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https://www.readbyqxmd.com/read/29716413/minimally-invasive-modified-camitz-opponensplasty-for-severe-carpal-tunnel-syndrome
#1
Mitsuhiko Nanno, Norie Kodera, Yuji Tomori, Shinro Takai
PURPOSE: We aimed to compare the clinical results and the complications between the minimally invasive modified Camitz opponensplasty and the conventional Camitz opponensplasty for severe carpal tunnel syndrome (CTS), and to evaluate the efficacy of the modified technique for CTS. METHODS: Twenty-eight hands in 24 patients with severe CTS who had disorder of the thumb opposition with thenar muscle atrophy (group 1) were treated by minimally invasive modified Camitz opponensplasty, passing the transferred palmaris longus (PL) tendon under the abductor pollicis brevis (APB) fascia using only palm and thumb incision, and no incision to either wrist crease or forearm...
May 2018: Journal of Orthopaedic Surgery
https://www.readbyqxmd.com/read/29697615/comparison-of-patient-reported-outcome-measurements-and-objective-measurements-after-cubital-tunnel-decompression
#2
Mateusz Koziej, Marek Trybus, Marta Banach, Marcin Bednarek, Anna Chrapusta, Marek Szuścik, Katarzyna Piątek-Koziej, Krzysztof Tomaszewski
BACKGROUND: The aims of this study were (1) to compare the responsiveness of disease and hand-related issues, including health status-related questions, in patients with cubital tunnel syndrome; and (2) to assess whether these tools and objective hand tests are associated with the results of nerve conduction studies after a simple cubital tunnel syndrome decompression. METHODS: Forty-seven patients with diagnosed condition were enrolled in the study. The following tools were used preoperatively and again at 3 and 6 months: the Patient-Rated Ulnar Nerve Evaluation; the Michigan Hand Outcomes Questionnaire; the Disabilities of the Arm, Shoulder, and Hand; the 12-Item Short-Form Health Survey; the pain visual analogue scale with activity; the grip and key pinch test, two-point discrimination, and the ulnar nerve conduction studies test...
May 2018: Plastic and Reconstructive Surgery
https://www.readbyqxmd.com/read/29611064/comparative-effect-of-photobiomodulation-associated-with-dexamethasone-after-sciatic-nerve-injury-model
#3
Luana Gabriel de Souza, Alexandre Márcio Marcolino, Heloyse Uliam Kuriki, Elaine Cristina Dalazen Gonçalves, Marisa de Cássia Registro Fonseca, Rafael Inácio Barbosa
To analyze the effect of photobiomodulation and dexamethasone on nerve regeneration after a sciatic nerve crushing model. Twenty-six Swiss mice were divided into the following groups: naive; sham; injured, low-level laser therapy (LLLT) (660 nm, 10 J/cm2 , 0.6 J, 16.8 J total energy emitted during the 28 days of radiation, 20 s, for 28 days); dexamethasone (Dex) (local injection of 2 mg/kg for 10 consecutive days); and LLLT group associated with Dex (LLLT/Dex), with the same parameters of the other groups...
April 2, 2018: Lasers in Medical Science
https://www.readbyqxmd.com/read/29594333/the-effectiveness-of-the-low-power-laser-and-kinesiotaping-in-the-treatment-of-carpal-tunnel-syndrome-a-pilot-study
#4
A Güner, L Altan, M Kasapoğlu Aksoy
In mild and moderate cases of carpal tunnel syndrome (CTS), the conservative approach is suggested. The purpose of this study is to assess and compare the effect of low-power laser versus the combination of low-power laser and kinesiotaping on pain, muscle strength, functionality, and electrophysiologic parameters in the patients with CTS. The study was planned as single-blind, prospective, randomized control. 64 hands diagnosed with CTS were included in the study. The patients were randomly divided into three groups by closed envelope method...
March 28, 2018: Rheumatology International
https://www.readbyqxmd.com/read/29537995/v-y-lengthening-technique-of-the-flexor-pronator-mass-for-anterior-submuscular-transposition-of-the-ulnar-nerve-in-severe-cubital-tunnel-syndrome-a-long-term-follow-up-study
#5
Sang Ki Lee, Gyu Sang Lee, Won Sik Choy
PURPOSE: This study aimed to retrospectively analyze the clinical results of anterior submuscular transposition of the ulnar nerve using a flexor-pronator V-Y lengthening technique in patients with severe cubital tunnel syndrome (CTS). MATERIALS AND METHODS: From January 2007 to May 2015, 36 patients with grade III CTS based on McGowan's classification were enrolled. All patients were treated with anterior submuscular transposition of the ulnar nerve using a flexor-pronator V-Y lengthening technique...
