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Entrapment Syndromes

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https://www.readbyqxmd.com/read/28890786/hypertrophy-of-the-abductor-hallucis-muscle-a-case-report-and-review-of-the-literature
#1
Toshinori Kurashige
OBJECTIVES: Muscle hypertrophy is a relatively rare condition that may cause nerve entrapment syndromes. We report the case of a 14-year-old girl with unilateral hypertrophy of the abductor hallucis muscle with entrapment of the medial plantar nerve and review the literature. METHODS: Computed tomography and magnetic resonance imaging revealed unilateral hypertrophy of the abductor hallucis muscle. RESULTS: Two injections of steroid and lidocaine at the point of tenderness resulted in resolution of the pain...
2017: SAGE open medical case reports
https://www.readbyqxmd.com/read/28890727/popliteal-artery-entrapment-or-chronic-exertional-compartment-syndrome
#2
Christopher Gaunder, Brandon McKinney, Jessica Rivera
Diagnosis of lower limb pain in an athlete can be a challenging task due to the variety of potential etiologies and ambiguity of presenting symptoms. Five of the most commonly encountered causes of limb pain in athletes are chronic exertional compartment syndrome (CECS), medial tibial stress syndrome (MTSS), tibial stress fractures, soleal sling syndrome, and popliteal artery entrapment syndrome (PAES). Of these, the least frequent but potentially most serious of the pathologies is PAES. With an incidence of less than 1% seen in living subject studies, the condition is rare...
2017: Case Reports in Medicine
https://www.readbyqxmd.com/read/28888384/ulnar-nerve-cross-sectional-area-for-the-diagnosis-of-cubital-tunnel-syndrome-a-meta-analysis-of-ultrasonographic-measurements
#3
REVIEW
Ke-Vin Chang, Wei-Ting Wu, Der-Sheng Han, Levent Özçakar
OBJECTIVE: This meta-analysis aimed to examine the performance of sonographic cross-sectional area (CSA) measurements, in the diagnosis of cubital tunnel syndrome (CuTS). DATA SOURCE: Electronic databases, comprising of PubMed and Embase, were searched for the pertinent literature before July 2017. STUDY SELECTION: Fourteen trials comparing the ulnar nerve CSA measurements between participants, with and without CuTS, were included. DATA EXTRACTION: Study design, participants' demographics, diagnostic reference of CuTS and methods of CSA measurement...
September 6, 2017: Archives of Physical Medicine and Rehabilitation
https://www.readbyqxmd.com/read/28887249/chronic-nonatherosclerotic-occlusive-popliteal-artery-disease
#4
Jun Gyo Gwon, Yong-Jae Kwon, Young Jin Han, Yong-Pil Cho, Tae-Won Kwon
BACKGROUND: The outcomes of revascularization of nonatherosclerotic occlusive popliteal artery disease are unknown. Therefore, the objective of this study was to analyze the outcomes of recanalization of nonatherosclerotic occlusive popliteal artery disease, the results of which would be useful in creating surgical strategies for such cases. METHODS: From January 2000 to December 2015, a total of 22 patients with nonatherosclerotic occlusive popliteal artery disease underwent open surgical repair...
September 5, 2017: Annals of Vascular Surgery
https://www.readbyqxmd.com/read/28883007/bilateral-tarsal-tunnel-syndrome-attributed-to-bilateral-fibrous-tarsal-coalition-and-symmetrical-hypertrophy-of-the-sustentaculum-tali
#5
Anil K Bhat, Sandesh Madi, Prajwal Prabhudev Mane, Ashwath Acharya
Tarsal tunnel syndrome (TTS) is one of the frequently encountered entrapment neuropathies of the lower limb. Most often the aetiology is considered to be idiopathic. However, it has to be thoroughly investigated to rule out diverse extrinsic and intrinsic causes. The sustentaculum tali (ST) forms the superior part of the distal tarsal tunnel, and any increase in its size may result in irritation of the tibial nerve or its branches, the medial and lateral plantar nerves or decrease the overall volume of the tarsal tunnel culminating to clinical features of TTS...
