Journal article
Increased stiffness of median nerve in systemic sclerosis
BMC musculoskeletal disorders, Vol.18(1), pp.434-434
11/07/2017
DOI: 10.1186/s12891-017-1793-9
PMCID: PMC5678774
PMID: 29115959
Abstract
Background
Systemic sclerosis can affect peripheral nerves, but the extent and the nature of this involvement are not well defined. The aim of this study is to compare the sonoelastrographic measurements of median nerves in systemic sclerosis (SSC), idiopathic carpal tunnel syndrome (CTS) and healthy individuals.
Methods
The clinical, electrophysiological and ultrasonographic assessments were done. Patients with SSC and CTS were assessed with nerve conduction studies. The measurements of cross sectional areas (CSA) were performed at psiform and forearm level from axial US images. The elastic ratio is the ratio of strain distribution in two selected region of interests (ROI) done via comparing the median nerve to flexor digitorum superfcialis tendon. The ROIs were fixed to 2 mm.
Results
The study was completed with 47 hands of 24 patients with SSC, 53 hands of 27 patients with CTS and 38 hands of health controls. The CSA of CTS group was significantly higher than systemic sclerosis and control groups. The elastic ratio at psiform level and forearm levels of systemic sclerosis group were significantly higher than the CTS and control groups.
Conclusion
Median nerves lose the elasticity while the CSA’s are in the normal range in patients with SSC. These results suggested that the increased peripheral nerve involvement in SSC is about the increased stiffness of the nerves.
Details
- Title: Subtitle
- Increased stiffness of median nerve in systemic sclerosis
- Creators
- Ilker Yagci - Istanbul, TurkeyOzge Kenis-Coskun - Dr Lütfi Kırdar Kartal Eğitim ve Araştırma HastanesiTugba Ozsoy - Istanbul, TurkeyGulsen Ozen - Istanbul, TurkeyHaner Direskeneli - Marmara University
- Resource Type
- Journal article
- Publication Details
- BMC musculoskeletal disorders, Vol.18(1), pp.434-434
- Publisher
- BioMed Central
- DOI
- 10.1186/s12891-017-1793-9
- PMID
- 29115959
- PMCID
- PMC5678774
- ISSN
- 1471-2474
- eISSN
- 1471-2474
- Language
- English
- Date published
- 11/07/2017
- Academic Unit
- Internal Medicine
- Record Identifier
- 9984702939802771
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