May 2018: Annals of Plastic Surgery
https://www.readbyqxmd.com/read/29516161/diagnostic-characteristics-of-anterior-cutaneous-nerve-entrapment-syndrome-in-childhood
#6
Murid Siawash, Rudi Roumen, Walther Tjon A Ten, Ernst van Heurn, Marc Scheltinga
Some children suffering from chronic abdominal pain may have an abdominal wall entity such as anterior cutaneous nerve entrapment syndrome. This syndrome is largely suspected on a combination of findings at history and physical examination. The aim is to obtain clues in history and physical examinations in a selected population of children with anterior cutaneous nerve entrapment syndrome. We analyzed all children with abdominal pain visiting our hospital between January 2013 and January 2015. A total of 71 cases were identified (median age 15 years, range 8-17, 77% female)...
June 2018: European Journal of Pediatrics
https://www.readbyqxmd.com/read/29515454/-in-vivo-recording-of-neural-and-behavioral-correlates-of-anesthesia-induction-reversal-and-euthanasia-in-cephalopod-molluscs
#7
Hanna M Butler-Struben, Samantha M Brophy, Nasira A Johnson, Robyn J Crook
Cephalopod molluscs are among the most behaviorally and neurologically complex invertebrates. As they are now included in research animal welfare regulations in many countries, humane and effective anesthesia is required during invasive procedures. However, currently there is no evidence that agents believed to act as anesthetics produce effects beyond immobility. In this study we demonstrate, for the first time, that two of the most commonly used agents in cephalopod general anesthesia, magnesium chloride and ethanol, are capable of producing strong and reversible blockade of afferent and efferent neural signal; thus they are genuine anesthetics, rather than simply sedating agents that render animals immobile but not insensible...
2018: Frontiers in Physiology
https://www.readbyqxmd.com/read/29395588/retropharyngeal-contralateral-c7-nerve-transfer-to-the-lower-trunk-for-brachial-plexus-birth-injury-technique-and-results
#8
Anthony T Vu, Darlene M Sparkman, Christopher J van Belle, Kevin P Yakuboff, Ann R Schwentker
PURPOSE: Brachial plexus birth injuries with multiple nerve root avulsions present a particularly difficult reconstructive challenge because of the limited availability of donor nerves. The contralateral C7 has been described for brachial plexus reconstruction in adults but has not been well-studied in the pediatric population. We present our technique and results for retropharyngeal contralateral C7 nerve transfer to the lower trunk for brachial plexus birth injury. METHODS: We performed a retrospective review...
January 29, 2018: Journal of Hand Surgery
https://www.readbyqxmd.com/read/29335850/functional-outcome-after-endoscopic-assisted-release-of-the-ulnar-nerve-for-cubital-tunnel-syndrome-mid-to-long-term-results
#9
Christian K Spies, Melanie Schäfer, Martin F Langer, Thomas Bruckner, Lars P Müller, Frank Unglaub
AIM OF THE STUDY: The aim of the study was to investigate functional and patient-rated outcome parameters after endoscopic assisted release of the ulnar nerve for cubital tunnel syndrome. METHODS: One hundred of 204 consecutive patients between 2006 and 2011 met the inclusion/exclusion criteria. Fifty-one of these patients were recruited and evaluated clinically and by questionnaire testing retrospectively after a mean follow-up of 82 months (range: 60-116). RESULTS: Neurological parameters (two-point-discrimination, application of Semmes-Weinstein monofilaments, Tinel's test), grip, and three-point pinch strength were not significantly different from the contralateral extremity at the time of examination, whereas key pinch strength was significantly weaker...
January 16, 2018: International Orthopaedics
https://www.readbyqxmd.com/read/29283463/neck-rejuvenation-by-direct-anterior-medial-cervicoplasty-the-modified-zigzag-plasty-according-to-tschopp
#10
A Konstantinow, T Fischer, A Zink
BACKGROUND: Conventional cervicofacial rhytidectomy has become the standard treatment of skin excess of the ageing neck. However, some patients want to avoid an extensive surgical procedure, especially if the anterior neck is the predominant problem zone. OBJECTIVE: To report on the efficacy and safety of a zigzag-shaped skin excision combined with platysma plication. METHODS AND MATERIALS: We present a retrospective case review series of six female patients...
