Carpometacarpal (CMC) Joint Arthritis, De Quervain Disease, Ganglion Cyst, Radial Neuropathy
Conditions
Keywords
carpometacarpal joint arthritis, ultrasonography, dorsoradial wrist pain, de Quervain disease, intersection syndrome, ganglion cyst
Brief summary
This study aims to investigate the correlation between ultrasonographic and clinical findings in dorsoradial wrist pain. There are several etiologies for dorsoradial wrist pain, including carpometacarpal joint arthritis, De Quervain's tenosynovitis, proximal and distal intersection syndrome, Wartenberg syndrome, and ganglion cysts. In these clinical scenarios, certain physical examination tests are utilized, such as the Finkelstein test for De Quervain's tenosynovitis; however, this test may also yield positive results in cases of severe joint arthritis. Ultrasonography is proposed as a complementary tool for differential diagnosis. The investigators aim to examine the correlation between clinical test results and ultrasonographic parameters such as tendon thickness in the first extensor compartment, carpometacarpal joint synovitis, cortical irregularities, and the presence of osteophytes. Functional status will be assessed using the QuickDASH and FIHOA questionnaires.
Detailed description
In the assessment of the first carpometacarpal (CMC) joint, the following ultrasonographic parameters will be evaluated: synovitis, presence of osteophytes, joint surface irregularity, and Doppler signal activity. Additionally, conventional hand radiographs of all participants will be reviewed to support the imaging findings. For the evaluation of De Quervain's tenosynovitis, tendon sheath thickness, tendon cross-sectional area, and intratendinous Doppler activity will be measured. At the anatomical intersection zones of the first dorsal compartment, the presence of peritendinous fluid and associated Doppler activity will also be assessed to identify potential sites of friction or inflammation. Assessment of the superficial radial nerve will include measurement of its cross-sectional area. A cross-sectional area exceeding one square millimeter will be considered indicative of possible neuropathy.
Interventions
ultrasonographic examination
Sponsors
Fatih Sultan Mehmet Training and Research Hospital
Study design
Observational model
CASE_CROSSOVER
Time perspective
CROSS_SECTIONAL
Eligibility
Sex/Gender
ALL
Age
18 Years to 75 Years
Healthy volunteers
No
Inclusion criteria
* pain in dorsoradial wrist
Exclusion criteria
* known rheumatological disease * history of forearm, wrist, hand fracture * history of forearm, wrist, hand operation * mental retardation * history of major trauma in forearm, wrist and hand * fibromyalgia
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Odds Ratio of First Extensor Compartment Tendon Sheath Thickness Associated with De Quervain Disease | At the time of enrollment | To quantify the association between increased tendon sheath thickness and clinical diagnosis of De Quervain tenosynovitis using logistic regression analysis. |
| Odds Ratio of Synovial Hypertrophy in CMC Joint Associated with Carpometacarpal Arthritis | At the time of enrollment | To assess the strength of association between ultrasonographic synovial hypertrophy and clinical diagnosis of carpometacarpal joint arthritis. |
| Sensitivity of Ultrasonographic Parameters for Diagnosing Dorsoradial Wrist Pathologies | At the time of enrollment | To assess the diagnostic sensitivity of individual ultrasonographic findings (e.g., tendon sheath thickness, synovial hypertrophy) for detecting De Quervain tenosynovitis and CMC arthritis. |
| Specificity of Ultrasonographic Parameters for Diagnosing Dorsoradial Wrist Pathologies | At the time of enrollment | To assess the diagnostic specificity of individual ultrasonographic findings for identifying De Quervain tenosynovitis and CMC arthritis. |
Countries
Turkey (Türkiye)
Outcome results
None listed