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Carpal Tunnel

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https://www.readbyqxmd.com/read/28635099/effects-of-electronic-device-overuse-by-university-students-in-relation-to-clinical-status-and-anatomical-variations-of-the-median-nerve-and-transverse-carpal-ligament
#1
Eugenia Hoi Chi Woo, Peter White, Christopher Wai Keung Lai
INTRODUCTION: This study investigates the results of a questionnaire, provocative tests, and ultrasonographic measurements of carpal tunnel morphological parameters in intensive and nonintensive electronic device users. METHODS: Forty-eight university students (equal numbers of intensive and nonintensive users, ≥5 h/day and <5 h/day of electronic device usage, respectively) were randomly selected after questionnaire responses were received and evaluated clinically and by ultrasonography...
June 21, 2017: Muscle & Nerve
https://www.readbyqxmd.com/read/28634858/distal-pain-and-carpal-tunnel-syndrome-diagnosis-among-cashiers-a-longitudinal-study
#2
Roberto Meroni, Paola Alberti, Paola Boria, Simone Giordano, Guido Cavaletti
OBJECTIVE: To estimate in a longitudinal study the yearly incidence of carpal tunnel syndrome (CTS) in a cohort of women working as cashiers. METHOD: A total of 198 cashiers, belonging to a cohort investigated in 2011-2012 for arm pain, were screened for re-assessment in 2015 (at least 40 months from the first examination), and 156 women had complete demographic, personal and working data allowing to be included in this study. On the basis of self- and clinician-administered questionnaires investigating the presence of CTS, all symptomatic patients underwent clinical and neurophysiological [nerve conduction studies (NCS) of median and ulnar nerves] assessments...
June 20, 2017: International Archives of Occupational and Environmental Health
https://www.readbyqxmd.com/read/28629992/do-patients-with-carpal-tunnel-syndrome-benefit-from-low-level-laser-therapy-a-systematic-review-of-randomized-controlled-trials
#3
REVIEW
Thierry P C Franke, Bart W Koes, Sven J G Geelen, Bionka M A Huisstede
OBJECTIVE: To systematically review the literature on the effectiveness of low-level laser therapy for patients with carpal tunnel syndrome. DATA SOURCES: The Cochrane Library, PubMed, EMBASE, CINAHL, and PEDro were searched for relevant systematic reviews and randomized controlled trials (RCTs) up to April 8 2016. STUDY SELECTION: Two reviewers independently applied the inclusion criteria to select potential studies. DATA EXTRACTION: Two reviewers independently extracted the data and assessed the methodological quality...
June 16, 2017: Archives of Physical Medicine and Rehabilitation
https://www.readbyqxmd.com/read/28628532/evaluation-of-the-effectiveness-and-safety-of-ultrasound-guided-percutaneous-carpal-tunnel-release-a-cadaveric-study
#4
Robert Burnham, Larry Playfair, Eldon Loh, Shannon Roberts, Anne Agur
OBJECTIVE: The looped thread carpal tunnel release (TCTR) procedure is a minimally invasive percutaneous technique performed under ultrasound (US) to transect the transverse carpal ligament in patients with carpal tunnel syndrome. Study objectives were to evaluate the accuracy of identifying key US landmarks, safety, effectiveness, and technical difficulty of TCTR. DESIGN: Fourteen lightly embalmed cadaveric distal forearm-hand specimens were subject to US identification of key landmarks, TCTR procedure, and post-TCTR dissection...
July 2017: American Journal of Physical Medicine & Rehabilitation
https://www.readbyqxmd.com/read/28628050/arizona-hospital-discharge-and-emergency-department-database-implications-for-occupational-health-surveillance
#5
Philip Harber, Jennifer Ha, Matthew Roach
OBJECTIVES: The objective of the project was to identify trends in emergency department visits and inpatient admissions for occupational injury and disease frequency and describe the financial impact from specific clinical groups known to have occupational risk factors. METHODS: Workers compensation cases among 19 million records in the Arizona statewide hospital discharge database (HDD) were assessed for seven clinical groups from 2008 to 2014, including back, cardiac, carpal tunnel syndrome, heat-related, psychiatric, pulmonary, and trauma...
