Abstract

Background: Entrapment of median nerve lead to carpel tunnel syndrome. Diagnosis of carpel tunnel syndrome requires a combination of clinical examination, radiological imaging and nerve conduction studies. This study aims to evaluate and to compare the efficacy of high resolution ultrasound with electroneuromyography studies in diagnosing this condition. Materials and Methods: This prospective observational study was conducted in Department of Radio diagnosis of a Tertiary care hospital at Hyderabad, over a period of 12 months. The study was conducted including 55 subjects who presented with clinically suspected/diagnosed of carpal tunnel syndrome or patients with ENMG findings suggestive of Carpal tunnel syndrome Results: The mean age of study is 50.34 years ± 12.0 years. Females were more affected than males. Left hand was predominantly involved. Most common symptom was tingling sensation. ENMG detected 52 out of 55 patients to have carpel tunnel syndrome, while HR ultrasound was able to detect only 50 patients Conclusion: High resolution ultrasound is a affordable, easily accessible diagnostic modality which can be used to detect the anatomical abnormalities of carpel tunnel so as to makes decisions during surgery easier.

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