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Entrapment Neuropathy

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https://www.readbyqxmd.com/read/29780234/body-mass-index-and-vitamin-d-level-in-carpal-tunnel-syndrome-patients
#1
Rania S Nageeb, Nahed Shehta, Ghada S Nageeb, Alaa A Omran
Background: Carpal tunnel syndrome (CTS) is the most common entrapment neuropathy of the upper extremity. The aim of this study is to evaluate the body mass index (BMI) and vitamin D levels in CTS patients. Methods: The current study was conducted at Zagazig University Hospitals. It included 50 CTS patients and 50 controls. Clinical assessment was carried out to exclude symptoms and signs of neuropathy. Laboratory investigations including vitamin D levels, glycosylated hemoglobin, liver, and kidney function were carried out for every participant...
2018: The Egyptian journal of neurology, psychiatry and neurosurgery
https://www.readbyqxmd.com/read/29779137/ulnar-neuropathy-at-wrist-entrapment-at-a-very-congested-site
#2
Daniele Coraci, Claudia Loreti, Giulia Piccinini, Pietro E Doneddu, Silvia Biscotti, Luca Padua
Ulnar tunnel syndrome indicates ulnar neuropathy at different sites within the wrist. Several classifications of ulnar tunnel syndrome are present in literature, based upon typical nerve anatomy. However, anatomical variations are not uncommon and can complicate assessment. The etiology is also complex, due to the numerous potential causes of entrapment. Clinical examination, neurophysiological testing, and imaging are all used to support the diagnosis. At present, many therapeutic approaches are available, ranging from observation to surgical management...
May 19, 2018: Neurological Sciences
https://www.readbyqxmd.com/read/29775161/surgical-treatment-of-middle-cluneal-nerve-entrapment-neuropathy-technical-note
#3
Juntaro Matsumoto, Toyohiko Isu, Kyongsong Kim, Naotaka Iwamoto, Daijiro Morimoto, Masanori Isobe
OBJECTIVE The etiology of low-back pain (LBP) is heterogeneous and is unknown in some patients with chronic pain. Superior cluneal nerve entrapment has been proposed as a causative factor, and some patients suffer severe symptoms. The middle cluneal nerve (MCN) is also implicated in the elicitation of LBP, and its clinical course and etiology remain unclear. The authors report the preliminary outcomes of a less invasive microsurgical release procedure to address MCN entrapment (MCN-E). METHODS The authors enrolled 11 patients (13 sites) with intractable LBP judged to be due to MCN-E...
May 18, 2018: Journal of Neurosurgery. Spine
https://www.readbyqxmd.com/read/29744050/iatrogenic-nerve-lesion-following-laparoscopic-surgery-a-case-report
#4
Michele Vecchio, Andrea Santamato, Fortunato Geneovese, Giulia Malaguarnera, Vito Emanuele Catania, Saverio Latteri
Background: Peripheral neuropathy after surgical treatment is an under recognized potential untoward event. Pelvic surgery may be associated with nerve lesions by essentially three main mechanisms: transection, entrapment and pressure-stretching; the latter is the modality most frequently linked to patient's positioning on the operating room table. Presentation of the case: A 25 years old woman, after undergoing a laparoscopic gynaecologic procedure lasted >3 hours, on postoperative day one presented with numbness over her lateral right leg and dorsum of the foot, right foot drop and gait instability due to compression-stretching of the right superficial peroneal nerve...
April 2018: Annals of Medicine and Surgery
https://www.readbyqxmd.com/read/29736220/determination-of-cut-off-point-of-cross-sectional-area-of-median-nerve-at-the-wrist-for-diagnosing-carpal-tunnel-syndrome
#5
Majid Ghasemi, Sanaz Masoumi, Behnaz Ansari, Mahboobeh Fereidan-Esfahani, Seyed Morteza Mousavi
Background: The most common entrapment mononeuropathy of the upper extremity is carpal tunnel syndrome (CTS). It consists 90% of entrapment neuropathies. The purpose of this study was to compare cross-sectional area (CSA) of the median nerve at the wrist in CTS patients and healthy controls and define the best cut-off point of CSA to differentiate patients and controls in Iranian population. Methods: In this study, 45 patients with confirmed idiopathic CTS and 62 healthy controls were evaluated. Based on electrophysiological findings, patients were divided based on CTS severity into three groups of mild, moderate and severe...
