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Radial tunnel syndrome

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https://www.readbyqxmd.com/read/27910920/the-dose-dependent-efficiency-of-radial-shock-wave-therapy-for-patients-with-carpal-tunnel-syndrome-a-prospective-randomized-single-blind-placebo-controlled-trial
#1
Ming-Jen Ke, Liang-Cheng Chen, Yu-Ching Chou, Tsung-Ying Li, Heng-Yi Chu, Chia-Kuang Tsai, Yung-Tsan Wu
Recently, extracorporeal shock wave therapy (ESWT) has been shown to be a novel therapy for carpal tunnel syndrome (CTS). However, previous studies did not examine the diverse effects of different-session ESWT for different-grades CTS. Thus, we conducted a randomized, single-blind, placebo-controlled study. Sixty-nine patients (90 wrists) with mild to moderate CTS were randomized into 3 groups. Group A and C patients received one session of radial ESWT (rESWT) and sham eESWT per week for 3 consecutive weeks, respectively; Group B patients received a single session of rESWT...
December 2, 2016: Scientific Reports
https://www.readbyqxmd.com/read/27902538/ulnar-tunnel-syndrome-radial-tunnel-syndrome-anterior-interosseous-nerve-syndrome-and-pronator-syndrome
#2
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...
November 29, 2016: Journal of the American Academy of Orthopaedic Surgeons
https://www.readbyqxmd.com/read/27894853/concurrent-carpal-tunnel-syndrome-and-pronator-syndrome-a-retrospective-study-of-21-cases
#3
Chih-Wei Hsiao, Jui-Tein Shih, Sheng-Tsai Hung
PURPOSE: Concurrent carpal tunnel syndrome and pronator syndrome are rarely considered and the proximal compression sites are easily overlooked. We retrospectively studied 21 concurrent cases in our series from 2009 to 2015 and report the results. PATIENTS AND METHODS: The typical symptoms were pain, tingling, and numbness of the radial 3½ digits. If paresthesia involved the thenar eminence and proximal forearm pain was noted in cases of carpal tunnel syndrome, carpal tunnel syndrome combined with pronator syndrome was considered...
November 25, 2016: Orthopaedics & Traumatology, Surgery & Research: OTSR
https://www.readbyqxmd.com/read/27821275/biaxial-quantification-of-deep-layer-transverse-carpal-ligament-elastic-properties-by-sex-and-region
#4
Bryan Mathers, Anne Agur, Michele Oliver, Karen Gordon
BACKGROUND: The transverse carpal ligament is a major component of the carpal tunnel and is an important structure in the etiology of carpal tunnel syndrome. The current study aimed to quantify biaxial elastic moduli of the transverse carpal ligament and compare differences between sex and region (Radial and Ulnar). METHODS: Biaxial testing of radial and ulnar samples from twenty-two (thirteen male, nine female) human fresh frozen cadaveric transverse carpal ligaments was performed...
October 27, 2016: Clinical Biomechanics
https://www.readbyqxmd.com/read/27814933/the-effectiveness-of-radial-extracorporeal-shock-waves-for-treatment-of-carpal-tunnel-syndrome-a-randomized-clinical-trial
#5
Gholam Reza Raissi, Fatemeh Ghazaei, Bijan Forogh, Seyed Pezhman Madani, Abbas Daghaghzadeh, Tannaz Ahadi
This study examined the effectiveness of radial extracorporeal shock wave therapy in the treatment of carpal tunnel syndrome (CTS). Forty patients with mild to moderate CTS were allocated to two groups: (i) shock wave + wrist splint and (ii) wrist splint. Patients used wrist splints followed by three sessions of low-energy shock wave therapy in the intervention group and wrist splints alone in the other group. The QuickDASH Questionnaire, visual analogue scale and nerve conduction studies were used to evaluate the patients before the study and at 3, 8 and 12 wk after the start of the treatment...
