{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,1]],"date-time":"2026-05-01T19:04:35Z","timestamp":1777662275241,"version":"3.51.4"},"reference-count":16,"publisher":"SAGE Publications","issue":"6","license":[{"start":{"date-parts":[[2023,3,1]],"date-time":"2023-03-01T00:00:00Z","timestamp":1677628800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Hand (New York, N,Y.)"],"published-print":{"date-parts":[[2024,9]]},"abstract":"<jats:sec>\n                    <jats:title>Background:<\/jats:title>\n                    <jats:p>Nerve conduction studies (NCS) and ultrasound (US) remain imperfect compared with clinical diagnosis and\/or diagnostic tools such as carpal tunnel syndrome-6 (CTS-6) for diagnosis of carpal tunne syndrome (CTS). One potential reason for the discrepancy between clinical diagnosis and testing is \u201cborderline\u201d case inclusion. This study aims to compare clinical outcomes after carpal tunnel release (CTR) between \u201cborderline\u201d and \u201cclear\u201d patients with CTS determined by NCS and US.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods:<\/jats:title>\n                    <jats:p>\n                      This was a retrospective review of patients who underwent CTR. We collected NCS and US measurements of the median nerve cross-sectional area (MNCSA) at the carpal tunnel inlet, and the Boston Carpal Tunnel Questionnaire (BCTQ) scores comprised of the Symptom Severity Scale (SSS) and the Functional Status Scale (FSS). Ultrasound measurements defined patients as having \u201cborderline\u201d (MNCSA &lt; 13 mm\n                      <jats:sup>2<\/jats:sup>\n                      ) or \u201cclear\u201d (MNCSA \u2265 13 mm\n                      <jats:sup>2<\/jats:sup>\n                      ) CTS.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>The study included 94 unilateral patients with CTS. \u201cBorderline\u201d CTS was diagnosed in 58 patients (62%), and \u201cclear\u201d CTS was diagnosed in 36 patients (38%). No significant differences in BCTQ scores were found between groups. At greater than 6-month follow-up, the mean FSS was 1.44 and 1.45 for clear and borderline groups, respectively ( P = .97) and the mean SSS was 1.47 and 1.51, respectively ( P = .84). However, a significant difference between groups when comparing distal motor latency (DML) and distal sensory latency (DSL) existed. The mean DSL was 3.71 and 4.44 for the clear and borderline groups, respectively ( P = .02). The mean DML was 4.59 and 5.36 ( P = .048).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion:<\/jats:title>\n                    <jats:p>Categorizing CTS diagnosis into \u201cborderline\u201d and \u201cclear\u201d based on preoperative US and NCS testing did not correlate with BCTQ changes after CTR. It remains unclear whether the BCTQ is a valid postoperative assessment tool, despite its frequent use in literature.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/15589447231154026","type":"journal-article","created":{"date-parts":[[2023,3,1]],"date-time":"2023-03-01T08:01:20Z","timestamp":1677657680000},"page":"912-916","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":2,"title":["A \u201cClear\u201d Carpal Tunnel Syndrome Diagnosis on Ultrasound Examination Does Not Predict Improved Outcomes When Compared With a \u201cBorderline\u201d Diagnosis"],"prefix":"10.1177","volume":"19","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-5788-5351","authenticated-orcid":false,"given":"Robert C.","family":"Vernick","sequence":"first","affiliation":[{"name":"Campbell University, Lillington, NC, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"John R.","family":"Fowler","sequence":"additional","affiliation":[{"name":"University of Pittsburgh Medical Center, PA, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2023,3,1]]},"reference":[{"issue":"8","key":"bibr1-15589447231154026","first-page":"952","volume":"83","author":"LeBlanc KE","year":"2011","journal-title":"Am Fam Physician"},{"key":"bibr2-15589447231154026","doi-asserted-by":"publisher","DOI":"10.1016\/j.berh.2015.04.026"},{"issue":"12","key":"bibr3-15589447231154026","first-page":"993","volume":"94","author":"Wipperman J","year":"2016","journal-title":"Am Fam Physician"},{"key":"bibr4-15589447231154026","doi-asserted-by":"publisher","DOI":"10.1016\/j.jhsa.2018.11.010"},{"key":"bibr5-15589447231154026","doi-asserted-by":"publisher","DOI":"10.1016\/S0363-5023(96)80164-X"},{"key":"bibr6-15589447231154026","doi-asserted-by":"publisher","DOI":"10.1002\/mus.25203"},{"key":"bibr7-15589447231154026","doi-asserted-by":"publisher","DOI":"10.1007\/s11999-010-1637-5"},{"key":"bibr8-15589447231154026","doi-asserted-by":"publisher","DOI":"10.1002\/mus.10276"},{"key":"bibr9-15589447231154026","doi-asserted-by":"publisher","DOI":"10.2106\/JBJS.M.01250"},{"key":"bibr10-15589447231154026","doi-asserted-by":"publisher","DOI":"10.1016\/j.bjps.2018.12.032"},{"key":"bibr11-15589447231154026","doi-asserted-by":"publisher","DOI":"10.4055\/cios.2016.8.3.298"},{"issue":"10","key":"bibr12-15589447231154026","first-page":"e10901","volume":"12","author":"Karabinov V","year":"2020","journal-title":"Cureus"},{"key":"bibr13-15589447231154026","doi-asserted-by":"publisher","DOI":"10.1177\/1558944718788642"},{"key":"bibr14-15589447231154026","doi-asserted-by":"publisher","DOI":"10.5535\/arm.2017.41.4.604"},{"key":"bibr15-15589447231154026","doi-asserted-by":"publisher","DOI":"10.1111\/1756-185X.12310"},{"key":"bibr16-15589447231154026","doi-asserted-by":"publisher","DOI":"10.11152\/mu.2013.2066.183.tat"}],"container-title":["HAND"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/15589447231154026","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/full-xml\/10.1177\/15589447231154026","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/15589447231154026","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,4,29]],"date-time":"2026-04-29T07:28:43Z","timestamp":1777447723000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1177\/15589447231154026"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2023,3,1]]},"references-count":16,"journal-issue":{"issue":"6","published-print":{"date-parts":[[2024,9]]}},"alternative-id":["10.1177\/15589447231154026"],"URL":"https:\/\/doi.org\/10.1177\/15589447231154026","relation":{},"ISSN":["1558-9447","1558-9455"],"issn-type":[{"value":"1558-9447","type":"print"},{"value":"1558-9455","type":"electronic"}],"subject":[],"published":{"date-parts":[[2023,3,1]]}}}