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Table 5 Parameter for evaluation of carpal tunnel syndrome [18, 19]

From: Can imaging be the new yardstick for diagnosing peripheral neuropathy?—a comparison between high resolution ultrasound and MR neurography with an approach to diagnosis

Parameter

Method

USG reference value

MRI reference value

  

DRUJ

PISIFORM

HAMATE

DRUJ

PISIFORM

HAMATE

CSA (mm2)

Continuous trace method

7.55 (1.58)

10.3 (2.3)

9.00 (1.98)

9.0 (2.5)

9.1 (2.3)

8.8 (1.8)

Flattening ratio

Transverse axis divided by longitudinal axis

2.2 (0.29)

2.27 (0.3)

2.96 (0.4)

2.38 (0.61)

2.62 (0.55)

2.76 (0.75)

Palmar displacement (mm) (measured on T1 image)

Perpendicular distance to the TCL from the line between the hook of the hamate and the trapezium

 

2.9

2.5

  

2.58 (0.82)

Swelling ratio

Middle CSA to proximal CSA

 

1.3

    
  1. CSA curved surface area (measurements done on PD FS image), DRUJ distal radio ulnar joint
  2. All measurements were done at three levels, at the level of the distal radio ulnar joint, level of pisiform bone and lastly at the level of the hook of hamate