Abstract：
OBJECTIVE:To determine the ultrasonographic changes after steroid injection in carpal tunnel syndrome (CTS) and to evaluate the diagnostic value of ultrasound in post-treatment examination with clinical correlation. MATERIALS AND METHODS:Twenty-seven wrists with idiopathic CTS after a single injection of 40 mg of prednisolone hydrochloride were prospectively studied using a high-resolution ultrasound. Axial images of the wrists were obtained at the level of the distal radius, pisiform and hamate prior to and 1, 4 and 8 weeks after steroid injection. The cross-sectional area (CSA, mm2) and flattening ratio (FR) of the median nerve were measured. The bowing of the flexor retinaculum (palmar displacement: PD, mm) and the transverse sliding distance of the median nerve (TSD, mm) during flexion-extension of the index finger were computed. Pre- and post-injection ultrasonographic findings were analyzed in relation to clinical parameters such as pain score. RESULTS:At all levels of the wrist, the CSA decreased significantly at 1 week after the injection, which continued to 8 weeks post-injection. The PD also diminished significantly 1 week after the injection. Furthermore, the TSD significantly increased from 1 week after injection, which lasted to the end of this study. The CSA, PD and TSD showed significant correlation with improvement of pain scores. CONCLUSION:Ultrasound is useful in follow-up examinations of CTS. Significant ultrasound findings after steroid injections in CTS include decreased swelling of the median nerve, decreased bowing of the flexor retinaculum and increased mobility of the median nerve. All of them significantly correlate with clinical symptoms.
journal_name
Skeletal Radioljournal_title
Skeletal radiologyauthors
Lee YS,Choi Edoi
10.1007/s00256-017-2738-ysubject
Has Abstractpub_date
2017-11-01 00:00:00pages
1521-1530issue
11eissn
0364-2348issn
1432-2161pii
10.1007/s00256-017-2738-yjournal_volume
46pub_type
杂志文章abstract：:The shoulder joint is the most unstable joint in the body and is easily dislocated. Anterior shoulder dislocation is the commonest and can be associated with glenoid and humeral fractures. Anterior shoulder dislocations are not infrequently associated with cuff tendon tears; however, anterior shoulder dislocation is e...
journal_title：Skeletal radiology
pub_type： 杂志文章
doi：10.1007/s00256-007-0370-y
更新日期：2008-01-01 00:00:00
abstract：:A newborn baby presented with hyaline membrane disease, interstitial pneumonia, jaundice, hepatosplenomegaly, and unusual bone manifestations with lytic and sclerotic bone lesions and virtually absent periosteal reaction. He subsequently developed intracranial calcifications and mental retardation. The pneumonia and h...
journal_title：Skeletal radiology
pub_type： 杂志文章
doi：10.1007/BF00355386
更新日期：1983-01-01 00:00:00
abstract：OBJECTIVE:To review the risk factors and the radiological appearance of insufficiency fractures of the sacrum and acetabular roof. DESIGN AND PATIENTS:Twenty patients with sacral and acetabular roof insufficiency fractures were reviewed retrospectively. There were 16 women (80%) and 4 males (age range 48-86 years, exc...
journal_title：Skeletal radiology
pub_type： 杂志文章
doi：10.1007/s002560050278
更新日期：1997-09-01 00:00:00
abstract：:Subcutaneous panniculitis-like T-cell lymphoma (SPTCL) represents a rare subclassification of peripheral T-cell lymphoma (PTCL). We present a case of a 21-year-old female who presented with a 1-month history of pain in the left buttock and hip, tender left inguinal lymph nodes, fevers, and night sweats. Percutaneous c...
journal_title：Skeletal radiology
pub_type： 杂志文章,评审
doi：10.1007/s00256-014-1879-5
更新日期：2014-09-01 00:00:00
abstract：:Pelvic bone injuries are infrequent complications of radiotherapy. However, insufficiency fractures in irradiated pelvic bones may be underdetected, particularly in postmenopausal women. We describe the clinical presentation, radiologic evaluation, and course of disease in three patients with postradiation pelvic insu...
journal_title：Skeletal radiology
pub_type： 杂志文章
doi：10.1007/s002560050200
更新日期：1997-02-01 00:00:00
abstract：:Shoulder magnetic resonance (MR) imaging and MR arthrography are frequently utilized in the evaluation of shoulder pain and instability. The clinical scenario and imaging findings may be confusing to clinicians and radiologists and may present diagnostic challenges for those involved in evaluating and treating shoulde...
journal_title：Skeletal radiology
pub_type： 杂志文章,评审
doi：10.1007/s00256-002-0528-6
更新日期：2002-07-01 00:00:00
abstract：OBJECTIVE:The objectives of this study were the evaluation of flexor tendon pulley rupture of the fingers in the crimp grip position using magnetic resonance imaging (MRI) and the comparison of the results with MRI in the neutral position in a cadaver study. MATERIALS AND METHODS:MRI in the crimp grip position and in ...
