
公開徵稿
出版型式 ,電子版