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https://www.readbyqxmd.com/read/29781507/effect-of-estradiol-on-fibroblasts-from-postmenopausal-idiopathic-carpal-tunnel-syndrome-patients
#1
Yoshiaki Yamanaka, Kunitaka Menuki, Takafumi Tajima, Yasuaki Okada, Kenji Kosugi, Yukichi Zenke, Akinori Sakai
Fibrosis of the subsynovial connective tissue (SSCT) is a characteristic finding in patients with idiopathic carpal tunnel syndrome (CTS). Idiopathic CTS frequently occurs in postmenopausal women; therefore, female steroid hormones, especially estrogens, may be involved in its development. In this study, we evaluated the effect of the estradiol on the expression of genes and proteins related to fibrosis of SSCT fibroblasts from patients with idiopathic CTS. This study included 10 postmenopausal women (mean age 76 years)...
May 21, 2018: Journal of Cellular Physiology
https://www.readbyqxmd.com/read/29781124/sonographic-median-nerve-change-after-steroid-injection-for-carpal-tunnel-syndrome
#2
Jia-Chi Wang, Kon-Ping Lin, Kwong-Kum Liao, Yue-Cune Chang, Kevin A Wang, Yu-Fang Huang, Jan-Wei Chiu
Introduction The sonographic changes of the median nerve after steroid injection for carpal tunnel syndrome (CTS) still require investigation. Methods Sixty-two patients with CTS were included. The Boston Carpal Tunnel Questionnaire was administered and ultrasonographic examinations were performed before and at 2, 6, and 12 weeks after steroid injection. At 12 weeks, general improvement was scored on a 6-point Likert scale. Results After treatment, the cross-sectional area (CSA) of the median nerve was significantly reduced at 2, 6, and 12 weeks follow-up (for each, Pā€‰<ā€‰...
May 20, 2018: Muscle & Nerve
https://www.readbyqxmd.com/read/29780234/body-mass-index-and-vitamin-d-level-in-carpal-tunnel-syndrome-patients
#3
Rania S Nageeb, Nahed Shehta, Ghada S Nageeb, Alaa A Omran
Background: Carpal tunnel syndrome (CTS) is the most common entrapment neuropathy of the upper extremity. The aim of this study is to evaluate the body mass index (BMI) and vitamin D levels in CTS patients. Methods: The current study was conducted at Zagazig University Hospitals. It included 50 CTS patients and 50 controls. Clinical assessment was carried out to exclude symptoms and signs of neuropathy. Laboratory investigations including vitamin D levels, glycosylated hemoglobin, liver, and kidney function were carried out for every participant...
2018: Egypt J Neurol Psychiatr Neurosurg
https://www.readbyqxmd.com/read/29780222/role-of-concentric-needle-single-fiber-electromyography-in-detection-of-subclinical-motor-involvement-in-carpal-tunnel-syndrome
#4
Aliaa A Tawfeek, Amani M Nawito, Radwa M Azmy, Amr Hassan, Lamia M Afifi, Saly H Elkholy
Background: Conventional motor nerve conduction studies are usually normal in early and mild carpal tunnel syndrome (CTS). Single-fiber electromyography (SFEMG) measures the mean consecutive difference (MCD) as an expression of the variability in impulse transmission over the motor endplates and along the nerve fibers distally to the last branching point and along the muscle fibers.Application of concentric needle SFEMG in a group of CTS patients who showed pure sensory abnormalities in nerve conduction studies to examine for subclinical motor involvement...
2018: Egypt J Neurol Psychiatr Neurosurg
https://www.readbyqxmd.com/read/29780133/acute-cpp-crystal-arthritis-causing-carpal-tunnel-syndrome
#5
Masahiro Yamamura
No abstract text is available yet for this article.
May 18, 2018: Internal Medicine
https://www.readbyqxmd.com/read/29779839/distal-radius-fracture-fixation-with-a-volar-locking-plate-and-endoscopic-carpal-tunnel-release-using-a-single-15mm-approach-feasibility-study
#6
A Zemirline, C Taleb, K Naito, P Vernet, P Liverneaux, F Lebailly
Distal radius fractures (DRF) may trigger, reveal or decompensate acute carpal tunnel syndrome (CTS) in 0.5-21% of cases. Internal fixation and median nerve release must then be carried out urgently. Less invasive approaches have been described for both the median nerve release using an endoscopic device and for the DRF fixation using a volar locking plate. We assessed the feasibility of DRF fixation and median nerve release through a single, minimally-invasive 15mm approach on a series of 10 cases. We reviewed retrospectively 10 consecutive cases of DRF associated with symptomatic CTS in 8 women and 2 men, aged 57 years on average...
May 17, 2018: Hand Surgery and Rehabilitation
https://www.readbyqxmd.com/read/29778347/management-of-diabetic-trigger-finger
#7
REVIEW
Alexander S Kuczmarski, Andrew P Harris, Joseph A Gil, Arnold-Peter C Weiss
Diabetics have a much greater prevalence of trigger finger than nondiabetics and are more likely to have severe symptoms. Diabetic trigger finger may be more accurately described on a spectrum of diabetic hand pathology alongside carpal tunnel syndrome and cheiroarthropathy. Recent publications have called into question the current treatment algorithm for diabetic trigger finger. Although some evidence supports the use of corticosteroid injections, a recent cost analysis reported that immediate surgical release of the A1 pulley in the clinic is the most cost-effective management of diabetic trigger finger...