December 28, 2017: Journal of the European Academy of Dermatology and Venereology: JEADV
https://www.readbyqxmd.com/read/29205933/a-highly-selective-3d-spiked-ultraflexible-neural-sun-interface-for-decoding-peripheral-nerve-sensory-information
#11
Jiahui Wang, Xin Yuan Thow, Hao Wang, Sanghoon Lee, Kai Voges, Nitish V Thakor, Shih-Cheng Yen, Chengkuo Lee
Artificial sensors on the skin are proposed as a way to capture information that can be used in intracortical microstimulation or peripheral intraneural stimulation to restore sensory feedback to persons with tetraplegia. However, the ability of these artificial sensors to replicate the density and complexity of the natural mechanoreceptors is limited. One relatively unexplored approach is to make use of the signals from surviving tactile and proprioceptive receptors in existing limbs by recording from their transmitting axons within the primary sensory nerves...
March 2018: Advanced Healthcare Materials
https://www.readbyqxmd.com/read/29184759/hypothenar-fat-pad-flap-vs-conventional-open-release-in-primary-carpal-tunnel-syndrome-a-randomized-controlled-trial
#12
Thepparat Kanchanathepsak, Wilarat Wairojanakul, Thitiporn Phakdepiboon, Sorasak Suppaphol, Ittirat Watcharananan, Tulyapruek Tawonsawatruk
AIM: To compared outcomes between the hypothenar fat pad flap (HTFPF) and conventional open carpal tunnel release (COR) in primary carpal tunnel syndrome (CTS). METHODS: Forty-five patients (49 hands) were enrolled into the study from January 2014 to March 2016, 8 patients were excluded. Randomization was conducted in 37 patients (41 hands) by computer generated (Block of four randomization) into COR and HTFPF group. Nerve conduction study (NCS) included distal sensory latency (DSL), distal motor latency (DML), sensory amplitude (S-amp), motor amplitude (M-amp) and sensory nerve conduction velocity (SCV) were examined at 6 and 12 wk after CTR...
November 18, 2017: World Journal of Orthopedics
https://www.readbyqxmd.com/read/29182019/pain-and-function-following-revision-cubital-tunnel-surgery
#13
Kristen M Davidge, Gregory C Ebersole, Susan E Mackinnon
BACKGROUND: The purpose of this study was to determine pain and functional outcomes following revision cubital tunnel surgery and to identify predictors of poor postoperative outcome. METHODS: A retrospective cohort study was conducted of all patients undergoing revision cubital tunnel surgery over a 5-year period at a high-volume peripheral nerve center. Intraoperative findings, demographic and injury factors, and outcomes were reviewed. Average pain, worst pain, and impact of pain on self-perceived quality of life were each measured using a 10-cm visual analog scale (VAS)...
November 1, 2017: Hand: Official Journal of the American Association for Hand Surgery
https://www.readbyqxmd.com/read/29132790/ulnar-thumb-pulp-reconstruction-using-the-anterograde-homodigital-neurovascular-island-flap
#14
REVIEW
Valeriy Shubinets, River M Elliott
The thumb ulnar pulp is a critical component of key pinch and precision manipulation. Injuries to this area should be reconstructed with robust, sensate tissue that restores bulk and contour. The existing reconstructive options, however, have substantial risks and drawbacks. We describe an anterograde homodigital neurovascular island flap that provides both sensate and durable coverage of the ulnar thumb pulp. The flap uses innervated glabrous tissue, limits donor site morbidity to the thumb and first web space, and does not require microvascular anastomoses or nerve coaptation...
January 2018: Journal of Hand Surgery
https://www.readbyqxmd.com/read/29132379/effects-of-somatosensory-electrical-stimulation-on-motor-function-and-cortical-oscillations
#15
Adelyn P Tu-Chan, Nikhilesh Natraj, Jason Godlove, Gary Abrams, Karunesh Ganguly
BACKGROUND: Few patients recover full hand dexterity after an acquired brain injury such as stroke. Repetitive somatosensory electrical stimulation (SES) is a promising method to promote recovery of hand function. However, studies using SES have largely focused on gross motor function; it remains unclear if it can modulate distal hand functions such as finger individuation. OBJECTIVE: The specific goal of this study was to monitor the effects of SES on individuation as well as on cortical oscillations measured using EEG, with the additional goal of identifying neurophysiological biomarkers...