September 7, 2017: BMJ Case Reports
https://www.readbyqxmd.com/read/28866346/surgical-management-of-deep-gluteal-syndrome-causing-sciatic-nerve-entrapment-a-systematic-review
#6
REVIEW
Jeffrey Kay, Darren de Sa, Laura Morrison, Emily Fejtek, Nicole Simunovic, Hal D Martin, Olufemi R Ayeni
PURPOSE: To assess the causes, surgical indications, patient-reported clinical outcomes, and complications in patients with deep gluteal syndrome causing sciatic nerve entrapment. METHODS: Three databases (PubMed, Ovid [MEDLINE], and Embase) were searched by 2 reviewers independently from database inception until September 7, 2016. The inclusion criteria were studies reporting on both arthroscopic and open surgery and those with Level I to IV evidence. Systematic reviews, conference abstracts, book chapters, and technical reports with no outcome data were excluded...
August 30, 2017: Arthroscopy: the Journal of Arthroscopic & related Surgery
https://www.readbyqxmd.com/read/28859020/evaluation-of-2-stage-treatment-for-cervical-dorsal-rami-entrapment-syndrome-a-randomized-controlled-trial
#7
Qi Li, Jing-Wu Wang, Bing-Fang Zeng, Yi-Ming Cai, Chang-Qing Zhang
OBJECTIVES: To evaluate the effectiveness of a 2-stage nonoperative treatment for patients with cervical dorsal rami entrapment syndrome. MATERIALS AND METHODS: The study included 66 patients diagnosed with cervical dorsal rami entrapment syndrome randomized to an experimental group (n=33) and control group (n=33). The experimental group was treated with additional diagnostic block if regular 2 weeks medication was not effective. The control group only received nonsteroidal anti-inflammatory drugs for 2 weeks...
September 2017: Neurologist
https://www.readbyqxmd.com/read/28845734/local-and-extensive-neuroplasticity-in-carpal-tunnel-syndrome-a-resting-state-fmri-study
#8
Ye-Chen Lu, Han Zhang, Mou-Xiong Zheng, Xu-Yun Hua, Yan-Qun Qiu, Yun-Dong Shen, Su Jiang, Jian-Guang Xu, Yu-Dong Gu, Wen-Dong Xu
Carpal tunnel syndrome (CTS) is a most common peripheral nerve entrapment neuropathy characterized by sensorimotor deficits in median nerve innervated digits. Block-design task-related functional magnetic resonance imaging (fMRI) studies have been used to investigate CTS-related neuroplasticity in the primary somatosensory cortices. However, considering the persistence of digital paresthesia syndrome caused by median nerve entrapment, spontaneous neuronal activity might provide a better understanding of CTS-related neuroplasticity, which remains unexplored...
August 1, 2017: Neurorehabilitation and Neural Repair
https://www.readbyqxmd.com/read/28832192/trends-in-the-surgical-treatment-for-cubital-tunnel-syndrome-a-survey-of-members-of-the-american-society-for-surgery-of-the-hand
#9
Ayesha Yahya, Andrew R Malarkey, Ryan L Eschbaugh, H Brent Bamberger
BACKGROUND: Cubital tunnel syndrome is the second most common compression neuropathy affecting the upper extremity. The aim of this study was to determine the preferred surgical treatment for cubital tunnel syndrome by members of the American Society for Surgery of the Hand (ASSH). METHODS: We invited members of the ASSH research mailing list to complete our online survey. They were presented with 6 hypothetical cases and asked to choose their preferred treatment from the following options: open in situ decompression, endoscopic decompression, submuscular transposition, subcutaneous transposition, medial epicondylectomy, and conservative management...
August 1, 2017: Hand: Official Journal of the American Association for Hand Surgery
https://www.readbyqxmd.com/read/28811623/immune-dysregulation-in-patients-with-carpal-tunnel-syndrome
#10
Gila Moalem-Taylor, Benny Baharuddin, Barbara Bennett, Arun V Krishnan, William Huynh, Matthew C Kiernan, Cindy Shin-Yi Lin, Boaz Shulruf, Elizabeth Keoshkerian, Barbara Cameron, Andrew Lloyd
Peripheral immunity plays a key role in maintaining homeostasis and conferring crucial neuroprotective effects on the injured nervous system, while at the same time may contribute to increased vulnerability to neuropathic pain. Little is known about the reciprocal relationship between entrapment neuropathy and peripheral immunity. This study investigated immune profile in patients with carpal tunnel syndrome (CTS), the most prevalent entrapment neuropathy. All patients exhibited neurophysiological abnormalities in the median nerve, with the majority reporting neuropathic pain symptoms...
