RELATIONSHIP BETWEEN POWER DOPPLER ULTRASOUND AND MAURO MONDELLLI CLASSIFICATION OF CARPAL TUNNEL SYNDROME

Abstract

The study aims to describe the the relationship between energy doppler ultrasound characteristics and Mauro mondelli grade in carpal tunnel syndrome patients. Cross-sectional description of 36 patients  with 49 carpal tunnels diagnosed with carpal tunnel syndrome according to National Institute for Occupational Safety and Health in 1993 was Female/male ratio = 8/1. The mean age of the patients was 54.4 ±12. Clinical classification: 48.9% carpal tunnel disease in moderate stage, 32.7% in severe stage. There was 57.1% of the carpal tunnels with Notch sign (+), reversed Notch sign (+) in 4.1% of the carpal tunnels. Signs of angiogenesis were found in 55.1% of the carpal tunnel. The median nerve area proximal to the carpal tunnel averaged 11.1± 1.9 on the preferred hand and 11.7±1.4 on the other hand. In patients with mild clinical grade according to Mauro Mondelllim, we found that the majority of patients had moderate and severe severity on ultrasound. There is a relationship between median nerve indices (medial nerve area proximal to the carpal tunnel , median nerve area difference) with clinical grade according to M. Mondelli.