November 13, 2017: Journal of Neuroengineering and Rehabilitation
https://www.readbyqxmd.com/read/29067749/combined-brain-and-peripheral-nerve-stimulation-in-chronic-stroke-patients-with-moderate-to-severe-motor-impairment
#16
Isabella S Menezes, Leonardo G Cohen, Eduardo A Mello, André G Machado, Paul Hunter Peckham, Sarah M Anjos, Inara L Siqueira, Juliana Conti, Ela B Plow, Adriana B Conforto
OBJECTIVES: To evaluate effects of somatosensory stimulation in the form of repetitive peripheral nerve sensory stimulation (RPSS) in combination with transcranial direct current stimulation (tDCS), tDCS alone, RPSS alone, or sham RPSS + tDCS as add-on interventions to training of wrist extension with functional electrical stimulation (FES), in chronic stroke patients with moderate to severe upper limb impairments in a crossover design. We hypothesized that the combination of RPSS and tDCS would enhance the effects of FES on active range of movement (ROM) of the paretic wrist to a greater extent than RPSS alone, tDCS alone or sham RPSS + tDCS...
February 2018: Neuromodulation: Journal of the International Neuromodulation Society
https://www.readbyqxmd.com/read/29052828/long-term-results-of-primary-repair-of-combined-cuts-on-the-median-and-ulnar-nerves-in-the-forearm
#17
Kemal Özaksar, Hüseyin Günay, Levent Küçük, Erhan Coşkunol
BACKGROUND: The objective of this clinical study was to evaluate sensory and motor functions in the later period following primary repair of combined injuries of the ulnar and median nerves in the forearm at proximal, middle, and distal levels. METHODS: Later period sensory evaluation of ulnar and median combined cuts was performed using two-point discrimination and monofilament tests. On the other hand, motor evaluation was performed by determining dorsal palmar interosseus strength for the ulnar nerve and abductor pollicis brevis muscle strength for the median nerve...
September 2017: Ulusal Travma Ve Acil Cerrahi Dergisi, Turkish Journal of Trauma & Emergency Surgery: TJTES
https://www.readbyqxmd.com/read/28951097/transfer-of-the-motor-branch-of-the-abductor-digiti-quinti-for-thenar-muscle-reinnervation-in-high-median-nerve-injuries
#18
Jayme Augusto Bertelli, Francisco Soldado, Alfonso Rodrígues-Baeza, Marcos Flávio Ghizoni
PURPOSE: In high median nerve repairs, thenar muscle reinnervation is impossible because of the long distances over which axons must regenerate. To overcome this obstacle, we propose transferring the abductor digiti quinti motor branch (ADQMB) to the thenar branch of the median nerve (TBMN). METHODS: We used 10 embalmed hands for anatomical and histological studies. Thereafter, 5 patients with a high median nerve injury underwent surgical reconstruction within 8 months of their accident and were followed for at least 10 months after surgery (mean, 13...
January 2018: Journal of Hand Surgery
https://www.readbyqxmd.com/read/28947332/polish-version-of-the-patient-rated-ulnar-nerve-evaluation-in-preoperative-patients-translation-and-psychometric-testing
#19
Mateusz Koziej, Marek Trybus, Anna Mydłowska, Katarzyna Piątek, Marta Banach, Mateusz Hołda
STUDY DESIGN: Cross-sectional design. INTRODUCTION: This study examined the translated English to Polish version of the Patient-Rated Ulnar Nerve Evaluation (PRUNE) for its internal consistency, test-retest reliability, and construct validity. METHODS: During the first assessment validity testing, a total of 39 consecutive patients with cubital tunnel syndrome completed the PRUNE, Michigan Hand Outcome Questionnaire, Disabilities of the Arm, Shoulder, and Hand questionnaire, and Patient Evaluation Measure in conjunction with the grip and key pinch tests and pain score (by Visual Analogue Scale)...
September 22, 2017: Journal of Hand Therapy: Official Journal of the American Society of Hand Therapists
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
#20
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
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