October 7, 2017: Iranian Journal of Neurology
https://www.readbyqxmd.com/read/29729473/anatomical-variation-in-a-patient-with-lateral-femoral-cutaneous-nerve-entrapment-neuropathy
#6
Rinko Kokubo, Kyongsong Kim, Daijiro Morimoto, Toyohiko Isu, Naotaka Iwamoto, Takao Kitamura, Akio Morita
This 53-year-old man had a 10-year history of paresthesia and pain in the right antero-lateral thigh exacerbated by prolonged standing and walking. His symptoms improved completely but transiently by lateral femoral cutaneous nerve (LFCN) block. The diagnosis was LFCN entrapment (LFCN-EN). As additional treatment with drugs and repeat LFCN block was ineffective, we performed surgical decompression under local anesthesia. A nerve stimulator located the LFCN 4.5 cm medial to the anterior superior iliac spine, it formed a sharp curve and was embedded in connective tissue...
May 2, 2018: World Neurosurgery
https://www.readbyqxmd.com/read/29722064/high-wrist-ratio-is-a-risk-factor-for-carpal-tunnel-syndrome
#7
S Ozcakir, D Sigirli, H Avsaroglu
INTRODUCTION: Carpal Tunnel Syndrome (CTS) is the most common upper extremity entrapment neuropathy and various risk factors have been implicated in the etiology. In this study, we aimed to determine whether anthropometric measurements are independent risk factors for CTS. MATERIALS AND METHODS: Patients with symptoms of CTS (n= 27) and asymptomatic controls (n=27) were enrolled following electrophysiological confirmation. Body mass index (BMI) was recorded and anthropometric measurements of the hand were made by a digital caliper...
May 3, 2018: Clinical Anatomy
https://www.readbyqxmd.com/read/29713193/supracondylar-process-syndrome-two-cases-of-median-nerve-neuropathy-due-to-compression-by-the-ligament-of-struthers
#8
Hyun-Chul Shon, Ji-Kang Park, Dong-Soo Kim, Sang-Woo Kang, Kook-Jong Kim, Seok-Hyun Hong
The supracondylar process is a beak-shaped bony process on the anteromedial aspect of the distal humerus. The ligament of Struthers is a fibrous band extending from the tip of the process to the medial epicondyle. The median nerve and brachial artery pass under the ligament of Struthers and consequently can be compressed, causing supracondylar process syndrome. As a rare cause of proximal median nerve entrapment, supracondylar process syndrome is triggered when the median nerve is located in the superficial or deep layer of the ligament of Struthers as a result of anatomical variation...
2018: Journal of Pain Research
https://www.readbyqxmd.com/read/29668644/compression-neuropathy-of-common-peroneal-nerve-caused-by-a-popliteal-cyst-a-case-report
#9
Xiaobin Zeng, Lifeng Xie, Zhiqiang Qiu, Kuo Sun
RATIONALE: Popliteal cyst developing in the sheath of a peripheral nerve or joint capsule may cause compression neuropathy. Although popliteal cyst is very common lesion, it seldom causes serious complications. Common peroneal nerve compression is rarely caused by an extraneural popliteal cyst. PATIENT CONCERNS: We presented the case of a 52-year-old female with common peroneal nerve compression caused by an extraneural popliteal cyst. DIAGNOSES: Electromyography showed the damage of common peroneal nerve...
April 2018: Medicine (Baltimore)
https://www.readbyqxmd.com/read/29666777/injury-of-the-radial-nerve-in-the-arm-a-review
#10
REVIEW
Taroob J Latef, Muhammad Bilal, Marc Vetter, Joe Iwanaga, Rod J Oskouian, R Shane Tubbs
Compression of the radial nerve is most commonly described at the supinator muscle (i.e., arcade of Frohse). However, radial nerve compression can occur in the arm. Therefore, the purpose of this article is to review both etiologies of radial nerve entrapment and the sites at which this can occur in the arm. The clinical presentation of radial nerve entrapment in the arm and how it differs from that of entrapment at other sites is reviewed and the conditions potentially predisposing to nerve entrapment are described...
