000			03402nam a22004097a 4500
008			231004s20232023 xxu||||| |||| 00| 0 eng d
022			_a2589-5141
024			_a10.1016/j.jhsg.2023.03.013 [doi]
024			_aPMC10382869 [pmc]
024			_aS2589-5141(23)00053-1 [pii]
040			_aOvid MEDLINE(R)
099			_a37521560
245			_aUtility of Ultrasound for Identifying Median Nerve Changes Indicative of Acute Carpal Tunnel Syndrome After Distal Radius Fracture.
251			_aJournal of Hand Surgery Global Online. 5(4):430-434, 2023 Jul.
252			_aJ Hand Surg Glob Online. 5(4):430-434, 2023 Jul.
253			_aJournal of hand surgery global online
260			_c2023
260			_fFY2024
260			_p2023 Jul
265			_sepublish
265			_tPubMed-not-MEDLINE
266			_d2023-10-04
520			_aConclusions: ACTS should be suspected in patients with median nerves demonstrating increased CSA and adopting a more circular shape. Fracture positioning impacts median nerve CSA with wrist extension, causing the greatest change. Median nerve HWR may offer an easier ultrasonographic alternative to CSA.
520			_aMethods: We used 10 upper-extremity specimens. We induced ACTS (carpal tunnel pressure >40 mm Hg) in a distraction-only model and then used a DRF model as a neutral position, under traction, or wrist extension. We measured the median nerve cross-sectional area (CSA), height, and width with ultrasound in each model. We used a novel calculation, height-width ratio (HWR), to describe nerve shape. A low HWR indicates an elliptical shape; as the HWR increases toward one, the shape becomes more circular. The CSA measurements and HWR at pressures >40 mm Hg were used to calculate a 95% confidence interval, which defined the threshold for ACTS.
520			_aPurpose: Ultrasound offers a fast and inexpensive way to evaluate the median nerve. However, there is a paucity of data assessing ultrasound in acute trauma. Our study aimed to characterize median nerve changes indicative of acute carpal tunnel syndrome (ACTS) in a cadaveric distal radius fracture (DRF) model.
520			_aResults: Wrist distraction created carpal tunnel pressures >40 mm Hg in all specimens. Distraction increased CSA compared with baseline (9.1 +/- 0.9 mm2 vs 6.3 +/- 1.2 mm2, P < .001). Under ACTS-level pressures, the thresholds for CSA and HWR were 8.5 mm2 and 0.41, respectively. HWR significantly increased with distraction compared with baseline (0.47 +/- 0.10 vs 0.28 +/- 0.09, P = .006). Most neutral DRF models (n = 8, 80%) met the CSA threshold for ACTS, whereas all specimens with a DRF extended or under traction had CSAs above the ACTS threshold. Compared to the baseline, the shape of the median nerve was more circular in all DRFs, including neutral (0.28 +/- 0.09 vs 0.39 +/- 0.13), under traction (0.43 +/- 0.09), and extended (0.45 +/- 0.09).
520			_aType of study/level of evidence: Diagnostic III. Copyright © 2023 The Authors.
546			_aEnglish
651			_aCurtis National Hand Center
657			_aJournal Article
700			_aCasey, Peter M _bCURT
700			_aGiladi, Aviram M _bCURT
700			_aNgaage, Ledibabari M _bCURT
790			_aCasey PM, Giladi AM, Ngaage LM
856			_uhttps://dx.doi.org/10.1016/j.jhsg.2023.03.013 _zhttps://dx.doi.org/10.1016/j.jhsg.2023.03.013
942			_cART _dArticle
999			_c13313 _d13313