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Carpal Tunnel

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https://www.readbyqxmd.com/read/28229630/elevated-basal-cytosolic-calcium-of-endothelial-cells-influences-the-post-surgical-outcome-in-diabetic-cts
#1
I M Bin-Jaliah, Mea Shariff, P S Nayar, H C Chandramoorthy
Background Type 2 diabetes mellitus (T2DM)-induced neuropathy and ischemia-reperfusion post-surgery prolong carpal tunnel syndrome (CTS) pathology, but the effect of T2DM on the prognostic outcome of carpal tunnel (CT) release surgery needs to be investigated. Materials and methods A total of 64 individuals with CTS underwent CT release surgery. HbA1c levels identified their diabetic status. The individual prognostic outcomes were measured by nerve conduction velocity (NCV), amplitude, and latency. Measurement of [Ca(2+)]c and reactive oxygen species (ROS) from isolated endothelial cells (ECs) revealed the oxidative burden of the normal and diabetic CTS phenotypes...
December 2016: Physiol Int
https://www.readbyqxmd.com/read/28229457/randomized-controlled-trial-of-local-progesterone-vs-corticosteroid-injection-for-carpal-tunnel-syndrome
#2
S A Raeissadat, S Shahraeeni, L Sedighipour, B Vahdatpour
OBJECTIVES: A number of studies have demonstrated the neuroprotective effects of progesterone and its influence on the recovery after neural injury. Few studies investigated the efficacy of local progesterone in carpal tunnel syndrome. The objective of this study was to compare the long-term effects of progesterone vs corticosteroid local injections in patients with mild and moderate carpal tunnel syndrome. METHODS: In this randomized clinical trial, 78 patients with carpal tunnel syndrome were assigned to two groups...
February 22, 2017: Acta Neurologica Scandinavica
https://www.readbyqxmd.com/read/28227644/evaluation-of-a-wrist-orthosis-on-lofstrand-crutch-assisted-gait
#3
Deen Farooq, Omid Jahanian, Brooke A Slavens, Elizabeth T Hsiao-Wecksler, Deen Farooq, Omid Jahanian, Brooke A Slavens, Elizabeth T Hsiao-Wecksler
Lofstrand, or forearm, crutches are a common assistive mobility device for those with functional impairments. However, repeated loading of the wrist and palmar region and continual hyperextension of the wrist during Lofstrand crutch usage may cause wrist strain, pain, and secondary injuries such as carpal tunnel syndrome. In order to reduce risk of injury, a novel wrist orthosis was developed with the intent of improving wrist posture and reducing/redirecting palmar loads from the carpal tunnel region to the adductor pollicis area...
August 2016: Conference Proceedings: Annual International Conference of the IEEE Engineering in Medicine and Biology Society
https://www.readbyqxmd.com/read/28224654/a-carpal-tunnel-grading-system-including-combined-sensory-index-diagnosed-mild-cases-relation-to-presenting-features-and-outcomes
#4
Lawrence A Zeidman, Dilip K Pandey
INTRODUCTION: Prior studies have demonstrated superiority of the combined sensory index (CSI) algorithm in diagnosing mild carpal tunnel syndrome (CTS), and have compared presenting symptoms to CTS grade. However, CTS symptoms, signs, and outcomes, including CSI-diagnosed cases, have not been compared to CTS grade. METHODS: We retrospectively studied 294 CTS hands from 2010 to 2013, stratified them into mild, moderate, and severe grades, and analyzed the association between CTS grade and presenting symptoms/signs and outcomes...
February 22, 2017: Muscle & Nerve
https://www.readbyqxmd.com/read/28220911/national-survey-of-health-in-the-tattoo-industry-observational-study-of-448-french-tattooists
#5
Nicolas Kluger
OBJECTIVES: The data regarding the health of professional tattooists is inexistent. Tattooists are usually heavily tattooed and exposed daily to body fluids and skin-to-skin contacts with customers, tattoo inks, solvents, allergens, irritants, and work for hours often in inadequate positions using vibrating tattoo machines. We analyzed the health status of active French professional tattooists. MATERIAL AND METHODS: An observational self-reported Internet survey was performed among 448 tattooists who were members of the French Tattoo Union in November 2013...
