Differential Diagnosis for the Cause of Carpal Tunnel Syndrome Using Musculoskeletal Ultrasound

Hae-Rim Kim; Jeeyoung Oh; Sang-Heon Lee

doi:10.4078/jkra.2010.17.4.454

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Kim, Oh, and Lee: Differential Diagnosis for the Cause of Carpal Tunnel Syndrome Using Musculoskeletal Ultrasound

Original Article

J Korean Rheum Assoc 2010;17(4):454-456.

Published online: 23 December 2010

DOI: https://doi.org/10.4078/jkra.2010.17.4.454

Differential Diagnosis for the Cause of Carpal Tunnel Syndrome Using Musculoskeletal Ultrasound

Hae-Rim Kim¹, Jeeyoung Oh², Sang-Heon Lee¹

¹Division of Rheumatology, Department of Internal Medicine, Konkuk University School of Medicine, Seoul, Korea

²Department of Neurology, Konkuk University School of Medicine, Seoul, Korea

Received 16 June 201010 December 2010

This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/3.0) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.

REFERENCES

1). Bickel KD. Carpal tunnel syndrome. J Hand Surg Am. 2010. 35:147–52.

2). Keith MW., Masear V., Chung K., Maupin K., Andary M., Amadio PC, et al. Diagnosis of carpal tunnel syndrome. J Am Acad Orthop Surg. 2009. 17:389–96.

3). Bianchi S., Montet X., Martinoli C., Bonvin F., Fasel J. High-resolution sonography of compressive neuropathies of the wrist. J Clin Ultrasound. 2004. 32:451–61.

4). SarriAa L., Cabada T., Cozcolluela R., MartiAnez-Berganza T., GarciAa S. Carpal tunnel syndrome: usefulness of sonography. Eur Radiol. 2000. 10:1920–5.

5). Beekman R., Visser LH. Sonography in the diagnosis of carpal tunnel syndrome: a critical review of the literature. Muscle Nerve. 2003. 27:26–33.

Fig. 1.

Ultrasonography shows (A) 12×6 mm sized oval shaped hyperechoic mass (∗) in the carpal tunnel compressing the median nerve (arrows) in longitudinal scan, (B) increased cross-sectional area of medial nerve in the tunnel inlet, and (C) the flattening of median nerve (arrow heads) near the hyperechoic mass (∗) in mid-tunnel in transverse scans.

Fig. 2.

(A) Sagittal fast spin echo (FSE) T2 weighted magnetic resonance image shows 12×12×6 mm sized oval shaped calcific deposition in the carpal tunnel (∗), and (B) axial FSE T2 weighted magnetic resonance image shows diffuse swelling and enhancement of median nerve (arrow).

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