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Carpal tunnel syndrome

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https://www.readbyqxmd.com/read/28629992/do-patients-with-carpal-tunnel-syndrome-benefit-from-low-level-laser-therapy-a-systematic-review-of-randomized-controlled-trials
#1
REVIEW
Thierry P C Franke, Bart W Koes, Sven J G Geelen, Bionka M A Huisstede
OBJECTIVE: To systematically review the literature on the effectiveness of low-level laser therapy for patients with carpal tunnel syndrome. DATA SOURCES: The Cochrane Library, PubMed, EMBASE, CINAHL, and PEDro were searched for relevant systematic reviews and randomized controlled trials (RCTs) up to April 8 2016. STUDY SELECTION: Two reviewers independently applied the inclusion criteria to select potential studies. DATA EXTRACTION: Two reviewers independently extracted the data and assessed the methodological quality...
June 16, 2017: Archives of Physical Medicine and Rehabilitation
https://www.readbyqxmd.com/read/28628532/evaluation-of-the-effectiveness-and-safety-of-ultrasound-guided-percutaneous-carpal-tunnel-release-a-cadaveric-study
#2
Robert Burnham, Larry Playfair, Eldon Loh, Shannon Roberts, Anne Agur
OBJECTIVE: The looped thread carpal tunnel release (TCTR) procedure is a minimally invasive percutaneous technique performed under ultrasound (US) to transect the transverse carpal ligament in patients with carpal tunnel syndrome. Study objectives were to evaluate the accuracy of identifying key US landmarks, safety, effectiveness, and technical difficulty of TCTR. DESIGN: Fourteen lightly embalmed cadaveric distal forearm-hand specimens were subject to US identification of key landmarks, TCTR procedure, and post-TCTR dissection...
July 2017: American Journal of Physical Medicine & Rehabilitation
https://www.readbyqxmd.com/read/28628050/arizona-hospital-discharge-and-emergency-department-database-implications-for-occupational-health-surveillance
#3
Philip Harber, Jennifer Ha, Matthew Roach
OBJECTIVES: The objective of the project was to identify trends in emergency department visits and inpatient admissions for occupational injury and disease frequency and describe the financial impact from specific clinical groups known to have occupational risk factors. METHODS: Workers compensation cases among 19 million records in the Arizona statewide hospital discharge database (HDD) were assessed for seven clinical groups from 2008 to 2014, including back, cardiac, carpal tunnel syndrome, heat-related, psychiatric, pulmonary, and trauma...
April 2017: Journal of Occupational and Environmental Medicine
https://www.readbyqxmd.com/read/28627507/semivertical-incision-an-aesthetically-and-electrophysiologically-effective-mini-incision-technique-for-carpal-tunnel-decompression
#4
Nese Keser, Nimet Dortcan, Ulas Cikla, Kutluay Uluc, Erhan Celikoglu, Merih Is, Bora Gurer
BACKGROUND The purpose of this study was to present the clinical results of our retrospective series of carpal tunnel release (CTR) operations. For these operations we used a unique type of incision, for the first time, for treatment of carpal tunnel syndrome (CTS) consisting of a 1-cm semi-vertical (SV) incision made into the wrist crease for macroscopic open CTR. MATERIAL AND METHODS This retrospective study included 114 patients (101 females and 13 males) with CTR who were operated upon in our neurosurgery clinic between December 2010 and June 2015...
June 19, 2017: Medical Science Monitor: International Medical Journal of Experimental and Clinical Research
https://www.readbyqxmd.com/read/28624065/trends-in-open-and-endoscopic-carpal-tunnel-release-utilization-in-the-medicare-patient-population
#5
Tsun Yee Law, Samuel Rosas, Zachary S Hubbard, Lee Onn Chieng, Harvey W Chim
BACKGROUND: Surgical management of carpal tunnel syndrome (CTS) is performed with an open or endoscopic approach. Current literature suggests that the endoscopic approach is associated with higher costs and a steeper learning curve. This study evaluated the billing and utilization trends of both approaches. METHODS: A retrospective review of a Medicare database within the PearlDiver Supercomputer (Warsaw, IN) was performed for patients undergoing open carpal tunnel release (OCTR) or endoscopic carpal tunnel release (ECTR) from 2005-2012...