August 15, 2017: Scientific Reports
https://www.readbyqxmd.com/read/28803901/the-cubital-tunnel-syndrome-caused-by-the-intraneural-or-extraneural-ganglion-cysts-case-report-and-review-of-the-literature
#11
Wen Kai Chang, Yong Ping Li, Deng Feng Zhang, Bing Sheng Liang
Cubital tunnel syndrome is the second most common nerve compression syndrome in peripheral nerve compression disease. Although potential ulnar nerve entrapment can occur at multiple points along its course, such as the arcade of struthers, the medial intermuscular septum, the medial epicondyle, the cubital tunnel, and the deep flexor pronator aponeurosis, the most common site of entrapment is the cubital tunnel. However, cubital tunnel syndrome could also be caused by the occupying masses along the course of ulnar nerve, such as intraneural or extraneural ganglia...
October 2017: Journal of Plastic, Reconstructive & Aesthetic Surgery: JPRAS
https://www.readbyqxmd.com/read/28803691/effectiveness-of-lavendula-stoechas-essential-oil-in-treatment-of-mild-to-moderate-carpal-tunnel-syndrome-a-randomized-controlled-trial
#12
Bina Eftekharsadat, Peyman Roomizadeh, Shervin Torabi, Fariba Heshmati-Afshar, Fatemeh Jahanjoo, Arash Babaei-Ghazani
STUDY DESIGN: Randomized controlled trial. INTRODUCTION: Carpal tunnel syndrome (CTS) is the most common entrapment neuropathy of the upper extremity. To date, no previous study has evaluated the efficacy of topical Lavendula stoechas (Lavender) oil in CTS patients. PURPOSE OF THE STUDY: To investigate the effectiveness of topical Lavender essential oil in pain intensity, isometric pinch strength, electrophysiological features, and functional status of patients with mild to moderate CTS...
August 10, 2017: Journal of Hand Therapy: Official Journal of the American Society of Hand Therapists
https://www.readbyqxmd.com/read/28797820/the-pterygoalar-bar-a-meta-analysis-of-its-prevalence-morphology-and-morphometry
#13
Przemysław A Pękala, Brandon Michael Henry, Jakub R Pękala, Paulina A Frączek, Dominik Taterra, Konstantinos Natsis, Maria Piagkou, Janusz Skrzat, Iwona M Tomaszewska
PURPOSE: The pterygoalar (PA) bar is a bony bridge resulting from the partial or complete ossification of a PA ligament. The aim of this meta-analysis was to systematically analyze and provide the most comprehensive data on the prevalence, morphology and topographical anatomy of the PA bar. MATERIALS AND METHODS: A comprehensive search of the major electronic databases (PubMed, Embase, ScienceDirect, SciELO, BIOSIS, and Web of Science) was conducted in order to identify relevant studies...
September 2017: Journal of Cranio-maxillo-facial Surgery
https://www.readbyqxmd.com/read/28780341/the-effects-of-botulinum-toxin-injection-in-an-elite-sportsman-with-functional-popliteal-artery-entrapment-syndrome-a-case-report
#14
Myles Murphy, Jonathon Charlesworth, Eamon Koh
BACKGROUND: Botulinum Toxin-A (BoNT-A) is an effective intervention for Functional Popliteal Artery Entrapment Syndrome (FPAES) however, concerns with this intervention include reductions in strength and performance. CASE REPORT: This case presents an elite male athlete with FPAES who underwent BoNT-A injection and the results of testing before and after injection. The athlete experienced a decrease in strength and performance at one week post-injection however, he returned to baseline levels within four weeks...
June 17, 2017: Physical Therapy in Sport
https://www.readbyqxmd.com/read/28768538/pulsed-radiofrequency-or-anterior-neurectomy-for-anterior-cutaneous-nerve-entrapment-syndrome-acnes-the-pulse-trial-study-protocol-of-a-randomized-controlled-trial
#15
Robbert C Maatman, Monique A H Steegers, Oliver B A Boelens, Toine C Lim, Hans J van den Berg, Sandra A S van den Heuvel, Marc R M Scheltinga, Rudi M H Roumen
BACKGROUND: Some patients with chronic abdominal pain suffer from an anterior cutaneous nerve entrapment syndrome (ACNES). This somewhat illusive syndrome is thought to be caused by the entrapment of end branches of the intercostal nerves residing in the abdominal wall. If ACNES is suspected, a local injection of an anesthetic agent may offer relief. If pain is recurrent following multiple-injection therapy, an anterior neurectomy entailing removal of the entrapped nerve endings may be considered...