November 1, 2016: Ultrasound in Medicine & Biology
https://www.readbyqxmd.com/read/27679785/surgical-treatment-of-unstable-distal-radius-fractures-with-a-volar-variable-angle-locking-plate-clinical-and-radiological-outcomes
#6
Kavin Khatri, Vijay Sharma, Kamran Farooque, Vivek Tiwari
BACKGROUND: Unstable distal end radius fractures are difficult to manage and so various treatment modalities have been described. The use of variable-angle locking plates is promoted for the management of these fractures. OBJECTIVES: This study aimed to evaluate the functional and radiological outcomes in unstable distal end radius fractures treated with variable-angle locking plates. PATIENTS AND METHODS: We reviewed 23 unstable distal end radius fractures that were treated at our institution with volar variable-angle locking plates...
June 2016: Archives of Trauma Research
https://www.readbyqxmd.com/read/27672906/poster-142-radial-tunnel-syndrome-treated-by-ultrasound-guided-perineural-hydrodissection-a-case-report
#7
Daniel Chiung Jui Su, Mei-Chen Yeh, Willy Chou
No abstract text is available yet for this article.
September 2016: PM & R: the Journal of Injury, Function, and Rehabilitation
https://www.readbyqxmd.com/read/27625547/scratch-collapse-test-is-a-useful-clinical-sign-in-assessing-long-thoracic-nerve-entrapment
#8
Elizabeth M Pinder, Chye Yew Ng
The scratch collapse test (SCT) is a relatively new clinical test in which a positive result implies entrapment neuropathy of the nerve tested. Initially described for carpal and cubital tunnel syndromes, subsequent authors have found it useful for the assessment of median, ulna, radial, axillary, and common peroneal nerves. We report a case illustrating the value of the SCT in the clinical assessment of thoracic nerve entrapment.
August 2016: Journal of Hand and Microsurgery
https://www.readbyqxmd.com/read/27517078/aberrant-radial-artery-causing-carpal-tunnel-syndrome
#9
Zinon T Kokkalis, Konstantinos E Tolis, Panayiotis D Megaloikonomos, Georgios N Panagopoulos, Vasilios G Igoumenou, Andreas F Mavrogenis
Anatomical vascular variations are rare causes of carpal tunnel syndrome. An aberrant medial artery is the most common vascular variation, while an aberrant radial artery causing carpal tunnel syndrome is even more rare, with an incidence ranging less than 3%. This article reports a patient with compression of the median nerve at the carpal tunnel by an aberrant superficial branch of the radial artery. An 80- year- old man presented with a 5-year history of right hand carpal tunnel syndrome; Tinel sign, Phalen test and neurophysiological studies were positive...
June 2016: Archives of Bone and Joint Surgery
https://www.readbyqxmd.com/read/27258600/simultaneous-median-radial-nerve-electrical-stimulation-revisited-an-accurate-approach-to-carpal-tunnel-syndrome-diagnosis-and-severity
#10
Thaís Rodrigues, Pablo B Winckler, Vitor Félix-Torres, Pedro Schestatsky
PURPOSE: To assess the accuracy of an unusual test for CTS investigation and correlate it with clinical symptoms. METHODS: Initially, we applied a visual analog scale for CTS discomfort (CTS-VAS) and performed a standard electrophysiologic test for CTS diagnosis (median-ulnar velocity comparison). Posteriorly, a blinded neurophysiologist performed the orthodromic simultaneous median-radial nerve stimulation (SMRS) at the thumb, with recording of both action potentials over the lateral aspect of the wrist...
December 2016: Journal of Clinical Neurophysiology: Official Publication of the American Electroencephalographic Society
https://www.readbyqxmd.com/read/27220118/complications-of-distal-radius-fractures-treated-by-volar-locking-plate-fixation
#11
Hiroshi Satake, Naomi Hanaka, Ryusuke Honma, Tadayoshi Watanabe, Shigeru Inoue, Yumiko Kanauchi, Yoshihiro Kato, Taku Nakajima, Daisuke Sato, Jun Eto, Masahiro Maruyama, Yasushi Naganuma, Junya Sasaki, Shuji Toyono, Mikio Harada, Daisuke Ishigaki, Masatoshi Takahara, Michiaki Takagi
The current study investigated the incidence of complications after surgery for distal radial fractures. This multicenter retrospective study was conducted at 11 institutions. A total of 824 patients who had distal radius fractures that were treated surgically between January 2010 and August 2012 were identified. The study patients were older than 18 years and were observed for at least 12 weeks after surgery for distal radius fractures with a volar locking plate. Sex, age, fracture type according to AO classification, implants, wrist range of motion, grip strength, fracture consolidation rate, and complications were studied...
