ADVANCED ULTRASOUND IN DIAGNOSIS AND THERAPY >

2023 , Vol. 7 >Issue 4: 390 - 393

DOI: https://doi.org/10.37015/AUDT.2023.220047

Original Research

Evaluation of the Effect of Age on Median Nerve Cross-sectional Area: A Cross-sectional Study

  • Seyed Mansoor Rayegani, MD ,
  • Masume Bayat, MD
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  • aPhysical Medicine and Rehabilitation research center, Shahid Beheshti University of Medical Sciences, Tehran, Iran
Imam Hossein Hospital, Shahid Madani St, Tehran, Iran. e-mail: bayat.masume@yahoo.com

Received date: 2022-12-16

  Revised date: 2023-02-09

  Accepted date: 2023-02-11

  Online published: 2023-10-23

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Abstract

Objective This cross-sectional study was designed considering disagreements on the normal range of Median Nerve Cross-Sectional Area (MNCSA) and its association with age.

Methods In this cross-sectional descriptive study, the upper limbs of 98 healthy subjects (46 men and 52 women) were assessed bilaterally by sonography, and MNCSA was measured at the distal wrist crease.

Results Mean MNCSA values for subjects older and younger than 40 were 11.25 mm2 and 10.21 mm2, respectively. The results showed that the MNCSA significantly increased after 40 years of age.

Conclusion According to the present study's findings, advances in age can increase the MNCSA and affect the diagnostic accuracy of MNCSA measurement in CTS diagnosis.

Key words： Median nerve cross-sectional area; Sonography; Age

Cite this article

Seyed Mansoor Rayegani, MD , Masume Bayat, MD . Evaluation of the Effect of Age on Median Nerve Cross-sectional Area: A Cross-sectional Study[J]. ADVANCED ULTRASOUND IN DIAGNOSIS AND THERAPY, 2023 , 7(4) : 390 -393 . DOI: 10.37015/AUDT.2023.220047

