EVALUATION OF CARPAL TUNNEL SYNDROME IN PATIENTS WITH RHEUMATOID ARTHRITIS BY NEUROMUSCULAR ULTRASOUND AND ELECTROPHYSIOLOGIACAL STUDIES

Authors

Khaled Zaky, Professor of Rheumatology & Rehabilitation, Faculty of Medicine, Al-Azhar University
Alaa M Genedy, M.B.B.Ch., Faculty of Medicine, Al-Azhar UniversityFollow
Hany M Aly, Assistant Professor of Rheumatology & Rehabilitation, Faculty of medicine, AL-Azhar University
Mohie-eldin T Mohamed, Assistant Professor of Neurology, Faculty of medicine, AL-Azhar University

Document Type

Original Article

Abstract

Introduction: Rheumatoid neuropathy of the median nerve (MN) is the commonest nerve entrapment neuropathy. Diagnosis of CTS in RA is often dependent upon electrophysiological evaluation. However, direct visualization of the nerves is possible with exact localization of site of disease with neuromuscular ultrasound (U/S). Aim: to evaluate Carpal tunnel syndrome in patients with rheumatoid arthritis (RA) by neuromuscular U/S and Electrophysiological studies. Subjects and Methods: 30 RA patients were included and were compared with 30 normal subjects as control group. Results: The current study revealed significantly higher cross-sectional area (CSA) of the MN at the level of tunnel inlet (mm2), at the level of tunnel (mm2), and CSA at the level of tunnel outlet in RA group as compared with control subjects (P=0.002*,

Keywords

Carpal Tunnel; Rheumatoid Arthritis; NMUS; Electrophysiological Study

Subject Area

Internal Medicine

How to Cite This Article

Zaky, Khaled; Genedy, Alaa M; Aly, Hany M; and Mohamed, Mohie-eldin T (2024) "EVALUATION OF CARPAL TUNNEL SYNDROME IN PATIENTS WITH RHEUMATOID ARTHRITIS BY NEUROMUSCULAR ULTRASOUND AND ELECTROPHYSIOLOGIACAL STUDIES," Al-Azhar International Medical Journal: Vol. 5: Iss. 1, Article 31.
DOI: https://doi.org/10.58675/2682-339X.2218