journal_title：Skeletal radiology
pub_type： 杂志文章
doi：10.1007/s00256-014-2002-7
更新日期：2015-01-01 00:00:00
abstract：OBJECTIVE:To demonstrate the anatomy of the extensor retinaculum (ER) of the wrist using gross anatomical correlation with magnetic resonance (MR) imaging before and after ultrasound-guided tenography in four different positions, emphasizing the morphological appearance of the ER that occurs with dorsiflexion of the wr...
journal_title：Skeletal radiology
pub_type： 杂志文章
doi：10.1007/s00256-013-1739-8
更新日期：2013-12-01 00:00:00
abstract：OBJECTIVE:Metal-on-metal hip resurfacing arthroplasty (MoMHRA) has become a popular option for young patients requiring hip replacement. A recognised complication is the formation of a symptomatic reactive periprosthetic soft tissue mass (pseudotumour). We present a radiological classification system for these reactive...
journal_title：Skeletal radiology
pub_type： 杂志文章
doi：10.1007/s00256-011-1329-6
更新日期：2012-02-01 00:00:00
abstract：:Giant cell reparative granuloma (GCRG) is a non-neoplastic fibrous lesion with unevenly distributed multinucleated giant cells, areas of osseous metaplasia and hemorrhage. The small bones of the hands and feet are the most common sites, followed by the vertebral bodies and craniofacial bones. In the craniofacial bones...
journal_title：Skeletal radiology
pub_type： 杂志文章,评审
doi：10.1007/s00256-002-0563-3
更新日期：2003-03-01 00:00:00
abstract：:For the objective assessment of the severity and progression of osteoporotic deformities of the spine, a mathematical model has been developed which permits evaluation of a single set of radiographs of the spine without reference to absolute values of vertebral height. The model was based on measurements of anterior, ...
journal_title：Skeletal radiology
pub_type： 杂志文章
doi：10.1007/BF00197612
更新日期：1990-01-01 00:00:00
abstract：:Skeletal lesions were radiographically apparent in 6 of 36 (16%) patients with chronic myelogenous leukemia. The spectrum of radiographic changes including diffuse osteoporosis, focal osteolytic and osteoblastic lesions, chloroma, and arthritis, and their clinical behavior is discussed. ...
journal_title：Skeletal radiology
pub_type： 杂志文章
doi：10.1007/BF00347255
更新日期：1980-01-01 00:00:00
abstract：: ...
journal_title：Skeletal radiology
pub_type：
doi：10.1007/s00256-017-2691-9
更新日期：2017-09-01 00:00:00
abstract：OBJECTIVE:This study evaluated the correlation between central and peripheral bone mineral density (BMD) of the ankle joint, using dual-energy X-ray absorptiometry (DXA). We also investigated whether peripheral ankle BMD could be used to identify individuals who were diagnosed with osteoporosis, using central DXA. MET...
journal_title：Skeletal radiology
pub_type： 杂志文章
doi：10.1007/s00256-018-2876-x
更新日期：2018-08-01 00:00:00
abstract：OBJECTIVE:To characterize the features and prevalence of radiographic abnormalities of the wrist in children with Kashin-Beck disease (KBD) and to determine whether the presence of radiographic abnormalities in the wrist correlates with the severity of KBD. DESIGN AND PATIENTS:Two hundred and eight posteroanterior rad...
journal_title：Skeletal radiology
pub_type： 杂志文章
doi：10.1007/s00256-002-0475-2
更新日期：2002-04-01 00:00:00
abstract：:We report two cases of subchondral insufficiency fracture of the femoral head observed in younger adults without any history of overexertion. In both cases, MRI revealed an irregular, discontinuous low-intensity band on the T1-weighted images. Both patients were treated operatively, and histological examination confir...
journal_title：Skeletal radiology
pub_type： 杂志文章
doi：10.1007/s00256-006-0178-1
更新日期：2007-06-01 00:00:00
abstract：OBJECTIVE:To evaluate and compare two groups of patients with sciatica due to intervertebral disc herniation with no neurologic deficit. The groups consisted of patients with intervertebral disc herniation in a medial location (group 1) and those in a lateral location (group 2). MATERIALS AND METHODS:A total of 200 pa...
journal_title：Skeletal radiology
pub_type： 杂志文章
doi：10.1007/s00256-012-1422-5
更新日期：2013-01-01 00:00:00
abstract：:This article highlights the key aspects and current perspectives of the role of cross-sectional imaging in adult crystal and inflammatory arthropathies in adults, briefly discussing CT, and particularly focusing on MRI and US imaging as it supplements the conventional radiography. The role of conventional and advanced...
journal_title：Skeletal radiology
pub_type： 杂志文章,评审
doi：10.1007/s00256-016-2402-y
更新日期：2016-09-01 00:00:00
abstract：:This is a case of aspergillosis of the bone and soft tissues of the chest wall in a (probably) immunocompetent host. The areas of involvement and different types of this disease are described. The A. flavus group, which presumably was responsible for this involvement of the chest wall, is very uncommon as a pathogen i...
