Prognostic value of ultrasound and ENMG in predicting the results of treatment of tunnel compressive and post-traumatic neuropathies.

Objective: Aim: Explore how demographics affect neuropathy treatment outcomes; track ultrasound and ENMG changes; compare treatment efficacies; and develop predictive models using ultrasound and ENMG for tunnel compressive and post-traumatic neuropathies.

Patients And Methods: Material and Methods: A retrospective cohort design. A sample size of 200 patients consisting of 100 with tunnel compressive and 100 post-traumatic neuropathies selected through a convenient sampling technique was used. Data analysis was done using SPSS 25 version.

Results: Results: Current study analyzes demographic, clinical, ultrasound, and electromyography characteristics of 200 patients with tunnel compressive and post-traumatic neuropathies. It found older mean ages and higher hypertension in the tunnel compressive group. Minor differences in nerve ultrasound and electromyography parameters indicated slight variations in nerve function between the groups. Treatment outcomes showed 55% improvement overall, slightly favoring the post-traumatic group. Ultrasound and electromyography parameters like W-CSA (82% sensitivity) and SNAP (85% sensitivity) demonstrated high effectiveness in predicting treatment responses. SCV (95% specificity) and R-CSA (91% specificity) accurately identified patients unlikely to benefit from treatment, with SCV and DSL showing high predictive values (86.7% and 84.2%, respectively), enhancing treatment precision.

Conclusion: Conclusions: Current study compare s tunnel compressive and post-traumatic neuropathies, revealing slight but significant differences in demographics, clinical features, and responses to treatment, aiding in personalized therapeutic strategies.