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Wrist and palm indexes in carpal tunnel syndrome
Kouyoumdjian, Joao Aris; Morita, Maria Penha Ananias; Rocha, Paulo Ricardo Fernando; Miranda, Rafael Carlos.
  • Kouyoumdjian, Joao Aris; Medical School. Electroneuromyography Section. Department of Neurological Sciences. Säo José Rio Preto. BR
  • Morita, Maria Penha Ananias; Medical School. Electroneuromyography Section. Department of Neurological Sciences. Säo José Rio Preto. BR
  • Rocha, Paulo Ricardo Fernando; Medical School. Electroneuromyography Section. Department of Neurological Sciences. Säo José Rio Preto. BR
  • Miranda, Rafael Carlos; Medical School. Electroneuromyography Section. Department of Neurological Sciences. Säo José Rio Preto. BR
Arq. neuropsiquiatr ; 58(3A): 625-9, set. 2000. tab
Artículo en Inglés | LILACS | ID: lil-269608
RESUMO
According to median sensory latency > or = 3.7 ms (wrist-index finger [WIF], 14 cm), median/ulnar sensory latency difference to ring finger > or = 0.5 ms (14 cm) or median midpalm (8 cm) latency > or = 2.3 ms (all peak-measured), 141 Brazilian symptomatic patients (238 hands) have CTS confirmation. Wrist ratio (depth divided by width, WR) and a new wrist/palm ratio (wrist depth divided by the distance between distal wrist crease to the third digit metacarpophalangeal crease, WPR) were measured in all cases. Previous surgery/peripheral neuropathy were excluded; mean age 50.3 years; 90.8 percent female. Control subjects (486 hands) have mean age 43.0 years; 96.7 percent female. The mean WR in controls was 0.694 against 0.699, 0.703, 0.707 and 0.721 in CTS groups of progressive WIF severity. The mean WPR in controls was 0.374 against 0.376, 0.382, 0.387 and 0.403 in CTS groups of WIF progressive severity. Both were statistically significant for the last two groups (WIF > 4.4 ms, moderate, and, WIF unrecordable, severe). BMI increases togetherwith CTS severity and WR. It was concluded that both WR/WPR have a progressive correlation with the severity of CTS but with statistically significance only in groups moderate and severe. In these groups both WR and BMI have progressive increase and we believe that the latter could be a risk factor as important as important WR/WPR
Asunto(s)
Texto completo: Disponible Índice: LILACS (Américas) Asunto principal: Muñeca / Síndrome del Túnel Carpiano Tipo de estudio: Estudio de etiología / Estudio observacional / Factores de riesgo Límite: Adulto / Aged80 / Femenino / Humanos / Masculino Idioma: Inglés Revista: Arq. neuropsiquiatr Asunto de la revista: Neurología / Psiquiatria Año: 2000 Tipo del documento: Artículo País de afiliación: Brasil Institución/País de afiliación: Medical School/BR

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Texto completo: Disponible Índice: LILACS (Américas) Asunto principal: Muñeca / Síndrome del Túnel Carpiano Tipo de estudio: Estudio de etiología / Estudio observacional / Factores de riesgo Límite: Adulto / Aged80 / Femenino / Humanos / Masculino Idioma: Inglés Revista: Arq. neuropsiquiatr Asunto de la revista: Neurología / Psiquiatria Año: 2000 Tipo del documento: Artículo País de afiliación: Brasil Institución/País de afiliación: Medical School/BR