journal_title：Skeletal radiology
pub_type： 杂志文章
doi：10.1007/BF00241824
更新日期：1992-01-01 00:00:00
abstract：PURPOSE:To compare acetabular version angle measurements of CT scans in the prone and reformatted supine positions. CT acetabular version angle measurements have previously been done in the prone position to correct for pelvic tilt. With the advent of multidetector CT, recent studies have evaluated acetabular version a...
journal_title：Skeletal radiology
pub_type： 杂志文章
doi：10.1007/s00256-013-1781-6
更新日期：2014-03-01 00:00:00
abstract：:A case of Petriellidium boydii (synonym: Allescheria boydii) infection of the knee joint is described. It followed a penetrating soft tissue injury with a pitchfork. Such infections are rare in this country and bone involvement has not been recorded previously except in maduramycosis contracted in tropical areas. ...
journal_title：Skeletal radiology
pub_type： 杂志文章
doi：10.1007/BF00360494
更新日期：1982-01-01 00:00:00
abstract：:We report on a 5-year-old girl with unilateral hyperplasia of the left posterior arch of C6 associated with spina bifida occulta at the same level. Anteroposterior and lateral radiographs of the cervical spine showed hypertrophy of the left lamina as well as overgrowth and elongation of the left spinous process of the...
journal_title：Skeletal radiology
pub_type： 杂志文章
doi：10.1007/s00256-009-0765-z
更新日期：2009-12-01 00:00:00
abstract：OBJECTIVE:Our study aims to compare the sensitivity and specificity between orthopaedic trainees and radiologists in diagnosing occult hip fractures from pelvic radiographs. METHODS:All patients undergoing computed tomography (CT) of the hip for a suspected occult hip fracture at our two centres between November 1, 20...
journal_title：Skeletal radiology
pub_type： 杂志文章
doi：10.1007/s00256-012-1472-8
更新日期：2013-02-01 00:00:00
abstract：OBJECTIVE:This study was undertaken to evaluate whether sonography is a useful tool in the diagnosis of soft tissue disorders as a possible cause for discomfort and/or pain after shoulder arthroplasty. DESIGN AND PATIENTS:Static and dynamic ultrasound examinations were performed in the standard sectional planes on 22 ...
journal_title：Skeletal radiology
pub_type： 杂志文章
doi：10.1007/s00256-002-0555-3
更新日期：2002-12-01 00:00:00
abstract：:Herniation of the left peroneus longus muscle was present in three male members of the same family, being the first reported case of this condition in a familial setting. The hernias were differentiated from other mass lesions and varices by magnetic resonance imaging. The images demonstrated a fascial defect originat...
journal_title：Skeletal radiology
pub_type： 杂志文章
doi：10.1007/BF00204860
更新日期：1995-11-01 00:00:00
abstract：:Focal myositis is a pseudotumor of soft tissue that typically occurs in the deep soft tissue of the extremities, and is a relatively rare lesion. There is a wide clinical spectrum, with approximately one-third of patients with focal myositis subsequently developing polymyositis, and clinical symptoms of generalized we...
journal_title：Skeletal radiology
pub_type： 杂志文章
doi：10.1007/s002560050382
更新日期：1998-05-01 00:00:00
abstract：: ...
journal_title：Skeletal radiology
pub_type： 社论
doi：10.1007/s00256-018-3101-7
更新日期：2019-04-01 00:00:00
abstract：:The ball-and-socket ankle joint is a malformation of the ankle in which the articular surface of the talus is hemispherical in both the anteroposterior and lateral projections and has a congruent, concave tibial articular surface. Fourteen patients with this condition were identified retrospectively. Thirteen patients...
journal_title：Skeletal radiology
pub_type： 杂志文章
doi：10.1007/BF00350538
更新日期：1987-01-01 00:00:00
abstract：:Two cases of osteogenic sarcoma with skeletal muscle metastases are described. A 40-year-old woman presented with progressive swelling of both calves and a soft tissue back lump. She had been diagnosed with mandibular chondroblastic osteogenic sarcoma 6 years earlier. Radiographs showed calcified masses. MRI scans and...
journal_title：Skeletal radiology
pub_type： 杂志文章
doi：10.1007/s002560050521
更新日期：1999-05-01 00:00:00
abstract：:The use of standard lateral roentgenography for diagnosing distal radioulnar joint (DRUJ) subluxation and dislocation was investigated. Using a wrist support, bilateral standard lateral roentgenograms of the wrist were obtained in 42 patients with normal wrists and in 56 patients with a unilateral wrist injury. In nor...
journal_title：Skeletal radiology
pub_type： 杂志文章
doi：10.1007/BF00198067
更新日期：1995-02-01 00:00:00
