Carpal canal ultrasound examination in patients with mild hand-arm vibration disease
10.3760/cma.j.issn.1001-9391.2016.08.013
- VernacularTitle:轻度手臂振动病患者腕管超声检查
- Author:
Yanzhi LIU
1
;
Zhihong YE
;
Wanling YANG
;
Jixiu ZHU
;
Qiongjie LU
;
Weilan SU
Author Information
1. 518020,深圳市职业病防治院超声科
- Keywords:
Vibration;
Hand-arm vibration disease;
Carpal tunnel syndrome;
Ultrasound
- From:
Chinese Journal of Industrial Hygiene and Occupational Diseases
2016;34(8):608-611
- CountryChina
- Language:Chinese
-
Abstract:
Objective To investigate the clinical value of ultrasound examination of carpal canal structure in patients with mild hand-arm vibration disease.Methods A total of 29 patients (58 wrists) with mild hand-arm vibration disease who were treated in Shenzhen Prevention and Treatment Center for Occupational Diseases from May to December,2015 were enrolled as observation group,and 20 healthy volunteers (40 wrists) were enrolled as the control group.Color Doppler ultrasound was used to observe the morphology and echo of the median nerve in the carpal canal and 9 muscle tendons and transverse carpal ligament.The thickness of transverse carpal ligament and diameter of the median nerve at the level of the hamulus of hamate bone were measured,as well as the cross-sectional area of the median nerve at the level of pisiform bone.Results In the 29 patients with hand-arm vibration disease patients in the observation group,8 experienced entrapment of the median nerve in the carpal canal,among whom 5 had entrapment in both wrists;there were 13 wrists (23％) with nerve entrapment and 45 wrists (77％) without nerve entrapment.Compared with the control group,the patients with hand-arm vibration disease and nerve entrapment in the observation group showed significant thickening of the transverse carpal ligament at the level of the hamulus of hamate bone and a significant increase in the crosssectional area of the median nerve at the level of pisiform bone (P＜0.05),while there were no significant differences in the thickness of transverse carpal ligament at the level of the hamulus of hamate bone and the crosssectional area of the median nerve at the level of pisiform bone (t=-9.397 and-4.385,both P＞0.05).Conclusion Ultrasound examination can clearly show the radiological changes of carpal canal contents in patients with mild hand-arm vibration disease and has a certain diagnostic value in nerve damage in patients with hand-arm vibration disease.
