Is ultrasonography useful in the diagnosis of the polyneuropathy in diabetic patients?
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- Agirman Mehmet
- Department of Physical Medicine and Rehabilitation, Faculty of Medicine, Istanbul Medipol University: Medipol Universite Hastanesi, TEM Avrupa Otoyolu Göztepe Çıkışı, postal code: 34214, İstanbul, Turkey Department of Physical Medicine and Rehabilitation, Faculty of Medicine, Marmara University, Turkey
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- Yagci Ilker
- Department of Physical Medicine and Rehabilitation, Faculty of Medicine, Marmara University, Turkey
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- Leblebicier Merve Akdeniz
- Department of Physical Medicine and Rehabilitation, Faculty of Medicine, Marmara University, Turkey
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- Ozturk Demet
- Department of Physical Medicine and Rehabilitation, Faculty of Medicine, Marmara University, Turkey
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- Akyuz Gulseren Derya
- Department of Physical Medicine and Rehabilitation, Faculty of Medicine, Marmara University, Turkey
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<p> [Purpose] The aim of this study was to investigate the usefulness of ultrasonography for the diagnosis of polyneuropathy in diabetic patients by examination of the median and ulnar nerves. [Subjects and Methods] Sixty-three diabetic patients and fourteen controls were enrolled in the study. Nerve conduction studies were performed on both upper and lower limbs. Median and ulnar nerve cross-sectional areas were measured at the wrist and forearm levels in 140 hands by ultrasound. [Results] The median nerve cross-sectional area was increased at the hook of hamatum, pisiform bone, and radioulnar joint levels in patients with carpal tunnel syndrome. The ulnar nerve area at the medial epicondyle was significantly increased in the diabetic polyneuropathy (9.2 ± 1.6), diabetic polyneuropathy plus carpal tunnel syndrome (9.3 ± 1.4), and carpal tunnel syndrome (9.2 ± 1.9) groups compared with the control group (7.7 ± 1.1). In receiver operating characteristics analysis, the cutoff value of the ulnar nerve was 8.5 mm2 at ulnar epicondyle with 71.4% specificity and 70.4% sensitivity, corresponding to the highest diagnostic accuracy for diabetic polyneuropathy. [Conclusion] Ultrasonographic examination of the median and ulnar nerves can be an alternative or additional diagnostic modality for the evaluation of neuropathies in diabetic patients.</p>
収録刊行物
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- J Phys Ther Sci
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J Phys Ther Sci 28 (9), 2620-2624, 2016
理学療法科学学会
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詳細情報 詳細情報について
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- CRID
- 1390001204330759808
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- NII論文ID
- 130005264961
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- ISSN
- 21875626
- 09155287
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- 本文言語コード
- en
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- データソース種別
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- JaLC
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- 抄録ライセンスフラグ
- 使用不可