References

[1] Alfonso C, Jann S, Massa R, Torreggiani A. Diagnosis, treatment and follow-up of the carpal tunnel syndrome: A review. Neurolog Sci 2010; 31:243-252.
[2] Buchberger W. Radiologic imaging of the carpal tunnel. Eur J Radiol 1997; 25:112-117.
[3] Sarria L, Cabada T, Cozcolluela R. Carpal tunnel syndrome: usefulness of sonography. Eur J Radiol 2000; 10:1920-1925.
[4] Wong SM, Griffith JF, Hui AC. Discriminatory sonographic criteria for the diagnosis of carpal tunnel syndrome. Arthritis Rheum 2002; 46:1914-1921.
[5] Wang LY. Best diagnostic criterion in high-resolution ultrasonography for carpal tunnel syndrome. Chang Gung Med J 2008; 31:469-476.
[6] Wong SM, Griffith JF, Hui ACF, Tang A, Wong KS. Discriminatory sonographic criteria for the diagnosis of carpal tunnel syndrome. Arthritis Rheum 2002; 46:1914-1921.
[7] Rayegani S.M, Kargozar E, Eliaspour D, Raeissadat S.A, Sanati E, Bayat M. Diagnostic value of ultrasound compared to electro diagnosis in carpal tunnel syndrome. Patient Saf Qual Improv 2014; 2:142-147
[8] Cartwright MS, Shin HW, Passmore LV, Walker FO. Ultrasonographic reference values for assessing the normal median nerve in adults. J Neuroimaging 2009; 19:47-51.
[9] Bathala L, Kumar P, Kumar K, Shaik AB, Visser LH. Ultrasonographic cross‐sectional area normal values of the ulnar nerve along its course in the arm with electrophysiological correlations in 100 Asian subjects. Muscle Nerve 2013; 47:673-676.
[10] Sugimoto T, Ochi K, Hosomi N, Mukai T, Ueno H, Takahashi T, et al. Ultrasonographic reference sizes of the median and ulnar nerves and the cervical nerve roots in healthy Japanese adults. Ultrasound Med Biol 2013; 39:1560-1570.
[11] Won SJ, Kim BJ, Park KS, Yoon JS, Choi H. Reference values for nerve ultrasonography in the upper extremity. Muscle Nerve 2013; 47:864-871.
[12] Chen P, Maklad N, Redwin M, Zelitt D. Dynamic high-resolution sonography of the carpal tunnel. AJR Am J Roentgenol 1997; 168:533-537.
[13] Buchberger W, Schon G, Strasser K, Jungwirth W. High-resolution ultrasonography of the carpal tunnel. J Ultrasound Med 1991; 10:531.
[14] Rania R, Abdelhameed AM, Elbarbary NS, El-Hilaly RA. Evaluation of median nerve in children with type1 diabetes using ultrasonographic imaging and electrophysiology. The Egyptian Journal of Radiology and Nuclear Medicine 2013; 44:563-572.
[15] Hammer HB, Hovden IA, Haavardsholm EA, Kvien TK. Ultrasonography shows increased cross-sectionalarea of the median nerve in patients witharthritis and carpal tunnel syndrome. Rheumatology 2006; 45:584-588
[16] Chen SF, Lu CH, Huang CR, Chuang YC, Tsai NW, Chang CC, et al. Ultrasonographic median nerve cross-section areas measured by 8-point “inching test” for idiopathic carpal tunnel syndrome: a correlation of nerve conduction study severity and duration of clinical symptoms. BMC Med Imaging 2011; 11:22.
[17] Lanz U. Anatomical variations of the median nerve in the carpal tunnel. J Hand Surg Am 1977; 2:44-53.
[18] Mohammadi A, Afshar A, Etemadi A, Masoudi S, Baghizadeh A. Diagnostic value of cross-sectional area of median nerve in grading severity of carpal tunnel syndrome. Arch Iran Med 2010; 13:516-521.
[19] Duncan I, Sullivan P, Lomas F. Sonography in the diagnosis of carpal tunnel syndrome. Am J Roentgenol 1999; 173:681-684.
[20] Fowler JR, Munsch M, Tosti R, Hagberg WC, Imbriglia JE. Comparison of ultrasound and electrodiagnostic testing for diagnosis of carpal tunnel syndrome: study using a validated clinical tool as the reference standard. J Bone Joint Surg Am 2014; 96:e148.
[21] Swen WA, Jacobs JW, Bussemaker FE, de Waard JW, Bijlsma JW. Carpal tunnel sonography by the rheumatologist versus nerve conduction study by the neurologist. J Rheumatol 2001; 28:62-69.
[22] Deniz FE, ?ksüz E, Sarikaya B, Kurt S, Erkorkmaz ü, Ulusoy H, et al. Comparison of the diagnostic utility of electromyography, ultrasonography, computed tomography, and magnetic resonance imaging in idiopathic carpal tunnel syndrome determined by clinical findings.Neurosurgery 2012;70:610-616.
[23] Visser LH, Smidt MH, Lee ML. High-resolution sonography versus EMG in the diagnosis of carpal tunnel syndrome. J Neurol Neurosurg Psychiatry 2008; 79:63-67.
[24] Nakamichi KI, Tachibana S. Ultrasonographic measurement of median nerve cross-sectional area in idiopathic carpal tunnel syndrome: diagnostic accuracy. Muscle Nerve 2002; 26:798-803.
[25] Hobson-Webb LD, Padua L. Median nerve ultrasonography in carpal tunnel syndrome: findings from two laboratories. Muscle Nerve 2009; 40:94-97.
[26] Lee D, van Holsbeeck MT, Janevski PK, Ganos DL, Ditmars DM, Darian VB. Diagnosis of carpal tunnel syndrome: ultrasound versus electromyography. Radiol Clin North Am 1999; 37:859-872.
[27] Bathala L, Kumar P, Kumar K, Shaik A, Visser LH. Normal values of median nerve cross-sectional area obtained by ultrasound along its course in the arm with electrophysiological correlations, in 100 Asian subjects. Muscle Nerve 2014; 49:284-286.
[28] Kang KH, Lee GH, Choi GE and Hyun KY. Mean value of median nerve cross-sectional area in healthy 20s and 30s in Busan area. Biomed Sci Letters 2020; 26:186-191
[29] Shinagawa S, Tajika T, Oya N, Endo F, Kuboi T, Hamano N, et al. Prevalence of bifid median nerve and the cross-sectional area as assessed by ultrasonography in healthy Japanese Subjects. 2019; 1:74-78.
[30] Loh PY, Yeoh WL, Muraki S. An overview of hand postures and aging on morphological changes of the median nerve. J Physiol Anthropol 2019; 39:9.
[31] Bae DW, An JY. Cross-sectional area reference values for high-resolution ultrasonography of the upper extremity nerves in healthy Asian adults. Medicine (Baltimore) 2021; 100:e25812.
[32] Ito D, Watanabe T, Hirakawa A, Ito A, Nohisa Y, Furuta N, et al. Effects of aging and sex differences on the median nerve: relationship between nerve conduction study and ultrasonographic cross-sectional nerve area. Rinsho Byori 2016; 64:1122-1127.
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