Evidence map›Paper›PMID 32696280›Full record

ArticleClinical rheumatology2021

High-resolution ultrasonography in carpal tunnel syndrome: role of ancillary criteria in diagnosis and response to steroid injection.

Rudra Prosad Goswami, Hiramanik Sit, Moumita Chatterjee, Debasish Lahiri, Geetabali Sircar, Parasar Ghosh

Registry-linked trialAbstract read
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In one paragraph

Article in Clinical rheumatology, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT07334964 (Ultrasound-Guided Carpal Tunnel Infiltration), which is not on this map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
0.3field-weighted citation impact, top 37% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT07334964 nacompletednot on this mapstarted 2025, after this paper: background citation

Ultrasound-Guided Carpal Tunnel Infiltration: Comparison Between the Manual Method and a Robot-Assisted Method - A Pilot, Comparative, Randomized Study

TypeinterventionalSponsorCentre Hospitalier Régional d'OrléansRan2025 to 2026Enrolled21ConditionsCarpal Tunnel SyndromeArmsCarpal tunnel injection
3 · Its place in the literature

Who cites it

1 citing paper in PubMed, 7 citations in OpenAlex.

  1. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors at 3 institutions in 1 country.

Rudra Prosad GoswamiDepartment of Rheumatology, All India Institute of Medical Sciences, New Delhi, India. rudra.goswami@gmail.com.ORCID https://orcid.org/0000-0001-8670-1745
Hiramanik SitDepartment of Rheumatology, Institute of Post Graduate Medical Education and Research, Kolkata, India.
Moumita ChatterjeeDepartment of Mathematics and Statistics, Aliah University, Kolkata, India.
Debasish LahiriDepartment of Rheumatology, Institute of Post Graduate Medical Education and Research, Kolkata, India.
Geetabali SircarDepartment of Rheumatology, Institute of Post Graduate Medical Education and Research, Kolkata, India.ORCID https://orcid.org/0000-0002-8715-7726
Parasar GhoshDepartment of Rheumatology, Institute of Post Graduate Medical Education and Research, Kolkata, India.ORCID https://orcid.org/0000-0001-9023-5169
Institute of Post Graduate Medical Education and Research · INAliah University · INAll India Institute of Medical Sciences · IN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectives(1) Development and validation of a composite ultrasound score (cUSS) for the diagnosis of carpal tunnel syndrome (CTS). (2) To predict treatment response after local corticosteroid injection.

methodsWrists of CTS patients and controls were evaluated with high-resolution ultrasound and cross-sectional area of median nerve at carpal tunnel inlet (CSAp) and outlet (CSAd) and bowing of flexor retinaculum (FRB), flexor tenosynovitis, and intraneural vascularity and echogenicity changes were noted. Patients were prospectively followed after ultrasound-guided corticosteroid injection.

resultsWe studied 479 wrists of 141 patients and 99 controls. Optimal cut-offs for diagnosing CTS were 9.5 mm

conclusionsThe developed cUSS has a diagnostic accuracy of 88% for diagnosing CTS. Ultrasound parameters could predict both initial treatment response and relapse. KEY POINTS: • Anatomical ultrasound parameters in addition to nerve cross-sectional area is important for diagnosis of CTS. • A composite US score for diagnosis of CTS was developed with accuracy 88.6%. • Bowing of flexor retinaculum predicts short and long term response to local steroid injection.

Indexed as

Carpal Tunnel SyndromeHumansMaleMedian NerveProspective StudiesSensitivity and SpecificitySteroidsUltrasonographySteroidsBowing of flexor tenosynovitisCarpal tunnel injectionCarpal tunnel syndromeFlexor tenosynovitisIntraneural echogenicity changesIntraneural vascularityMedian nerve cross-sectional areaMusculoskeletal ultrasound

Identifiers

PMID32696280
OpenAlexW3043846338

What OpenQuestion holds

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Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.