Transverse ultrasound assessment of median nerve deformation and displacement in the human carpal tunnel during wrist movements

Ultrasound in Medicine and Biology

Volumn 40, Issue 1, 2014, Pages 53-61

  Wang, Yuexiang ^a   Zhao, Chunfeng ^a   Passe, Sandra M ^a   Filius, Anika ^a,b   Thoreson, Andrew R ^a   An, Kai Nan ^a   Amadio, Peter C ^a  

^a MAYO CLINIC   (United States)

^b ERASMUS MEDICAL CENTER   (Netherlands)

Author keywords

Carpal tunnel syndrome; Median nerve; Ultrasound

Indexed keywords

ASPECT RATIO; NEURODEGENERATIVE DISEASES; PATIENT REHABILITATION; ULTRASONICS;

ABNORMAL MOVEMENT; CARPAL TUNNEL SYNDROME; DISPLACEMENT VECTORS; MEDIAN NERVES; TRANSVERSE DISPLACEMENTS; TRANSVERSE ULTRASOUND IMAGES; ULTRASOUND IMAGES; WRIST MOVEMENTS;

DEFORMATION;

ADULT; ARTICLE; BIOMECHANICS; CARPAL TUNNEL SYNDROME; CLINICAL ARTICLE; COMPUTER ASSISTED TOMOGRAPHY; FEMALE; FINGER; GONIOMETER; HUMAN; IMAGE ANALYSIS; IMAGING SYSTEM; MALE; MEDIAN NERVE; MOTION; NERVE MALFORMATION; NONPARAMETRIC TEST; NUCLEAR MAGNETIC RESONANCE IMAGING; PERIMETER; PRIORITY JOURNAL; RELIABILITY; SYMPTOMATOLOGY; ULTRASOUND; ULTRASOUND TRANSDUCER; WRIST;

CARPAL TUNNEL SYNDROME; MEDIAN NERVE; ULTRASOUND;

ADULT; CARPAL BONES; ELASTIC MODULUS; FEMALE; HUMANS; MALE; MEDIAN NERVE; MOTION; RANGE OF MOTION, ARTICULAR; REPRODUCIBILITY OF RESULTS; SENSITIVITY AND SPECIFICITY; ULTRASONOGRAPHY; WRIST JOINT;

EID: 84888431133     PISSN: 03015629     EISSN: 1879291X     Source Type: Journal    
DOI: 10.1016/j.ultrasmedbio.2013.09.009     Document Type: Article

References (44)