April 2017: Journal of Occupational and Environmental Medicine
https://www.readbyqxmd.com/read/28627507/semivertical-incision-an-aesthetically-and-electrophysiologically-effective-mini-incision-technique-for-carpal-tunnel-decompression
#6
Nese Keser, Nimet Dortcan, Ulas Cikla, Kutluay Uluc, Erhan Celikoglu, Merih Is, Bora Gurer
BACKGROUND The purpose of this study was to present the clinical results of our retrospective series of carpal tunnel release (CTR) operations. For these operations we used a unique type of incision, for the first time, for treatment of carpal tunnel syndrome (CTS) consisting of a 1-cm semi-vertical (SV) incision made into the wrist crease for macroscopic open CTR. MATERIAL AND METHODS This retrospective study included 114 patients (101 females and 13 males) with CTR who were operated upon in our neurosurgery clinic between December 2010 and June 2015...
June 19, 2017: Medical Science Monitor: International Medical Journal of Experimental and Clinical Research
https://www.readbyqxmd.com/read/28624065/trends-in-open-and-endoscopic-carpal-tunnel-release-utilization-in-the-medicare-patient-population
#7
Tsun Yee Law, Samuel Rosas, Zachary S Hubbard, Lee Onn Chieng, Harvey W Chim
BACKGROUND: Surgical management of carpal tunnel syndrome (CTS) is performed with an open or endoscopic approach. Current literature suggests that the endoscopic approach is associated with higher costs and a steeper learning curve. This study evaluated the billing and utilization trends of both approaches. METHODS: A retrospective review of a Medicare database within the PearlDiver Supercomputer (Warsaw, IN) was performed for patients undergoing open carpal tunnel release (OCTR) or endoscopic carpal tunnel release (ECTR) from 2005-2012...
June 15, 2017: Journal of Surgical Research
https://www.readbyqxmd.com/read/28623065/upper-limb-neurodynamic-test-1-in-patients-with-clinical-diagnosis-of-carpal-tunnel-syndrome-a-diagnostic-accuracy-study
#8
Maria-Constanza Trillos, Felipe Soto, Leonardo Briceno-Ayala
STUDY DESIGN: Diagnostic accuracy. INTRODUCTION: Upper limb neurodynamic test 1 (ULNT1) is used to evaluate the mechanical sensitivity especially in the peripheral nerves of the upper limbs. The reproduction of typical symptoms in the affected hand improves the estimation of the probability of carpal tunnel syndrome (CTS). However the test has not been evaluated sufficiently to determine its real usefulness. In the present study the diagnostic accuracy of ULNT1 as a clinical test for CTS was determined...
June 13, 2017: Journal of Hand Therapy: Official Journal of the American Society of Hand Therapists
https://www.readbyqxmd.com/read/28622409/ultrasound-guided-hydrodissection-decreases-gliding-resistance-of-the-median-nerve-within-the-carpal-tunnel
#9
Stefanie Evers, Andrew R Thoreson, Jay Smith, Chunfeng Zhao, Jennifer R Geske, Peter C Amadio
INTRODUCTION: The aim of this study was to assess alterations in median nerve biomechanics within the carpal tunnel resulting from ultrasound-guided hydrodissection in a cadaveric model. METHODS: Twelve fresh frozen human cadaver hands were used. Median nerve gliding resistance was measured at baseline and post-hydrodissection, by pulling the nerve proximally and then returning it to the origin. Six specimens were treated with hydrodissection, and 6 were used as controls...
June 16, 2017: Muscle & Nerve
https://www.readbyqxmd.com/read/28611320/prevalence-of-low-back-pain-and-carpal-tunnel-syndrome-among-dental-practitioners-in-dakshina-kannada-and-coorg-district
#10
D Anupama Prasad, Drithi Appachu, Vinayak Kamath, D Krishna Prasad
CONTEXT: Dental practitioners who usually have to work for long durations in a particular fixed posture are more prone to musculoskeletal disorders (MSDs), particularly those involving the hand and wrist and also of the lower back. AIMS: To study the prevalence of carpal tunnel syndrome (CTS) and low back pain (LBP) among dental practitioners and to correlate the symptoms with the duration of practice. SUBJECTS AND METHODS: A closed-end questionnaire was distributed to 100 dental practitioners from Dakshina Kannada and Coorg districts of Karnataka, India...