June 15, 2017: Journal of Surgical Research
https://www.readbyqxmd.com/read/28623065/upper-limb-neurodynamic-test-1-in-patients-with-clinical-diagnosis-of-carpal-tunnel-syndrome-a-diagnostic-accuracy-study
#6
Maria-Constanza Trillos, Felipe Soto, Leonardo Briceno-Ayala
STUDY DESIGN: Diagnostic accuracy. INTRODUCTION: Upper limb neurodynamic test 1 (ULNT1) is used to evaluate the mechanical sensitivity especially in the peripheral nerves of the upper limbs. The reproduction of typical symptoms in the affected hand improves the estimation of the probability of carpal tunnel syndrome (CTS). However the test has not been evaluated sufficiently to determine its real usefulness. In the present study the diagnostic accuracy of ULNT1 as a clinical test for CTS was determined...
June 13, 2017: Journal of Hand Therapy: Official Journal of the American Society of Hand Therapists
https://www.readbyqxmd.com/read/28622409/ultrasound-guided-hydrodissection-decreases-gliding-resistance-of-the-median-nerve-within-the-carpal-tunnel
#7
Stefanie Evers, Andrew R Thoreson, Jay Smith, Chunfeng Zhao, Jennifer R Geske, Peter C Amadio
INTRODUCTION: The aim of this study was to assess alterations in median nerve biomechanics within the carpal tunnel resulting from ultrasound-guided hydrodissection in a cadaveric model. METHODS: Twelve fresh frozen human cadaver hands were used. Median nerve gliding resistance was measured at baseline and post-hydrodissection, by pulling the nerve proximally and then returning it to the origin. Six specimens were treated with hydrodissection, and 6 were used as controls...
June 16, 2017: Muscle & Nerve
https://www.readbyqxmd.com/read/28611320/prevalence-of-low-back-pain-and-carpal-tunnel-syndrome-among-dental-practitioners-in-dakshina-kannada-and-coorg-district
#8
D Anupama Prasad, Drithi Appachu, Vinayak Kamath, D Krishna Prasad
CONTEXT: Dental practitioners who usually have to work for long durations in a particular fixed posture are more prone to musculoskeletal disorders (MSDs), particularly those involving the hand and wrist and also of the lower back. AIMS: To study the prevalence of carpal tunnel syndrome (CTS) and low back pain (LBP) among dental practitioners and to correlate the symptoms with the duration of practice. SUBJECTS AND METHODS: A closed-end questionnaire was distributed to 100 dental practitioners from Dakshina Kannada and Coorg districts of Karnataka, India...
March 2017: Indian Journal of Dental Research: Official Publication of Indian Society for Dental Research
https://www.readbyqxmd.com/read/28608274/recurrent-atraumatic-acute-carpal-tunnel-syndrome-due-to-hematoma-caused-by-distal-radioulnar-joint-arthritis-during-anticoagulant-treatment-with-apixaban
#9
Shingo Komura, Akihiro Hirakawa, Takahiro Masuda, Yoshiki Ito, Haruhiko Akiyama
Atraumatic acute carpal tunnel syndrome is a rare type of median nerve neuropathy caused by etiologies that increase compartment pressure in the carpal tunnel. This report describes a patient with flexor tendon abrasion as an unusual complication of distal radioulnar joint arthritis. This abrasion caused a hematoma to form in the carpal tunnel during anticoagulant treatment with apixaban, resulting in recurrent acute carpal tunnel syndrome.
June 12, 2017: Archives of Orthopaedic and Trauma Surgery
https://www.readbyqxmd.com/read/28606742/recurrence-rate-of-the-paine-retinaculotome-carpal-tunnel-release-in-diabetic-and-non-diabetic-patients-at-long-term-follow-up
#10
Pai-Han Wang, Hui-Kuang Huang, Jung-Pan Wang, Yu-An Liu, Yi-Chao Huang, Ming-Chau Chang
BACKGROUND: Carpal tunnel release (CTR) is considered effective in treating carpal tunnel syndrome (CTS), and diabetes is considered to complicate the outcome and recovery. However, the difference in recurrence rate between diabetic and non-diabetic patients after mini-open CTR in the long-term has not yet determined. METHODS: This study enrolled 1251 wrists (1091 patients), with 841 (67%) females and 480 (33%) males at a mean age of 58.5 years at operation. Patients were followed for a mean duration of 10...