August 2, 2017: Trials
https://www.readbyqxmd.com/read/28741033/refractory-sciatica-caused-by%C3%A2-gluteal-varicosities
#16
Zheng Zhang, Xuebing Zhang, Chen Yang, Xiaoyu Wen
We report a case of sciatica that fulfilled the diagnostic criteria for inferior gluteal vein varicosities according to patient history and on magnetic resonance imaging. Since conservative treatment was ineffective, excision-ligation of the varicose vein was performed as recommended in the previous literature. However, pain was only slightly relieved and then aggravated. Reoperation involving wide release and resection of the piriformis outlet was performed. Pain resolved immediately thereafter. We suggest that this case of sciatica resulted from both piriformis entrapment and vein varicosities...
July 24, 2017: Der Orthopäde
https://www.readbyqxmd.com/read/28739462/suprageniculate-approach-to-release-of-popliteal-entrapment-without-distal-bypass-despite-preoperative-runoff-thrombosis
#17
Aamna M Ali, Christopher R Ramos, Natalia O Glebova
BACKGROUND: Popliteal artery entrapment syndrome is an uncommon condition in which anatomic or functional popliteal artery compression causes arterial insufficiency. We present a case of popliteal entrapment with runoff thrombosis treated with suprageniculate release of entrapment without distal bypass. RESULTS: A 15-year old boy with Klinefelter syndrome presented with right leg claudication severely limiting his activity. He had a palpable femoral pulse, but no palpable popliteal or foot pulses on the right...
July 21, 2017: Annals of Vascular Surgery
https://www.readbyqxmd.com/read/28718333/anomalous-radial-artery-as-an-incidental-finding-during-a-routine-carpal-tunnel-release
#18
Charles A Gober, Tarik Mujadzic, John E Hershman, Mirsad M Mujadzic
BACKGROUND: Compression of the median nerve at the wrist, or carpal tunnel syndrome, is the most commonly recognized nerve entrapment syndrome. Carpal tunnel syndrome is usually caused by compression of the median nerve due to synovial swelling, tumor, or anomalous anatomical structure within the carpal tunnel. METHODS: During a routine carpal tunnel decompression, a large vessel was identified within the carpal tunnel. RESULTS: The large vessel was the radial artery...
September 2017: Hand: Official Journal of the American Association for Hand Surgery
https://www.readbyqxmd.com/read/28705371/magnetic-resonance-neurography-of-the-pelvic-nerves
#19
Eric Weissman, Ethan Boothe, Vibhor Wadhwa, Kelly Scott, Avneesh Chhabra
Chronic pelvic pain syndrome is commonly caused by nerve injury, inflammation, or entrapment. Owing to the complex anatomy and branching patterns of pelvic nerves, pelvic neuropathies are often difficult to illustrate and diagnose. High-resolution 3-T magnetic resonance neurography is a promising technique for the evaluation of peripheral neuropathy. In this article, the authors discuss the normal anatomy of major pelvic nerves, technical considerations of high-resolution imaging, and normal and abnormal imaging appearances with relevant case examples...
June 2017: Seminars in Ultrasound, CT, and MR
https://www.readbyqxmd.com/read/28691025/protective-and-predisposing-morphological-factors-in-suprascapular-nerve-entrapment-syndrome-a-fundamental-review-based-on-recent-observations
#20
REVIEW
Piotr Łabętowicz, Marek Synder, Mariusz Wojciechowski, Krzysztof Orczyk, Hubert Jezierski, Mirosław Topol, Michał Polguj
Suprascapular nerve entrapment syndrome (SNES) is a neuropathy caused by compression of the nerve along its course. The most common compression sites include the suprascapular notch and the spinoglenoid notch. The aim of this article was to review the anatomical factors influencing the occurrence of SNES in the light of the newest reports. Potential predisposing morphological factors include a V-shaped, narrow, or "deep" suprascapular notch; a band-shaped, bifurcated, or completely ossified superior transverse scapular ligament (STSL); particular arrangements of the suprascapular nerve and vessels at the suprascapular notch...
2017: BioMed Research International
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