February 21, 2017: International Journal of Occupational Medicine and Environmental Health
https://www.readbyqxmd.com/read/28220906/experiences-with-preventing-carpal-tunnel-syndrome-in-an-automotive-plant
#6
Věra Žídková, Marie Nakládalová, Jana Zapletalová, Zdeněk Nakládal, Helena Kollárová
OBJECTIVES: Carpal tunnel syndrome (CTS) is a common occupational disease. The aim was to assess the effect of preventive measures in automotive assembly workers. MATERIAL AND METHODS: The analysis summarizes data from annual crosssectional studies. The 7-year analysis of data was based on medical records obtained from an occupational physician and inspections carried out at the workplace where targeted preventive measures were introduced, including better ergonomic arrangement of the workplace, technical adjustments facilitating the work, preventive nerve conduction studies (NCS) testing of the median nerve once a year, switching of workers and their targeted rotation within the workplace...
February 21, 2017: International Journal of Occupational Medicine and Environmental Health
https://www.readbyqxmd.com/read/28210859/effectiveness-of-peloid-therapy-in-carpal-tunnel-syndrome-a-randomized-controlled-single-blind-study
#7
Burcu Metin Ökmen, Meliha Kasapoğlu Aksoy, Aygül Güneş, Riza Eröksüz, Lale Altan
Carpal tunnel syndrome(CTS) is the most common neuromuscular cause of upper extremity disability. We aimed to investigate the effectiveness of peloid therapy in patients with CTS. This randomized, controlled, single-blind study enrolled 70 patients between the ages of 30 to 65 who had a diagnosis of either mild, mild-to-moderate, or moderate CTS. The patients were randomized into two groups using random number table. In the first group, (Group 1)(n = 35), patients were given splint (every night for 6 weeks) + peloid treatment(five consecutive days a week for 2 weeks) and in the second group, (Group 2)(n = 28), patients received splint treatment(every night for 6 weeks) alone...
February 16, 2017: International Journal of Biometeorology
https://www.readbyqxmd.com/read/28209506/efficacy-of-combined-ultrasound-guided-steroid-injection-and-splinting-in-patients-with-carpal-tunnel-syndrome-a-randomized-controlled-trial
#8
Jia-Chi Wang, Kwong-Kum Liao, Kon-Ping Lin, Chen-Liang Chou, Tsui-Fen Yang, Yu-Fang Huang, Kevin A Wang, Jan-Wei Chiu
OBJECTIVES: To compare the effectiveness of local steroid injection plus splinting to that of local steroid injection alone using clinical and electrophysiological parameters in patients with carpal tunnel syndrome (CTS). Design; Randomized controlled study with 12 weeks of follow-up. SETTING: Tertiary care center. PARTICIPANTS: Volunteer sample of 52 patients diagnosed with CTS Clinical trial registration number: NCT02728693.
February 13, 2017: Archives of Physical Medicine and Rehabilitation
https://www.readbyqxmd.com/read/28209312/is-carpal-tunnel-syndrome-present-in-acute-stroke-patients-an-investigative-study-using-clinical-and-imaging-screening-tools
#9
Chen Lin, Aaron I Loochtan, Brian Dresser, Jianhong Chang, Alfredo E Farjat, Kingshuk Choudhury, Lisa D Hobson-Webb
Carpal tunnel syndrome (CTS) is known to develop post-stroke. Median nerve ultrasound (US) is an inexpensive, effective means of screening. In this prospective feasibility study, we compared the ability of the physical exam, the Boston Carpal Tunnel Questionnaire (BCTQ) and median nerve US to screen for carpal tunnel syndrome (CTS) within 72hours of stroke onset. We enrolled 24 consecutive patients. Using US, 19 (79%, p=0.0386) of the 24 patients screened positive for CTS on the paretic side and 20 (83%, p=0...
February 10, 2017: Journal of Clinical Neuroscience: Official Journal of the Neurosurgical Society of Australasia
https://www.readbyqxmd.com/read/28208901/a-comparative-study-of-neurological-complications-in-chronic-kidney-disease-with-special-reference-to-its-stages-and-haemodialysis-status
#10
S G Shyam Lakshman, P Ravikumar, Giridhari Kar, Dwijen Das, Kallol Bhattacharjee, Prithwiraj Bhattacharjee
INTRODUCTION: Globally, Chronic Kidney Disease (CKD) is a critical and rapidly growing health problem and also a major cause of mortality and morbidity. Neurological complications occur in all levels of the nervous system. Central nervous system complications include cerebrovascular accidents, posterior reversible encephalopathy syndrome, osmotic demyelization syndrome, cerebral infection and sinus vein thrombosis. Peripheral nervous system complications include polyneuropathy, mononeuropathy and carpal tunnel syndrome...