March 2017: Indian Journal of Dental Research: Official Publication of Indian Society for Dental Research
https://www.readbyqxmd.com/read/28608274/recurrent-atraumatic-acute-carpal-tunnel-syndrome-due-to-hematoma-caused-by-distal-radioulnar-joint-arthritis-during-anticoagulant-treatment-with-apixaban
#11
Shingo Komura, Akihiro Hirakawa, Takahiro Masuda, Yoshiki Ito, Haruhiko Akiyama
Atraumatic acute carpal tunnel syndrome is a rare type of median nerve neuropathy caused by etiologies that increase compartment pressure in the carpal tunnel. This report describes a patient with flexor tendon abrasion as an unusual complication of distal radioulnar joint arthritis. This abrasion caused a hematoma to form in the carpal tunnel during anticoagulant treatment with apixaban, resulting in recurrent acute carpal tunnel syndrome.
June 12, 2017: Archives of Orthopaedic and Trauma Surgery
https://www.readbyqxmd.com/read/28606742/recurrence-rate-of-the-paine-retinaculotome-carpal-tunnel-release-in-diabetic-and-non-diabetic-patients-at-long-term-follow-up
#12
Pai-Han Wang, Hui-Kuang Huang, Jung-Pan Wang, Yu-An Liu, Yi-Chao Huang, Ming-Chau Chang
BACKGROUND: Carpal tunnel release (CTR) is considered effective in treating carpal tunnel syndrome (CTS), and diabetes is considered to complicate the outcome and recovery. However, the difference in recurrence rate between diabetic and non-diabetic patients after mini-open CTR in the long-term has not yet determined. METHODS: This study enrolled 1251 wrists (1091 patients), with 841 (67%) females and 480 (33%) males at a mean age of 58.5 years at operation. Patients were followed for a mean duration of 10...
June 9, 2017: Journal of the Chinese Medical Association: JCMA
https://www.readbyqxmd.com/read/28603387/an-unusual-pre-ligamentous-thenar-motor-branch-of-the-median-nerve
#13
Mohammad M Al-Qattan, Khalid Al-Zahrani
The pre-ligamentous variant of the thenar motor branch (TMB) of the median nerve is extremely rare. In all previously reported cases, the branch arose from the radial or antero-radial aspect of the median nerve in the distal forearm and then pierced the antebrachial fascia to reach the thenar muscles. We report on a case in which the pre-ligamentous TMB not only arose from the ulnar side of the median nerve but it also remained deep to both the antebrachial fascia and the transverse carpal ligament until it reached the thenar muscles...
2017: European Journal of Plastic Surgery
https://www.readbyqxmd.com/read/28600107/remote-collection-of-patient-reported-outcomes-following-outpatient-hand-surgery-a-randomized-trial-of-telephone-mail-and-e-mail
#14
Justin Schwartzenberger, Angela Presson, Adam Lyle, Andrew O'Farrell, Andrew R Tyser
PURPOSE: Obtaining remote patient-reported outcomes (PRO) is limited by low patient response rates and resource-intensive collection methods. We hypothesized that an e-mail-delivered Web-based data collection tool would outperform the traditional methods of telephone and standard mail for collecting long-term Boston Carpal Tunnel Questionnaire (BCTQ) scores at a minimum of 1 year following carpal tunnel release (CTR). METHODS: We conducted a randomized trial of 969 patients who underwent CTR at a tertiary medical center within the past 5 years...
June 7, 2017: Journal of Hand Surgery
https://www.readbyqxmd.com/read/28594495/ulnar-tunnel-syndrome-radial-tunnel-syndrome-anterior-interosseous-nerve-syndrome-and-pronator-syndrome
#15
Adam B Strohl, David S Zelouf
In addition to the more common carpal tunnel and cubital tunnel syndromes, orthopaedic surgeons must recognize and manage other potential sites of peripheral nerve compression. The distal ulnar nerve may become compressed as it travels through the wrist, which is known as ulnar tunnel or Guyon canal syndrome. The posterior interosseous nerve may become entrapped in the proximal forearm as it travels through the radial tunnel, which results in a pain syndrome without motor weakness. The median nerve may become entrapped in the proximal forearm, which can result in a variety of symptoms...