May 16, 2018: Journal of Hand Surgery
https://www.readbyqxmd.com/read/29772994/improvement-in-sleep-quality-after-carpal-tunnel-release
#8
Arie G Trouw, Ashish Patel, Andrew Yang, Julio Jauregui, Daniel Caligiuri, Jack Choueka
Carpal tunnel syndrome (CTS) has multiple implications on patient quality of life. In particular, CTS may affect quality of sleep, causing sleep deprivation in extreme cases. Carpal tunnel release (CTR) surgery may aid in resolving these disturbances. The purpose of our study was to investigate whether patients who have undergone CTR have improved sleep quality and to determine the timeline for such improvement. Twenty-one patients were prospectively enrolled and followed-up for two years. They were asked to complete a Pittsburgh Sleep Quality Index (PSQI), a pain visual analog scale (VAS), a sleep perception VAS, and both components Symptom Severity and Functional Status Scale from the Levine-Katz carpal tunnel questionnaire...
2018: Journal of Long-term Effects of Medical Implants
https://www.readbyqxmd.com/read/29770208/case-report-polyarteritis-nodosa-or-complicated-henoch-schonlein-purpura-a-rare-case
#9
Sajad Hasanzadeh, Seyedeh Maryam Alavi, Elahe Masnavi, Maryam Rohani, Saeid Jokar
Background: Polyarteritis nodosa (PAN) is a vasculitis that affects medium sized arteries. PAN is a rare disease and requires a high vilgilance for diagnosis. For instance, PAN and Henoch-Schonlein purpura (HSP) have narrowing differential diagnosis. Here, we report a case of PAN. Case presentation : Our patient was a 65 year old woman that came to hospital due to abdominal pain and skin lesion on the right upper and right lower extremities. All rheumatologic tests were negative. A biopsy of the skin lesion was reported as mild hyperkeratosis, slight spongiosis with intact basal layer...
2018: F1000Research
https://www.readbyqxmd.com/read/29770175/neurologic-complications-in-common-wrist-and-hand-surgical-procedures
#10
Nicole Verdecchia, Julie Johnson, Mark Baratz, Steven Orebaugh
Nerve dysfunction after upper extremity orthopedic surgery is a recognized complication, and may result from a variety of different causes. Hand and wrist surgery require incisions and retraction that necessarily border on small peripheral nerves, which may be difficult to identify and protect with absolute certainty. This article reviews the rates and ranges of reported nerve dysfunction with respect to common surgical interventions for the distal upper extremity, including wrist arthroplasty, wrist arthrodesis, wrist arthroscopy, distal radius open reduction and internal fixation, carpal tunnel release, and thumb carpometacarpal surgery...
March 29, 2018: Orthopedic Reviews
https://www.readbyqxmd.com/read/29766936/risk-factors-symptom-severity-and-functional-status-among-patients-with-carpel-tunnel-syndrome
#11
F Sharief, J Kanmani, S Kumar
Background: Carpal tunnel syndrome refers to a constellation of symptoms resulting from compression of the median nerve at the wrist. The characteristic symptoms include pain and numbness in the hands. Aim: To identify the risk factors responsible for carpal tunnel syndrome, to identify the symptom severity as well as functional status of patients with carpal tunnel syndrome, and to determine the relationship between symptom severity and functional status among patients with carpal tunnel syndrome...
May 2018: Neurology India
https://www.readbyqxmd.com/read/29766923/carpal-tunnel-syndrome-the-lessons-learnt-and-the-points-often-overlooked-in-its-management
#12
EDITORIAL
Ketan Desai
No abstract text is available yet for this article.
May 2018: Neurology India
https://www.readbyqxmd.com/read/29766922/carpal-tunnel-syndrome-the-precipitating-risk-factors
#13
EDITORIAL
Gopal Krishnan, Dhananjaya I Bhat, B Indira Devi
No abstract text is available yet for this article.
May 2018: Neurology India
https://www.readbyqxmd.com/read/29765874/predictive-variables-for-sonographically-guided-corticosteroid-injection-in-mild-to-moderate-carpal-tunnel-syndrome
#14
Seong Yun Chung, Jung Min Kwak, Seok Kang, Seong-Ho Son, Jae Do Kim, Joon Shik Yoon
Objective: To assess the predictive variables after sonographically guided corticosteroid injection in carpal tunnel syndrome. Methods: A prospective, observational study was carried out on 25 wrists of 20 consecutive patients with carpal tunnel syndrome, confirmed by the American Association of Neuromuscular and Electrodiagnostic Medicine criteria, which includes clinical history, symptoms, and evidence of slowing of distal median nerve conduction. Visual analogue scale (VAS) and Boston Carpal Tunnel Questionnaire (BCTQ) were asked to the patients before and 4 weeks after the procedure...