February 16, 2018: Curēus
https://www.readbyqxmd.com/read/29606118/theoretical-impact-of-simulated-workplace-based-primary-prevention-of-carpal-tunnel-syndrome-in-a-french-region
#11
Yves Roquelaure, Natacha Fouquet, Emilie Chazelle, Alexis Descatha, Bradley Evanoff, Julie Bodin, Audrey Petit
BACKGROUND: Carpal tunnel syndrome (CTS) is the most common nerve entrapment neuropathy in the working-age population. The reduction of CTS incidence in the workforce is a priority for policy makers due to the human, social and economic costs. To assess the theoretical impact of workplace-based primary interventions designed to reduce exposure to personal and/or work-related risk factors for CTS. METHODS: Surgical CTS were assessed using regional hospital discharge records for persons aged 20-59 in 2009...
April 2, 2018: BMC Public Health
https://www.readbyqxmd.com/read/29602661/3-tesla-mri-assisted-detection-of-compression-points-in-ulnar-neuropathy-at-the-elbow-in-correlation-with-intraoperative-findings
#12
Alina Hold, Michael S Mayr-Riedler, Thomas Rath, Igor Pona, Patrick Nierlich, Julia Breitenseher, Gregor Kasprian
INTRODUCTION: Releasing the ulnar nerve from all entrapments is the primary objective of every surgical method in ulnar neuropathy at the elbow (UNE). The aim of this retrospective diagnostic study was to validate preoperative 3-Tesla MRI results by comparing the MRI findings with the intraoperative aspects during endoscopic-assisted or open surgery. METHODS: Preoperative MRI studies were assessed by a radiologist not informed about intraoperative findings in request for the exact site of nerve compression...
March 6, 2018: Journal of Plastic, Reconstructive & Aesthetic Surgery: JPRAS
https://www.readbyqxmd.com/read/29526115/sensory-profiles-are-comparable-in-patients-with-distal-and-proximal-entrapment-neuropathies-while-the-pain-experience-differs
#13
Brigitte Tampin, Jan Vollert, Annina B Schmid
OBJECTIVE: Distal and proximal entrapment neuropathies such as carpal tunnel syndrome (CTS) and cervical radiculopathy (CR) share similar etiologies. Experimental models suggest that, despite comparable etiology, pathomechanisms associated with injuries of the peripheral and central axon branches are distinct. This study therefore compared self-reported and elicited sensory profiles in patients with distal and proximal entrapment neuropathies. METHODS: Patients with electrodiagnostically confirmed CTS (n = 103) and patients with CR (n = 23) were included in this study...
April 13, 2018: Current Medical Research and Opinion
https://www.readbyqxmd.com/read/29518589/sonographic-changes-after-ultrasound-guided-release-of-the-transverse-carpal-ligament-a-case-report
#14
Erek W Latzka, P Troy Henning, Adam M Pourcho
Carpal tunnel syndrome is the most common entrapment neuropathy, resulting in 500,000 carpal tunnel release (CTR) surgeries and a total cost of more than 2 billion dollars annually in the United States. Although initially performed via a large (3-5 cm) palmar incision, CTR techniques have continually evolved to reduce recovery times and postoperative pain and improve cosmesis and clinical outcomes. More recently, multiple authors have reported excellent results after ultrasound-guided carpal tunnel release (USCTR) using a variety of techniques, and one prospective randomized trial reported faster recovery after USCTR compared with traditional mini-open CTR...
March 6, 2018: PM & R: the Journal of Injury, Function, and Rehabilitation
https://www.readbyqxmd.com/read/29433485/safety-and-efficacy-of-platelet-rich-plasma-in-treatment-of-carpal-tunnel-syndrome-a-randomized-controlled-trial
#15
Seyed Ahmad Raeissadat, Afshin Karimzadeh, Masoud Hashemi, Leila Bagherzadeh
BACKGROUND: Carpal tunnel syndrome is the most common peripheral entrapment neuropathy, for which conservative treatments are the first measures taken. However, these measures are not usually sufficient. Recently major attention has been drawn to platelet-rich plasma for its possible effects on axon regeneration and neurological recovery. Although few studies have evaluated the effects of this treatment in carpal tunnel syndrome, further investigation is required to reach concrete conclusion...
