Ultrasonographic assessment of the shoulder in patients with carpal tunnel syndrome

Authors : Başak Mansız KAPLAN, İlker YAĞCI, Merve Akdeniz LEBLEBİCİLER

Pages : 102-109

Doi:10.5472/MMJoa.2902.07

View : 16 | Download : 11

Publication Date : 2016-04-01

Article Type : Research Paper

Abstract :Objectives: To detect the causes of shoulder pain with shoulder ultrasonography in patients with carpal tunnel syndrome insert ignore into journalissuearticles values(CTS);and compare the findings of the patients with CTS to healthy controls.Patients and Methods: Patients with CTS and healthy controls were evaluated clinically, electrophysiologically and ultrasonographically by three masked researchers.Electrophysiological assessment consisted median and ulnar nerve conduction studies insert ignore into journalissuearticles values(NCS);. In ultrasonographic assessment, crosssectionalareas of the median nerve were measured at hamatum hook, psiform bone, radio-ulnar joint levels. Shoulder joint, axial and longitudinal biceps tendon, subscapularis tendon, supraspinatus tendon, infraspinatus tendon, rotator cuff, acromioclavicular joint were evaluated by a standardized protocol.Results: The study was completed with 30 patients with CTS and 30 healthy subjects. The presence of shoulder pain in the last week was 53.3% in the CTS group and 30% in the control group but there was no statistically significant difference between the groups insert ignore into journalissuearticles values(p=0.16; p>0.05);. Subdeltoid bursitis was significantly more common in CTS group when compared to the control group insert ignore into journalissuearticles values(p=0.03); in ultrasonographic assessment, and there was no significant difference between the two groups for other parameters.Conclusion: Shoulder pain and subdeltoid bursitis were common in patients with CTS however, shoulder pain was not directly related to shoulder problems alone. Central sensitization may play a role for shoulder pain rather than shoulder problems.Keywords: Ultrasonography, Carpal tunnel syndrome, Shoulderpain, Central sensitization
Keywords : Karpal tünel sendromu, Ultrasonografi, Omuz ağrısı, Santral sensitizasyon