April 2018: Annals of Rehabilitation Medicine
https://www.readbyqxmd.com/read/29759797/our-surgical-experience-open-versus-endoscopic-carpal-tunnel-surgery
#15
REVIEW
Daniel Gould, David Kulber, Stuart Kuschner, Ryan Dellamaggiorra, Myles Cohen
Carpal tunnel release is one of the most common hand operations in the United States and every year approximately 500,000 patients undergo surgical release. In this article, we examine the argument for endoscopic carpal tunnel release versus open carpal tunnel release, as well as some of the literature on anatomical variants in the median nerve at the wrist. We further describe the experience of several surgeons in a large academic practice. The goals of this article are to describe key anatomic findings and to present several cases that have persuaded us to favor offering patients open carpal tunnel release...
May 11, 2018: Journal of Hand Surgery
https://www.readbyqxmd.com/read/29743011/procaine-and-saline-have-similar-effects-on-articular-cartilage-and-synovium-in-rat-knee
#16
Aysun Ankay Yilbas, Basak Akca, Berkem Buyukakkus, Elham Bahador Zirh, Dilara Zeybek, Filiz Uzumcugil, Fatma Saricaoglu
BACKGROUND: Intra-articular local anaesthetics are widely used for providing postoperative analgesia and decreasing the need for opioids. Procaine has proven positive effects in carpal tunnel syndrome and chondromalacia patella. However, the effect of procaine on articular cartilage has not yet been studied. The aim of this study was to evaluate the effects of intra-articular procaine injection on the articular cartilage and the synovium. METHODS: Twenty adult Sprague-Dawley rats were enrolled in the study...
May 9, 2018: BMC Anesthesiology
https://www.readbyqxmd.com/read/29736220/determination-of-cut-off-point-of-cross-sectional-area-of-median-nerve-at-the-wrist-for-diagnosing-carpal-tunnel-syndrome
#17
Majid Ghasemi, Sanaz Masoumi, Behnaz Ansari, Mahboobeh Fereidan-Esfahani, Seyed Morteza Mousavi
Background: The most common entrapment mononeuropathy of the upper extremity is carpal tunnel syndrome (CTS). It consists 90% of entrapment neuropathies. The purpose of this study was to compare cross-sectional area (CSA) of the median nerve at the wrist in CTS patients and healthy controls and define the best cut-off point of CSA to differentiate patients and controls in Iranian population. Methods: In this study, 45 patients with confirmed idiopathic CTS and 62 healthy controls were evaluated. Based on electrophysiological findings, patients were divided based on CTS severity into three groups of mild, moderate and severe...
October 7, 2017: Iranian Journal of Neurology
https://www.readbyqxmd.com/read/29734916/carpal-tunnel-syndrome-in-aberrant-muscle-syndrome-a-case-report-and-review-of-the-literature
#18
Jessica Steele, Christopher Coombs
Aberrant Muscle Syndrome (AMS) is a rare congenital hand difference that is characterised by unilateral non-progressive muscular hyperplasia. The aetiology of aberrant muscle syndrome is not known, but a recently published case has shown a somatic PIK3CA activating mutation in a patient with AMS. Carpal tunnel syndrome (CTS) in children is rare. The most common causes are the mucopolysaccaridoses but space-occupying lesions have also been reported to cause CTS in children. We report the first case of CTS in a child with AMS successfully treated with open carpal tunnel release and excision of aberrant muscles...
June 2018: Journal of Hand Surgery Asian-Pacific Volume
https://www.readbyqxmd.com/read/29734910/bilateral-bifid-median-nerve-with-bilateral-carpal-tunnel-syndrome-an-atypical-presentation-a-rare-cause-and-a-familiar-disease
#19
Anil K Bhat, Ashwath M Acharya, Jayakrishnan K Narayana Kurup, Abhishek Chakraborti
We report a case of bilateral carpal tunnel syndrome (CTS) with bilateral bifid median nerve (BMN) without a persistent median artery diagnosed by clinical examination, NCV and Ultrasonography. Bilateral BMN to produce bilateral CTS is extremely rare and is contrary to the popular classifications which state that BMN without persistent median artery or its anomalies will not produce CTS. Ultrasonogram is of additional help to identify such aberrations in the median nerve to prevent iatrogenic injuries during carpal tunnel decompression...
June 2018: Journal of Hand Surgery Asian-Pacific Volume
https://www.readbyqxmd.com/read/29731590/carpal-tunnel-syndrome-caused-by-intraneural-lipoma-of-the-median-nerve-and-arteriovenous-malformation
#20
Arif Aydin
Carpal tunnel syndrome can be the result of a wide variety of etiologic factors. Compressive causes are rare and tumors causing compression are even rarer. We present a case with a carpal tunnel syndrome caused by an intraneural lipoma and an arteriovenous malformation concomitantly. The lesions were excised, and the patient recovered with full hand function and entire disappearance of acroparesthesia. To our knowledge, this is the first case report of carpal tunnel syndrome caused by an intraneural lipoma and an arteriovenous malformation concomitantly...
January 2018: Journal of Cutaneous and Aesthetic Surgery
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