Relationship between anthropometric variables and the cross-sectional area of the median nerve by ultrasound assessment in healthy subjects.

Objective: Ultrasound study of the wrist in patients with suspected entrapment syndrome has severe limitations due to the variability of what is considered normal for the cross-sectional area of the median nerve and where to measure it. We aim to determine the extent to which different anthropometri...

Descripción completa

Detalles Bibliográficos
Publicado en:Acta Reumatológica Portuguesa Vol. 45; no. 2; pp. 104 - 111
Autores principales: Guillen-Astete, C. A., Muñoz-Martínez de Castilla, A., Zurita-Prada, P., García-Casado, P., Urrego-Laurín, C.
Formato: Artículo
Publicado: Sociedade Portuguesa de Reumatologia Apr-Jun2020
Materias:
Acceso en línea:Ver este registro en EBSCOhost
fields @attributes:
  recordID: 1
pdfLink:
plink: https://search.ebscohost.com/login.aspx?direct=true&db=lth&AN=145719887&site=ehost-live
header:
  @attributes:
    shortDbName: lth
    uiTerm: 145719887
    longDbName: MedicLatina
    uiTag: AN
  controlInfo:
    bkinfo:
    jinfo:
      jid:
        0303464X
        4Z1D
      jtl: Acta Reumatológica Portuguesa
      issn: 0303464X
      maglogo: N
    pubinfo:
      dt: Apr-Jun2020
      vid: 45
      iid: 2
      pid: 38819
      pub: Sociedade Portuguesa de Reumatologia
    artinfo:
      ui: 145719887
      ppf: 104
      ppct: 7
      formats:
        fmt:
          @attributes:
            type: P
            size: 435KB
      tig:
        atl: Relationship between anthropometric variables and the cross-sectional area of the median nerve by ultrasound assessment in healthy subjects.
      aug:
        au:
          Guillen-Astete, C. A.
          Muñoz-Martínez de Castilla, A.
          Zurita-Prada, P.
          García-Casado, P.
          Urrego-Laurín, C.
        affil:
          Ramón y Cajal University Hospital, Rheumatology Department, Madrid, Spain
          HLA Moncloa University Hospital, Rheumatology Department, Madrid, Spain
          European University of Madrid, Rheumatology Department, Madrid, Spain
      su:
        Carpal tunnel syndrome
        Diagnosis of musculoskeletal system diseases
        Diagnostic ultrasonic imaging
        Median nerve
        Wrist
        Anthropometry
      sug:
        subj:
          Carpal tunnel syndrome
          Diagnosis of musculoskeletal system diseases
          Diagnostic ultrasonic imaging
          Median nerve
          Wrist
          Anthropometry
      keyword:
        Musculoskeletal ultrasound
        Wrist circumference
      ab: Objective: Ultrasound study of the wrist in patients with suspected entrapment syndrome has severe limitations due to the variability of what is considered normal for the cross-sectional area of the median nerve and where to measure it. We aim to determine the extent to which different anthropometric variables influence the median nerve area in subjects without carpal tunnel syndrome. Methods: We conducted an observational study based on a multivariable linear regression analysis using as a dependent variable the area of the median nerve cut at two specific points in the wrist of healthy subjects. The independent variables were sex, age, height, weight, body mass index, finger flexor strength, and carpal circumference. Results: The measurements of the median nerve cross-sectional area were normalised using a quadratic fixing procedure. Of all the variables included in the linear regression analysis, only carpal circumference and sex (0: female, 1: male) contributed significantly in the final model using the wrist fold as the measurement point (Constant B=-209.4, carpal circumference coef-ficient=21.1, sex coefficient 10.9). At four centimeters distal to the carpal fold, the model included the same variables (carpal circumference coefficient=24.0, and sex coefficient= 11.4). Conclusion: Both the wrist circumference and the sex are variables that should be considered to determine cut-off points of normality in future validation studies about the cross-sectional area of the median nerve.
      pubtype: Academic Journal
      doctype: Article
      src: R
    language: English
    refInfo:
    copyright:
      @attributes:
        flag: Y
      custom: Copyright of Acta Reumatológica Portuguesa is the property of Sociedade Portuguesa de Reumatologia and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use.
      item: Acta Reumatológica Portuguesa
      holder: Sociedade Portuguesa de Reumatologia
      dt:
        @attributes:
          year: 2020
    holdings:
      @attributes:
        islocal: N