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Carpal tunnel syndrome

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https://www.readbyqxmd.com/read/28433831/ultrasonography-of-the-transverse-movement-and-deformation-of-the-median-nerve-and-its-relationships-with-electrophysiological-severity-in-the-early-stages-of-carpal-tunnel-syndrome
#1
Donghwi Park
BACKGROUND: To date, there have been conflicting suggestions regarding theinitial pathogenesis of CTS.It has been characterized as either inflammation of the median nerve caused by compression ornon-inflammatory fibrosis of the subsynovial connective tissue (SSCT). OBJECTIVE: To investigate the initialpathogenesis of CTS, we compared the deformation and displacement of the median nerve in accordance with the electrophysiological severity between patients with CTS (via Bland`s scale) and healthy controls...
April 19, 2017: PM & R: the Journal of Injury, Function, and Rehabilitation
https://www.readbyqxmd.com/read/28422892/efficacy-safety-and-cost-of-surgical-versus-nonsurgical-treatment-for-carpal-tunnel-syndrome-a-systematic-review-and-meta-analysis-retraction
#2
(no author information available yet)
No abstract text is available yet for this article.
April 2017: Medicine (Baltimore)
https://www.readbyqxmd.com/read/28417701/survey-of-hand-surgeons-and-therapists-perceptions-of-the-benefit-of-common-surgical-procedures-of-the-hand
#3
Olli V Leppänen, Jarkko Jokihaara, Esa Jämsen, Teemu Karjalainen
OBJECTIVE: The objectives of this survey were (1) to study if surgeons' perceptions of the benefit of six surgical procedures differ if they consider themselves as patients instead of treating a patient, (2) to evaluate the role of five predetermined factors that may influence decision-making, and (3) to assess how uniformly hand surgeons and hand therapists perceive the benefits of the surgical treatments. METHODS: The members of the national societies for Hand Surgery and Hand Therapy were asked to participate in the survey...
April 18, 2017: Journal of Plastic Surgery and Hand Surgery
https://www.readbyqxmd.com/read/28413892/amyloid-detection-in-the-transverse-carpal-ligament-of-patients-with-hereditary-attr-v30m-amyloidosis-and-carpal-tunnel-syndrome
#4
Raquel Samões, Ricardo Taipa, Kátia Valdrez, Isabel Gonçalves, Manuel Melo Pires, Ana Martins da Silva, Teresa Coelho
INTRODUCTION: Carpal tunnel syndrome (CTS) is a nonspecific manifestation of hereditary ATTR amyloidosis (ATTRm). Amyloid deposition of wild-type TTR (WT-ATTR) has been found in transverse carpal ligament (TCL) in idiopathic CTS. We retrospectively studied a group of patients with ATTRm and CTS submitted to carpal tunnel release surgery (CTRS). METHODS: From the nerve conduction studies performed in our Clinical Unit dedicated to hereditary amyloidosis between July 2009 and October 2013, we selected patients who fulfilled neurophysiological criteria for CTS, had been submitted to CTRS and whose TCL was available for pathology...
April 16, 2017: Amyloid: the International Journal of Experimental and Clinical Investigation
https://www.readbyqxmd.com/read/28400666/limited-incision-carpal-tunnel-release
#5
Sunil Gaba, Sandeep Bhogesha, Onkar Singh
BACKGROUND: Carpal tunnel syndrome (CTS) is the most common peripheral entrapment neuropathy. Limited incision techniques for carpal tunnel release are gaining popularity. The main advantages of these techniques are less scar load, less pillar pain, shorter recovery, and return-to-work time. However, the completeness of release, and risk of neurovascular injury are always a concern. We devised a method of limited incision release with two mini-incisions and use of nasal speculum and a probe...
March 2017: Indian Journal of Orthopaedics
https://www.readbyqxmd.com/read/28396796/evolutionary-medicine-carpal-tunnel-syndrome
#6
Althea Anne D Perez, Scott W Simpson
No abstract text is available yet for this article.
2017: Evolution, Medicine, and Public Health
https://www.readbyqxmd.com/read/28396759/interventional-treatment-for-neuropathic-pain-due-to-combined-cervical-radiculopathy-and-carpal-tunnel-syndrome-a-case-report
#7
Simone Vigneri, Gianfranco Sindaco, Matteo Zanella, Elisabetta Sette, Valeria Tugnoli, Gilberto Pari
The coexistence of median and cervical nerve root damage might hide a complex pathophysiology. Here, we describe and discuss the case of a patient suffering from numbness and painful tingling of the hand, whose symptoms were effectively treated with pulsed radiofrequency and epidural administration of bupivacaine and morphine.
April 2017: Clinical Case Reports
https://www.readbyqxmd.com/read/28395984/efficacy-of-manual-therapy-including-neurodynamic-techniques-for-the-treatment-of-carpal-tunnel-syndrome-a-randomized-controlled-trial
#8
Tomasz Wolny, Edward Saulicz, Paweł Linek, Michael Shacklock, Andrzej Myśliwiec
OBJECTIVE: The purpose of this randomized trial was to compare the efficacy of manual therapy, including the use of neurodynamic techniques, with electrophysical modalities on patients with mild and moderate carpal tunnel syndrome (CTS). METHODS: The study included 140 CTS patients who were randomly assigned to the manual therapy (MT) group, which included the use of neurodynamic techniques, functional massage, and carpal bone mobilizations techniques, or to the electrophysical modalities (EM) group, which included laser and ultrasound therapy...