December 2016: Journal of Clinical and Diagnostic Research: JCDR
https://www.readbyqxmd.com/read/28207605/ultrasound-guided-fenestration-of-the-carpal-ligament-using-a-double-needle-approach
#11
Gloria E Hwang, Sanjay Kumbar, Todd Stitik, John S Georgy, Hoss Hanna
Injection techniques for carpal tunnel syndrome have evolved from landmark palpation injection techniques to more accurate ultrasound-guided approaches. Presented is a case report describing a technique serendipitously discovered during a carpal ligament fenestration. The case involved a 66-year-old man with a diagnosis of carpal tunnel syndrome. After a failed attempt at treatment using a wrist splint and activity modification, he was treated by median nerve hydrodissection with 100% temporary pain relief...
February 15, 2017: American Journal of Physical Medicine & Rehabilitation
https://www.readbyqxmd.com/read/28205476/an-experimental-survey-on-the-effect-of-using-the-cts-6-tool-on-the-diagnosis-of-carpal-tunnel-syndrome-by-hand-surgeons
#12
Richard L Hutchison, Alan L Hutchison, Maureen A Hirthler
BACKGROUND: This controlled randomized experiment tested the research hypothesis that providing the CTS-6 quantitative diagnostic information to hand surgeons affects the diagnosis of carpal tunnel syndrome. METHODS: Surgeon members of American Association for Hand Surgery participated in an online survey. Demographic and practice pattern information was collected. Few surgeons routinely use diagnostic questionnaires or algorithms. Each member was given four clinical scenarios...
March 2017: Journal of Hand Surgery Asian-Pacific Volume
https://www.readbyqxmd.com/read/28196439/surgical-site-infection-after-hand-surgery-outside-the-operating-theatre-a-systematic-review
#13
N A Jagodzinski, S Ibish, D Furniss
: We carried out a systematic review to determine the incidence of infection for hand surgery done in settings other than the operating theatre. Databases were searched and a PRISMA chart created by three independent reviewers. From 1200 studies identified, 46 full text articles were reviewed and six were included (two Level 3 studies and four Level 4). In three studies there were no infections after surgery in an office, procedure room or emergency department. Two studies with a combined number of 1962 procedures reviewed carpal tunnel decompressions and reported identical infection rates of 0...
March 2017: Journal of Hand Surgery, European Volume
https://www.readbyqxmd.com/read/28195985/prosthetic-joint-infections-in-patients-undergoing-carpal-tunnel-release
#14
Wenjing Zeng, Deborah Paul, Thomas Kemp, John Elfar
INTRODUCTION: Little information is available regarding the rate of prosthetic joint infections (PJIs) in patients undergoing carpal tunnel release (CTR) without antibiotic prophylaxis. Hand surgeons should be aware of patients' history of arthroplasty. METHODS: All patients who underwent CTR at our institution between 2012 and 2014 were identified and their charts were reviewed to identify those who had a history of total hip, knee, and/or shoulder arthroplasty...
March 2017: Journal of the American Academy of Orthopaedic Surgeons
https://www.readbyqxmd.com/read/28173726/distally-extended-muscle-belly-of-the-flexor-digitorum-within-the-carpal-tunnel-is-it-a-risk-factor-for-carpal-tunnel-syndrome
#15
Hye Jung Choo, Sun Joo Lee, Young-Mi Park, Dong Wook Kim
Background The distally extended muscle belly of the flexor digitorum (MB-FD) within the carpal tunnel has been suggested as a plausible cause for carpal tunnel syndrome (CTS) based on cadaveric studies. Purpose To evaluate whether MB-FD within the carpal tunnel is a risk factor for CTS by comparing asymptomatic volunteers and patients with CTS. Material and Methods Presence, length, and cross-sectional area of MB-FD within the carpal tunnel were evaluated in 63 wrists of 32 asymptomatic volunteers and 52 wrists of 33 patients with CTS using ultrasonography...