February 15, 2017: Instructional Course Lectures
https://www.readbyqxmd.com/read/28594494/carpal-tunnel-syndrome-initial-management-and-the-treatment-of-recalcitrant-patients
#16
Karan Dua, A Lee Osterman, Joshua M Abzug
Carpal tunnel syndrome (CTS) is a focal compressive neuropathy of the median nerve at the level of the wrist. CTS is the most common type of compressive neuropathy that occurs in the upper extremity. Typically, patients with CTS have paresthesia, pain, and numbness in the radial three and one-half digits. Nighttime symptoms are more common earlier in the disease process, with daytime symptoms becoming more frequent as CTS progresses. Electrodiagnostic studies may be performed to confirm a diagnosis of CTS or to obtain a baseline before surgical treatment; however, electrodiagnostic studies may be normal in a subset of patients who have CTS...
February 15, 2017: Instructional Course Lectures
https://www.readbyqxmd.com/read/28593429/ultrasound-imaging-of-the-thenar-motor-branch-of-the-median-nerve-a-cadaveric-study
#17
David Petrover, Jonathan Bellity, Marie Vigan, Remy Nizard, Antoine Hakime
INTRODUCTION: Anatomic variations of the median nerve (MN) increase the risk of iatrogenic injury during carpal tunnel release surgery. We investigated whether high-frequency ultrasonography could identify anatomic variations of the MN and its thenar motor branch (MBMN) in the carpal tunnel. METHODS: For each volar wrist of healthy non-embalmed cadavers, the type of MN variant (Lanz classification), course and orientation of the MBMN, and presence of hypertrophic muscles were scored by 18-MHz ultrasound and then by dissection...
June 7, 2017: European Radiology
https://www.readbyqxmd.com/read/28590524/work-related-carpal-tunnel-syndrome-what-s-important
#18
EDITORIAL
Gary M Franklin, Zachary Gray
No abstract text is available yet for this article.
June 7, 2017: Muscle & Nerve
https://www.readbyqxmd.com/read/28590289/comparison-of-inching-electrodiagnosis-method-and-ultrasonographic-findings-in-the-determination-of-median-nerve-entrapment-site-in-carpal-tunnel-syndrome
#19
Asma Azadeh, Attiyeh Vasaghi, Reza Jalli, Mohammadreza Emad
OBJECTIVE: The purpose of the study was to evaluate the diagnostic value of both inching method through the electrodiagnostic test and ultrasonographic assay in localizing the site of entrapment in patients with symptoms and signs of carpal tunnel syndrome. DESIGN: Thirty-two hands with confirmed carpal tunnel syndrome through electrodiagnostic test and 30 hands as control group were enrolled. For both groups, sensory and motor latencies by inching technique and cross-sectional area by ultrasonography were measured at the inching points...
June 6, 2017: American Journal of Physical Medicine & Rehabilitation
https://www.readbyqxmd.com/read/28586773/comparison-of-the-clinical-effectiveness-of-ultrasound-guided-corticosteroid-injection-with-and-without-needle-release-of-the-transverse-carpal-ligament-in-carpal-tunnel-syndrome
#20
Xuan-Yan Guo, Mao-Xiang Xiong, Yu Zhao, Fan-Ding He, Xue-Qing Cheng, Yan-Yan Wu, Kai Chen, Man Lu
BACKGROUND: To compare the clinical effectiveness of ultrasound-guided corticosteroid injection with and without needle release of the transverse carpal ligament (TCL) in carpal tunnel syndrome (CTS). METHODS: Between May 2014 and June 2016, 52 patients (56 wrists) with CTS were included in this study. Among these patients, 28 wrists were treated with ultrasound-guided corticosteroid injection plus needle release of the TCL (group A) and 28 wrists were treated with a single ultrasound-guided corticosteroids injection (group B)...
June 7, 2017: European Neurology
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