September 1, 2016: Orthopedics
https://www.readbyqxmd.com/read/27131025/brachiomedian-artery-arteria-brachiomediana-revisited-a-comprehensive-review
#12
REVIEW
David Kachlik, Marek Konarik, Jitka Riedlova, Vaclav Baca
This article reviews in detail the superficial brachiomedian artery (arteria brachiomediana superficialis), a very rare variant of the main arterial trunks of the upper limb. It branches either from the axillary artery or the brachial artery, descends superficially in the arm (similar to the course of the superficial brachial artery) and continues across the cubital fossa, runs superficially in the forearm, approaches the median nerve and enters the carpal canal to reach the hand. It usually terminates in the superficial palmar arch...
2016: Bosnian Journal of Basic Medical Sciences
https://www.readbyqxmd.com/read/27064104/identification-of-subgroups-of-women-with-carpal-tunnel-syndrome-with-central-sensitization
#13
César Fernández-de-Las-Peñas, Juan J Fernández-Muñoz, Esperanza Navarro-Pardo, Ricardo F da-Silva-Pocinho, Silvia Ambite-Quesada, Juan A Pareja
OBJECTIVE: Identification of subjects with different sensitization mechanisms can help to identify better therapeutic strategies for carpal tunnel syndrome (CTS). The aim of the current study was to identify subgroups of women with CTS with different levels of sensitization. METHODS: A total of 223 women with CTS were recruited. Self-reported variables included pain intensity, function, disability, and depression. Pressure pain thresholds (PPT) were assessed bilaterally over median, ulnar, and radial nerves, C5-C6 joint, carpal tunnel, and tibialis anterior to assess widespread pressure pain hyperalgesia...
September 2016: Pain Medicine: the Official Journal of the American Academy of Pain Medicine
https://www.readbyqxmd.com/read/27019892/-comparison-between-volar-and-radial-column-approach-by-plate-fixation-for-the-treatment-of-unstable-fracture-of-distal-radius-a-meta-analysis
#14
COMPARATIVE STUDY
Ye-cheng Li, Wei Zhang, Shou-zheng Liu, Cheng-liang Zhang, Hong-jun Wang
OBJECTIVE: To assess the clinical effectiveness of volar and radial column approach by plate fixation for the treat- ment of unstable fracture of distal radius. METHODS: According to Cochrane Systematic Review, Medline, Embase, Cochrane Li- brary, CNKI and CBM, randomised controlled trials (RCTs) of volar and radial column approach by plate fixation for the treat- ment of unstable fracture of distal radius were searched for from 1966 to 2014. Data analysis was performed with the Cochrane Collaboration's RevMan 5...
January 2016: Zhongguo Gu Shang, China Journal of Orthopaedics and Traumatology
https://www.readbyqxmd.com/read/26974980/prevalence-of-common-types-of-compression-neuropathies-in-qena-governorate-egypt-a-population-based-survey
#15
Eman M Khedr, Gharib Fawi, Mohammed Abd Allah Abbas, Noha Abo El-Fetoh, Ahmed F Zaki, Ayman Gamea
BACKGROUND: No epidemiological studies on the prevalence of compressive neuropathy have been undertaken in Arab countries. The aim of the study was to estimate the prevalence of the most common types of compressive neuropathies in Qena governorate/Egypt. METHODS: The study was part of a community-based survey carried out to assess the prevalence of neuromuscular disorders among the Qena population. A random sampling of 10 districts, 5,039 inhabitants aged ≥20...