April 8, 2017: Journal of Manipulative and Physiological Therapeutics
https://www.readbyqxmd.com/read/28395966/measurement-of-median-nerve-strain-and-applied-pressure-for-the-diagnosis-of-carpal-tunnel-syndrome
#9
Yuichi Yoshii, Wen-Lin Tung, Tomoo Ishii
The objective of this study was to evaluate the diagnostic utility of strain and applied-pressure measurements of the median nerve in carpal tunnel syndrome (CTS). Thirty-five wrists of 23 idiopathic CTS patients and 30 wrists of 15 normal patients were examined. Median nerve strain, pressure to the skin and the pressure/strain ratio were measured at the proximal carpal tunnel level. Parameters were compared between CTS patients and controls. The areas under the receiver operating characteristic curves (AUCs) were compared for the parameters...
April 7, 2017: Ultrasound in Medicine & Biology
https://www.readbyqxmd.com/read/28389838/intramedullary-nail-versus-volar-locking-plate-fixation-for-the-treatment-of-extra-articular-or-simple-intra-articular-distal-radius-fractures-systematic-review-and-meta-analysis
#10
REVIEW
Bing Zhang, Hengrui Chang, Kunlun Yu, Jiangbo Bai, Dehu Tian, Guisheng Zhang, Xinzhong Shao, Yingze Zhang
AIMS: This study aims to compare the outcomes of intramedullary nail (IMN) and volar locking plate (VLP) fixation for treatment of extra-articular or simple intra-articular distal radius fractures. METHODS: PubMed, Embase, Medline and Cochrane Collaboration Central databases were searched for studies that compared the results of IMN and VLP fixation for the treatment of distal radius fractures up to March 2016. Stata 11.0 was used to perform the meta-analysis. RESULTS: Six randomized controlled trials (RCT) and two retrospective studies were included in this review, including 463 patients...
April 7, 2017: International Orthopaedics
https://www.readbyqxmd.com/read/28387194/can-flexor-tenosynovectomy-and-microsurgical-epineurectomy-improve-clinical-outcomes-following-open-carpal-tunnel-release
#11
Serda Duman, Vedat Sahin, Hakan Sofu, Yalkin Camurcu, Hanifi Ucpunar
INTRODUCTION: The purpose of this study was to comparatively evaluate the clinical outcomes of open carpal tunnel release with or without flexor tenosynovectomy and epineurectomy for the treatment of idiopathic carpal tunnel syndrome. METHODS: In this prospective single-blinded study, 61 wrists of 47 patients randomized to open carpal tunnel release without (Group-1) or with (Group-2) flexor tenosynovectomy and microsurgical epineurectomy. Physical examination including Phalen and Tinel's signs, visible thenar atrophy, two-point discrimination, and grip strength measurement was performed...
2017: SICOT-J
https://www.readbyqxmd.com/read/28387162/outcomes-following-carpal-tunnel-release-in-patients-receiving-workers-compensation-a-systematic-review
#12
John C Dunn, Nicholas A Kusnezov, Logan R Koehler, Dennis Vanden Berge, Ben Genco, Justin Mitchell, Justin D Orr, Mark Pallis
BACKGROUND: Carpal tunnel syndrome (CTS) is a common occupational pathology, representing a high percentage of workers' compensation (WC) claims. METHODS: The literature was reviewed for all studies evaluating CTS outcomes including WC patients between 1993 and 2016. A total of 348 articles were identified; 25 of which met inclusion and exclusion criteria. A systematic review was generated; patient demographics, outcomes, and complications were recorded. Weighted averages were calculated for the demographic and outcome data...
April 1, 2017: Hand: Official Journal of the American Association for Hand Surgery
https://www.readbyqxmd.com/read/28380320/reappraisal-of-the-f-m-amplitude-ratio-in-carpal-tunnel-syndrome
#13
F Ginanneschi, M Mondelli, A Aretini, Alessandro Rossi
The F-wave/M-wave amplitude (F/M-amp) ratio has been shown to be increased in peripheral neuropathies, provided the maximum M-wave is relatively preserved. Reduced M-wave amplitudes and central facilitation of antidromically-induced reactivation of the anterior horn cells' axon hillocks (F-wave) are believed to contribute to higher F/M-amp ratios. The present study was undertaken to re-evaluate mechanisms responsible for higher F/M-amp ratios in carpal tunnel syndrome (CTS). We enrolled 232 cases affected by CTS and 108 controls...
