• Ir J Med Sci · Apr 2024

    Utility of shear wave elastography for diagnosing carpal tunnel syndrome with psoriatic arthritis.

    • Ezgi Akyildiz Tezcan, Funda Levendoglu, Mehmet Sedat Durmaz, BaturElif BaleviEB0000-0001-8886-1144Department of Physical Medicine and Rehabilitation, Selcuk University Medical Faculty, Konya, Turkey., GezerIlknur AlbayrakIA0000-0002-8980-1837Department of Physical Medicine and Rehabilitation, Selcuk University Medical Faculty, Konya, Turkey., and Kemal Erol.
    • Department of Physical Medicine and Rehabilitation, Cumra State Hospital, Konya, 42500, Turkey. drezgiakyildiz@gmail.com.
    • Ir J Med Sci. 2024 Apr 1; 193 (2): 977985977-985.

    BackgroundCarpal tunnel syndrome (CTS) is a type of peripheral entrapment neuropathy and common for the patients with psoriatic arthritis (PsA). Shear wave elastography (SWE) is a new ultrasonography technique that can be used for diagnosing CTS, but not studied in PsA patients.AimsThe aim of this study to measure the stiffness of median nerve and hand muscles by quantitative SWE to identify whether SWE can be used for diagnosing CTS in patients with PsA or not.MethodsTo diagnose CTS, all patients had electrodiagnostic study. The stiffness values of the median nerve, abductor pollicis brevis, and abductor digiti minimi were determined using SWE. Muscle stiffness ratio was also calculated.ResultsConsideration is given to 48 patients with PsA (93 wrists) and 29 healthy volunteers (57 wrists). Median nerve stiffness was found to be significantly higher, and abductor pollicis brevis' stiffness and muscle stiffness ratio were significantly lower in PsA patients' wrists compared to control group (p = 0.002, p < 0.001, p = 0.001, respectively) and in CTS wrists compared to others (p < 0.001, p < 0.001, p = 0.001, respectively). Receiver operating characteristic analysis identified 28.2 kPA as the median nerve stiffness cut-off point for differentiating CTS in PsA patients (p = 0.001).ConclusionsWe found that SWE has a good diagnostic value for CTS with PsA patients; hence, we can conclude that SWE could diagnose CTS in PsA patients.© 2023. The Author(s), under exclusive licence to Royal Academy of Medicine in Ireland.

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