1. Batschelet E. Circular statistics in biology 1981, Academic Press, New York.
2. Cartwright M.S., White D.L., Demar S., Wiesler E.R., Sarlikiotis T., Chloros G.D., Yoon J.S., Won S.J., Molnar J.A., Defranzo A.J., Walker F.O. Median nerve changes following steroid injection for carpal tunnel syndrome. Muscle Nerve 2011, 44:25-29.
3. Clark B.D., Barr A.E., Safadi F.F., Beitman L., Al-Shatti T., Amin M., Gaughan J.P., Barbe M.F. Median nerve trauma in a rat model of work-related musculoskeletal disorder. JNeurotrauma 2003, 20:681-695.
4. Clerke A.M., Clerke J.P., Adams R.D. Effects of hand shape on maximal isometric grip strength and its reliability in teenagers. JHand Ther 2005, 18:19-29.
5. Coppieters M.W., Alshami A.M. Longitudinal excursion and strain in the median nerve during novel nerve gliding exercises for carpal tunnel syndrome. JOrthop Res 2007, 25:972-980.
6. Duncan I., Sullivan P., Lomas F. Sonography in the diagnosis of carpal tunnel syndrome. AJR Am J Roentgenol 1999, 173:681-684.
7. Dyck P.J., Lais A.C., Giannini C., Engelstad J.K. Structural alterations of nerve during cuff compression. Proc Natl Acad Sci USA 1990, 87:9828-9832.
8. Erel E., Dilley A., Greening J., Morris V., Cohen B., Lynn B. Longitudinal sliding of the median nerve in patients with carpal tunnel syndrome. JHand Surg Br 2003, 28:439-443.
9. Ettema A.M., Amadio P.C., Zhao C., Wold L.E., An K.N. Ahistological and immunohistochemical study of the subsynovial connective tissue in idiopathic carpal tunnel syndrome. JBone Joint Surg Am 2004, 86:1458-1466.
10. Ettema A.M., An K.N., Zhao C., O'Byrne M.M., Amadio P.C. Flexor tendon and synovial gliding during simultaneous and single digit flexion in idiopathic carpal tunnel syndrome. JBiomech 2008, 41:292-298.
11. Ettema A.M., Zhao C.F., Amadio P.C., O'Byrne M.M., An K.N. Gliding characteristics of flexor tendon and tenosynovium in carpal tunnel syndrome: A pilot study. Clin Anat 2007, 20:292-299.
12. Feuerstein M., Fitzgerald T.E. Biomechanical factors affecting upper extremity cumulative trauma disorders in sign language interpreters. JOccup Med 1992, 34:257-264.
13. Gamble H.J., Eames R.A. An electron microscope study of the connective tissues of human peripheral nerve. JAnat 1964, 98:655-663.
14. Goetz JE, Baer TE, Thedens DR, Lawler EA, Brown TD. finite element analysis of median nerve stresses in carpal tunnel syndrome patients and matched normals. In: Transactions of the Annual Meeting of the Orthopaedic Research Society, San Francisco, CA,2012.
15. Goetz J.E., Thedens D.R., Kunze N.M., Lawler E.A., Brown T.D. Day-to-day variability of median nerve location within the carpal tunnel. Clin Biomech 2010, 25:660-665.
16. Goss B.C., Agee J.M. Dynamics of intracarpal tunnel pressure in patients with carpal tunnel syndrome. JHand Surg Am 2010, 35:197-206.
17. Greening J., Lynn B., Leary R., Warren L., O'Higgins P., Hall-Craggs M. The use of ultrasound imaging to demonstrate reduced movement of the median nerve during wrist flexion in patients with non-specific arm pain. JHand Surg Br 2001, 26:401-406.
18. Greening J., Smart S., Leary R., Hall-Craggs M., O'Higgins P., Lynn B. Reduced movement of median nerve in carpal tunnel during wrist flexion in patients with non-specific arm pain. Lancet 1999, 354:217-218.
19. Harber P., Bloswick D., Beck J., Pena L., Baker D., Lee J. Supermarket checker motions and cumulative trauma risk. JOccup Med 1993, 35:805-811.
20. Hough A.D., Moore A.P., Jones M.P. Reduced longitudinal excursion of the median nerve in carpal tunnel syndrome. Arch Phys Med Rehabil 2007, 88:569-576.
21. Keir P.J., Wells R.P. Changes in geometry of the finger flexor tendons in the carpal tunnel with wrist posture and tendon load: an MRI study on normal wrists. Clin Biomech 1999, 14:635-645.
22. Keir P.J., Wells R.P., Ranney D.A., Lavery W. The effects of tendon load and posture on carpal tunnel pressure. JHand Surg Am 1997, 22:628-634.