2016: Neuroepidemiology
https://www.readbyqxmd.com/read/26963456/us-of-the-peripheral-nerves-of-the-upper-extremity-a-landmark-approach
#16
Jordan M Brown, Corrie M Yablon, Yoav Morag, Catherine J Brandon, Jon A Jacobson
Ultrasonography (US) has become a first-line modality for the evaluation of the peripheral nerves of the upper extremity. The benefits of US over magnetic resonance (MR) imaging include higher soft-tissue resolution, cost effectiveness, portability, real-time and dynamic imaging, and the ability to scan an entire extremity quickly and efficiently. US can be performed on patients who are not eligible for MR imaging. Metallic implant artifacts are usually not problematic. US has been shown to have equal specificity and greater sensitivity than MR imaging in the evaluation of peripheral nerves...
March 2016: Radiographics: a Review Publication of the Radiological Society of North America, Inc
https://www.readbyqxmd.com/read/26953892/adaptation-of-the-transverse-carpal-ligament-associated-with-repetitive-hand-use-in-pianists
#17
Christiane Mhanna, Tamara L Marquardt, Zong-Ming Li
The transverse carpal ligament (TCL) plays a critical role in carpal tunnel biomechanics through interactions with its surrounding tissues. The purpose of this study was to investigate the in vivo adaptations of the TCL's mechanical properties in response to repetitive hand use in pianists using acoustic radiation force impulse (ARFI) imaging. It was hypothesized that pianists, in comparison to non-pianists, would have a stiffer TCL as indicated by an increased acoustic shear wave velocity (SWV). ARFI imagining was performed for 10 female pianists and 10 female non-pianists...
2016: PloS One
https://www.readbyqxmd.com/read/26881149/pentobarbital-toxicity-after-self-administration-of-euthasol-veterinary-euthanasia-medication
#18
Steven Jason Crellin, Kenneth D Katz
Suicide attempt via sodium pentobarbital is uncommon. A 48-year-old woman with a history of depression and prior suicide attempt was found unresponsive by her veterinarian spouse near a syringe containing pink solution. Upon EMS' arrival, the patient was experiencing apnea, hypoxemia, and miotic pupils; her blood glucose level measured 73 mg/dL. She was bradycardic and administered atropine with transient improvement in heart rate and transported to an emergency department; 2 mg of intravenous naloxone was administered without effect...
2016: Case Reports in Emergency Medicine
https://www.readbyqxmd.com/read/26858306/is-intramedullary-nailing-better-than-the-use-of-volar-locking-plates-for-fractures-of-the-distal-radius-a-meta-analysis-of-randomized-controlled-trials
#19
J Wang, L Zhang, J Ma, Y Yang, H Jia, X Ma
UNLABELLED: We conducted a meta-analysis of randomized controlled trials that compared the use of intramedullary nails and volar locking plates in distal radial fractures. PubMed, EMBASE and the Cochrane Collaboration Central database were used to find randomized controlled trials that met the eligibility criteria. Two reviewers screened the studies, extracted the data, evaluated the methodological quality and analysed the data with RevMan 5.1 software. No statistically significant differences were detected in the disability of the arm, shoulder and hand and the Gartland and Werley scores, radiographic parameters, wrist range of motion, grip strength, total complication rate and incidence of tendon rupture between the two groups...
June 2016: Journal of Hand Surgery, European Volume
https://www.readbyqxmd.com/read/26764488/assessment-of-median-nerve-mobility-by-ultrasound-dynamic-imaging-for-diagnosing-carpal-tunnel-syndrome
#20
Tai-Tzung Kuo, Ming-Ru Lee, Yin-Yin Liao, Jiann-Perng Chen, Yen-Wei Hsu, Chih-Kuang Yeh
Carpal tunnel syndrome (CTS) is the most common peripheral neuropathy and is characterized by median nerve entrapment at the wrist and the resulting median nerve dysfunction. CTS is diagnosed clinically as the gold standard and confirmed with nerve conduction studies (NCS). Complementing NCS, ultrasound imaging could provide additional anatomical information on pathological and motion changes of the median nerve. The purpose of this study was to estimate the transverse sliding patterns of the median nerve during finger movements by analyzing ultrasound dynamic images to distinguish between normal subjects and CTS patients...
2016: PloS One
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