January 1, 2017: Acta Radiologica
https://www.readbyqxmd.com/read/28164057/tubercular-tenosynovitis-of-hand-a-rare-presentation
#16
Aditya Jain, Rajesh Rohilla, Ashish Devgan, Jitendra Wadhwani
INTRODUCTION: Tuberculosis tenosynovitis of the wrist and hand is an unusual condition. It mimics a number of other clinical conditions such as ganglion, De quervan's disease, carpal tunnel syndrome, granulomatous gout, neurofibroma, and haemangioma. CASE REPORT: We present case of 58-year-old male patient with swelling over thenar region of left hand where the initial fine needle aspiration cytology (FNAC) report suggested diagnosis of ganglion/synovial cyst, but the patient did not improve with conservative treatment...
September 2016: Journal of Orthopaedic Case Reports
https://www.readbyqxmd.com/read/28160901/evaluation-of-carpal-arch-widening-and-outcomes-after-carpal-tunnel-release
#17
Yong Eok Kwon, Hyun Sik Gong, Han Sol Shin, Hyung Rae Lee, Ka Hyun Kim, Goo Hyun Baek
PURPOSE: The purpose of this study was to compare the carpal arch widths between baseline and 6 months after open carpal tunnel release, and to determine whether any increase in the carpal arch width was associated with clinical outcomes of surgery. METHODS: We measured carpal arch widths in standardized carpal tunnel radiographs before, and 6 months after, open carpal tunnel release in 76 patients with carpal tunnel syndrome. Clinical outcomes were assessed for grip strength change and perceived disability using the Disabilities of the Arm, Shoulder, and Hand questionnaire at 6-month follow-up...
February 2017: Journal of Hand Surgery
https://www.readbyqxmd.com/read/28158978/morphologic-change-of-nerve-and-symptom-relief-are-similar-after-mini-incision-and-endoscopic-carpal-tunnel-release-a-randomized-trial
#18
Won-Taek Oh, Ho-Jung Kang, Il-Hyun Koh, Jin-Young Jang, Yun-Rak Choi
BACKGROUND: The symptoms in carpal tunnel syndrome (CTS) can be ameliorated by open and endoscopic release of the transverse carpal ligament. It is unknown whether a mini-incision or endoscopic carpal tunnel release more effectively reverses the pathological changes that are observed in the median nerve in patients with CTS and these morphologic changes correlates with the subjective outcomes after carpal tunnel release. We hypothesized that (1) at 24 weeks after surgery, the subjective outcomes of mini-incision release and endoscopic release would not differ in patients with CTS; and (2) the ultrasonographic (US) morphology of the median nerve reverses similarly after mini-incision and endoscopic release; (3) the subjective outcomes correlates with these morphologic changes...
February 3, 2017: BMC Musculoskeletal Disorders
https://www.readbyqxmd.com/read/28158963/the-effectiveness-of-manual-therapy-versus-surgery-on-self-reported-function-cervical-range-of-motion-and-pinch-grip-force-in-carpal-tunnel-syndrome-a-randomized-clinical-trial
#19
César Fernández-de-Las-Peñas, Joshua Cleland, María Palacios-Ceña, Stella Fuensalida-Novo, Juan A Pareja, Cristina Alonso-Blanco
Study Design Randomized parallel-group trial. Background Carpal tunnel syndrome (CTS) is a common pain condition that can be managed surgically or conservatively. Objective To compare the effectiveness of manual therapy versus surgery for improving self-reported function, cervical range of motion, and pinch grip tip in women with CTS. Methods In this randomized clinical trial, 100 women with CTS were randomly allocated to either a manual therapy (n=50) or a surgery (n=50) group. The primary outcome was self-rated hand function, assessed with the Boston Carpal Tunnel Questionnaire (BCTQ)...
February 3, 2017: Journal of Orthopaedic and Sports Physical Therapy
https://www.readbyqxmd.com/read/28154344/importance-of-recognizing-carpal-tunnel-syndrome-for-neurosurgeons-a-review
#20
Masatoshi Yunoki, Takahiro Kanda, Kenta Suzuki, Atsuhito Uneda, Koji Hirashita, Kimihiro Yoshino
Idiopathic carpal tunnel syndrome (CTS) is a common complaint, reflecting entrapment neuropathy of the upper extremity. CTS produces symptoms similar to those of other conditions, such as cervical spondylosis or ischemic or neoplastic intracranial disease. Because of these overlaps, patients with CTS are often referred to a neurosurgeon. Surgical treatment of CTS was started recently in our department. Through this experience, we realized that neurosurgeons should have an increased awareness of this condition so they can knowledgeably assess patients with a differential diagnosis that includes CTS and cervical spinal and cerebral disease...
February 2, 2017: Neurologia Medico-chirurgica
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