23. Ko C., Brown T.D. Afluid-immersed multi-body contact finite element formulation for median nerve stress in the carpal tunnel. Comput Methods Biomech Biomed Eng 2007, 10:343-349.
24. Lluch A.L. Thickening of the synovium of the digital flexor tendons: Cause or consequence of the carpal tunnel syndrome?. JHand Surg Br 1992, 17:209-212.
25. Luchetti R., Schoenhuber R., Nathan P. Correlation of segmental carpal tunnel pressures with changes in hand and wrist positions in patients with carpal tunnel syndrome and controls. JHand Surg Br 1998, 23:598-602.
26. Mackinnon S.E. Pathophysiology of nerve compression. Hand Clin 2002, 18:231-241.
27. Nakamichi K., Tachibana S. Restricted motion of the median nerve in carpal tunnel syndrome. JHand Surg Br 1995, 20:460-464.
28. Novak C.B., Mackinnon S.E. Nerve injury in repetitive motion disorders. Clin Orthop Relat Res 1998, 351:10-20.
29. O'Brien J.P., Mackinnon S.E., MacLean A.R., Hudson A.R., Dellon A.L., Hunter D.A. Amodel of chronic nerve compression in the rat. Ann Plast Surg 1987, 19:430-435.
30. Oh J., Zhao C., Zobitz M.E., Wold L.E., An K.N., Amadio P.C. Morphological changes of collagen fibrils in the subsynovial connective tissue in carpal tunnel syndrome. JBone Joint Surg Am 2006, 88:824-831.
31. Papanicolaou G.D., McCabe S.J., Firrell J. The prevalence and characteristics of nerve compression symptoms in the general population. JHand Surg Am 2001, 26:460-466.
32. Skou S.T., Aalkjaer J.M. Ultrasonographic measurement of patellar tendon thickness-a study of intra- and interobserver reliability. Clin Imaging 2013, 37:934-937.
33. Smith E.M., Sonstegard D.A., Anderson W.H. Carpal tunnel syndrome: Contribution of flexor tendons. Arch Phys Med Rehabil 1977, 58:379-385.
34. Szabo R.M., Bay B.K., Sharkey N.A., Gaut C. Median nerve displacement through the carpal canal. JHand Surg Am 1994, 19:901-906.
35. Tetro A.M., Evanoff B.A., Hollstien S.B., Gelberman R.H. Anew provocative test for carpal tunnel syndrome: Assessment of wrist flexion and nerve compression. JBone Joint Surg Br 1998, 80:493-498.
36. Tuncali D., Barutcu A.Y., Terzioglu A., Aslan G. Carpal tunnel syndrome: Comparison of intraoperative structural changes with clinical and electrodiagnostic severity. Br J Plast Surg 2005, 58:1136-1142.
37. Tuzuner S., Ozkaynak S., Acikbas C., Yildirim A. Median nerve excursion during endoscopic carpal tunnel release. Neurosurgery 2004, 54:1155-1160. discussion 60-61.
38. Van Doesburg M.H., Henderson J., Yoshii Y., Mink van der Molen A.B., Cha S.S., An K.N., Amadio P.C. Median nerve deformation in differential finger motions: Ultrasonographic comparison of carpal tunnel syndrome patients and healthy controls. JOrthop Res 2012, 30:643-648.
39. Van Doesburg M.H., Mink van der Molen A., Henderson J., Cha S.S., An K.N., Amadio P.C. Sonographic measurements of subsynovial connective tissue thickness in patients with carpal tunnel syndrome. JUltrasound Med 2012, 31:31-36.
40. Van Doesburg M.H., Yoshii Y., Villarraga H.R., Henderson J., Cha S.S., An K.N., Amadio P.C. Median nerve deformation and displacement in the carpal tunnel during index finger and thumb motion. JOrthop Res 2010, 28:1387-1390.
41. Wright T.W., Glowczewskie F., Wheeler D., Miller G., Cowin D. Excursion and strain of the median nerve. JBone Joint Surg Am 1996, 78:1897-1903.
42. Yamaguchi T., Osamura N., Zhao C., An K.-N., Amadio P.C. Relative longitudinal motion of the finger flexors, subsynovial connective tissue, and median nerve before and after carpal tunnel release in a human cadaver model. JHand Surg Am 2008, 33:888-892.
43. Yoshii Y., Villarraga H.R., Henderson J., Zhao C., An K.N., Amadio P.C. Ultrasound assessment of the displacement and deformation of the median nerve in the human carpal tunnel with active finger motion. JBone Joint Surg Am 2009, 91:2922-2930.
44. Zeiss J., Skie M., Ebraheim N., Jackson W.T. Anatomic relations between the median nerve and flexor tendons in the carpal-tunnel: MR evaluation in normal volunteers. AJR Am J Roentgenol 1989, 153:533-536.