January 2017: Functional Neurology
https://www.readbyqxmd.com/read/28375915/common-entrapment-neuropathies
#14
Lisa D Hobson-Webb, Vern C Juel
PURPOSE OF REVIEW: This article addresses relevant peripheral neuroanatomy, clinical presentations, and diagnostic findings in common entrapment neuropathies involving the median, ulnar, radial, and fibular (peroneal) nerves. RECENT FINDINGS: Entrapment neuropathies are a common issue in general neurology practice. Early diagnosis and effective management of entrapment mononeuropathies are essential in preserving limb function and maintaining patient quality of life...
April 2017: Continuum: Lifelong Learning in Neurology
https://www.readbyqxmd.com/read/28374546/upper-extremity-arthropathy-in-diabetes
#15
EDITORIAL
Zachary Bloomgarden
Hou and coworkers used data analyzed nearly 60,000 persons with diabetes from the Taiwan National Health Insurance database in reporting a prevalence of 2.4% of diabetic hand syndrome, including carpal tunnel syndrome (in 1.2%), flexor tenosynovitis (also in 1.2%), and, much less frequently, limited joint mobility and Dupuytren's contracture.
April 4, 2017: Journal of Diabetes
https://www.readbyqxmd.com/read/28370589/the-investigation-of-association-between-il-1ra-and-ace-i-d-polymorphisms-in-carpal-tunnel-syndrome
#16
Betul Cevik, Akin Tekcan, Ahmet Inanir, Semiha Gulsum Kurt, Serbulent Yigit
BACKGROUND: Carpal tunnel syndrome (CTS) is a common neurologic impairment caused by injury on the median nerve in the wrist, characterized by pain and loss of sensory. CTS usually occurs through three factors, such as a mechanical pressure on median nerve, immunologic changes, and oxidative stress. The aim of this study was to evaluate the influence of interleukin-1 receptor antagonist (IL-1Ra) and angiotensin-converting enzyme (ACE) I/D polymorphisms on the susceptibility of patients to the CTS...
March 29, 2017: Journal of Clinical Laboratory Analysis
https://www.readbyqxmd.com/read/28366957/postures-of-upper-extremity-correlated-with-carpal-tunnel-syndrome-cts
#17
Chia-Liang Chiang, Chu-Yung Liao, Hsien-Wen Kuo
OBJECTIVES: Non-medical hospital staff members are in frequent contact with patients and therefore are required to perform a wide variety of repetitive and high-frequency activities. The objective of this study was to assess the relationships between upper extremity activity and carpal tunnel syndrome (CTS) among non-medical hospital staff members. MATERIAL AND METHODS: Carpal tunnel syndrome in 144 non-medical hospital staff members was diagnosed using the Nordic Musculoskeletal Questionnaire (NMQ), a physician's diagnosis, physical examination (Tinel's signs and Phalen test) and a nerve conduction velocity (NCV) test...
March 30, 2017: International Journal of Occupational Medicine and Environmental Health
https://www.readbyqxmd.com/read/28362959/cubital-tunnel-syndrome-incidence-and-demographics-in-a-national-administrative-database
#18
Daniel A Osei, Andrew P Groves, Kerry Bommarito, Wilson Z Ray
BACKGROUND: Compressive neuropathy of the ulnar nerve at the elbow, or cubital tunnel syndrome (CuTS), is the second most common entrapment neuropathy of the upper extremity after carpal tunnel syndrome. While several studies have reported risk factors and outcomes for select populations (mostly surgical), it is difficult to interpret these data without an accurate measure of CuTS disease burden in the general population. OBJECTIVE: To estimate the incidence of CuTS among US health plan enrollees, using a large administrative health care claims database comprised of individuals from all 50 states...
March 1, 2017: Neurosurgery
https://www.readbyqxmd.com/read/28361358/-compression-of-the-median-nerve-by-chronic-palmar-dislocation-of-the-lunate-due-to-carpal-collapse
#19
C K Spies, M Schäfer, C Ahrens, P Hahn, F Unglaub
Carpal tunnel syndrome is among the most frequently diagnosed forms of peripheral nerve compression. Carpal tunnel syndrome due to carpal collapse that had progressed over decades, with a palmarly dislocated lunate, is rare. Hints of past trauma to the wrist going back decades should prompt further radiological examination in case of recurrent median nerve compression. With sufficient preoperative evaluation, the causes can be accurately detected and treated. Therefore, precise and complete history-taking is mandatory...
March 30, 2017: Der Unfallchirurg
https://www.readbyqxmd.com/read/28361183/handheld-electrical-impedance-myography-probe-for-assessing-carpal-tunnel-syndrome
#20
Zhao Li, Lingfen Chen, Yu Zhu, Qingquan Wei, Wenwen Liu, Dong Tian, Yude Yu
Electrical impedance myography (EIM) is a novel, noninvasive, and painless technique for quantitatively assessing muscle health as well as disease status and progression. The preparatory work for commercial adhesive electrodes used in previous EIM measurements is tedious, as the electrodes need to be cut, repeatedly applied, and removed. Moreover, the electrode distances need to be measured many times. To overcome these problems, we developed a convenient and practical handheld EIM probe for assessing carpal tunnel syndrome (CTS) in the small hand muscles...
March 30, 2017: Annals of Biomedical Engineering
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