February 13, 2018: BMC Musculoskeletal Disorders
https://www.readbyqxmd.com/read/29429014/intrasynovial-spindle-cell-lipoma-of-the-deep-flexor-of-the-middle-finger-causing-intermittent-carpal-tunnel-syndrome-case-report-and-review-of-the-literature
#16
REVIEW
A Vidoni, M Shrivastava, Rajesh Botchu
Carpal tunnel syndrome (CTS) represents the most common entrapment neuropathy of the upper extremity. Intermittent CTS has been reported in the surgical literature and usually, related to masses associated to flexor tendons. We describe a patient with an intrasynovial lipoma involving the deep flexor of the middle finger causing intermittent CTS and snapping on flexion-extension.
February 10, 2018: Journal of Ultrasound
https://www.readbyqxmd.com/read/29410172/impact-of-additional-treatment-of-paralumbar-spine-and-peripheral-nerve-diseases-after-lumbar-spine-surgery
#17
Juntaro Matsumoto, Toyohiko Isu, Kyongsong Kim, Naotaka Iwamoto, Kazuyoshi Yamazaki, Daijiro Morimoto, Masanori Isobe
OBJECTIVE: Some patients experience failed back surgery syndrome after lumbar spine surgery. We report the effect of additional treatments for paralumbar spine and peripheral nerve diseases addressing residual symptoms after surgery. METHODS: We enrolled 74 patients (59 men and 15 women; mean age 62.9 years) who had undergone lumbar posterior decompression surgery. Mean follow-up after initial surgery was 26.2 months (range, 13-48 months). We subsequently diagnosed paralumbar spine diseases, including superior cluneal nerve entrapment neuropathy with (n = 3) or without gluteus medius muscle pain (n = 4) and gluteus medius muscle pain alone (n = 5), and peripheral nerve diseases, including peroneal nerve entrapment neuropathy (n = 4) and tarsal tunnel syndrome (n = 1), based on persistent or recurring clinical symptoms and nerve block effects...
April 2018: World Neurosurgery
https://www.readbyqxmd.com/read/29385943/entrapment-neuropathies-challenging-common-beliefs-with-novel-evidence
#18
Annina B Schmid, Louise Hailey, Brigitte Tampin
Entrapment neuropathies are the most prevalent type of peripheral neuropathy and often a challenge to diagnose and treat. To a large extent, our current knowledge is based on empirical concepts and early (often biomechanical) studies. This Viewpoint will challenge some of the current beliefs with recent advances in both basic and clinical neurosciences. J Orthop Sports Phys Ther 2018;48(2):58-62. doi:10.2519/jospt.2018.0603.
February 2018: Journal of Orthopaedic and Sports Physical Therapy
https://www.readbyqxmd.com/read/29362280/-magnetic-resonance-imaging-conditions-for-imaging-of-the-tarsal-tunnel
#19
Michinori Nariai, Kyongsong Kim, Masaaki Kawauchi, Akihiro Ishii, Misa Kido, Toyohiko Isu, Rinko Kokubo, Daijiro Morimoto, Naotaka Iwamoto, Akio Morita
BACKGROUND: Tarsal tunnel syndrome(TTS)is an entrapment neuropathy of the posterior tibial nerve within the tarsal tunnel below the medial malleolus. An accurate diagnosis is difficult, and TTS is usually diagnosed from clinical symptoms due to the lack of accurate diagnostic tools. We aimed to standardize the diagnosis of TTS using MRI, and report the MRI conditions for clear visualization of the tarsal tunnel. METHODS: We investigated which sequences and MRI conditions would be appropriate for the imaging of the tarsal tunnel in a healthy volunteer...
January 2018: No Shinkei Geka. Neurological Surgery
https://www.readbyqxmd.com/read/29355794/surgical-results-of-common-peroneal-nerve-neuroplasty-at-lateral-fibular-neck
#20
John Souter, Kevin Swong, Matthew McCoyd, Neelam Balasubramanian, Magan Nielsen, Vikram C Prabhu
BACKGROUND: Common peroneal nerve (CPN) compressive neuropathy is the most common lower-extremity entrapment neuropathy. MATERIALS AND METHODS: A retrospective review of a prospectively maintained single-institution database of all patients with CPN palsy who underwent decompression and neuroplasty over a 5-year period was performed. RESULTS: Thirty patients underwent a neuroplasty of the CPN over a 5-year period (2010-2015) at our institution...
April 2018: World Neurosurgery
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