June 9, 2017: Journal of the Chinese Medical Association: JCMA
https://www.readbyqxmd.com/read/28594495/ulnar-tunnel-syndrome-radial-tunnel-syndrome-anterior-interosseous-nerve-syndrome-and-pronator-syndrome
#11
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...
February 15, 2017: Instructional Course Lectures
https://www.readbyqxmd.com/read/28594494/carpal-tunnel-syndrome-initial-management-and-the-treatment-of-recalcitrant-patients
#12
Karan Dua, A Lee Osterman, Joshua M Abzug
Carpal tunnel syndrome (CTS) is a focal compressive neuropathy of the median nerve at the level of the wrist. CTS is the most common type of compressive neuropathy that occurs in the upper extremity. Typically, patients with CTS have paresthesia, pain, and numbness in the radial three and one-half digits. Nighttime symptoms are more common earlier in the disease process, with daytime symptoms becoming more frequent as CTS progresses. Electrodiagnostic studies may be performed to confirm a diagnosis of CTS or to obtain a baseline before surgical treatment; however, electrodiagnostic studies may be normal in a subset of patients who have CTS...
February 15, 2017: Instructional Course Lectures
https://www.readbyqxmd.com/read/28590524/work-related-carpal-tunnel-syndrome-what-s-important
#13
EDITORIAL
Gary M Franklin, Zachary Gray
No abstract text is available yet for this article.
June 7, 2017: Muscle & Nerve
https://www.readbyqxmd.com/read/28590289/comparison-of-inching-electrodiagnosis-method-and-ultrasonographic-findings-in-the-determination-of-median-nerve-entrapment-site-in-carpal-tunnel-syndrome
#14
Asma Azadeh, Attiyeh Vasaghi, Reza Jalli, Mohammadreza Emad
OBJECTIVE: The purpose of the study was to evaluate the diagnostic value of both inching method through the electrodiagnostic test and ultrasonographic assay in localizing the site of entrapment in patients with symptoms and signs of carpal tunnel syndrome. DESIGN: Thirty-two hands with confirmed carpal tunnel syndrome through electrodiagnostic test and 30 hands as control group were enrolled. For both groups, sensory and motor latencies by inching technique and cross-sectional area by ultrasonography were measured at the inching points...
June 6, 2017: American Journal of Physical Medicine & Rehabilitation
https://www.readbyqxmd.com/read/28586773/comparison-of-the-clinical-effectiveness-of-ultrasound-guided-corticosteroid-injection-with-and-without-needle-release-of-the-transverse-carpal-ligament-in-carpal-tunnel-syndrome
#15
Xuan-Yan Guo, Mao-Xiang Xiong, Yu Zhao, Fan-Ding He, Xue-Qing Cheng, Yan-Yan Wu, Kai Chen, Man Lu
BACKGROUND: To compare the clinical effectiveness of ultrasound-guided corticosteroid injection with and without needle release of the transverse carpal ligament (TCL) in carpal tunnel syndrome (CTS). METHODS: Between May 2014 and June 2016, 52 patients (56 wrists) with CTS were included in this study. Among these patients, 28 wrists were treated with ultrasound-guided corticosteroid injection plus needle release of the TCL (group A) and 28 wrists were treated with a single ultrasound-guided corticosteroids injection (group B)...
June 7, 2017: European Neurology
https://www.readbyqxmd.com/read/28584314/is-ulnar-nerve-entrapment-at-wrist-frequent-among-patients-with-carpal-tunnel-syndrome-occupationally-exposed-to-monotype-wrist-movements
#16
Magdalena Lewańska, Jolanta Walusiak-Skorupa
OBJECTIVES: Association between carpal tunnel syndrome (CTS) and ulnar nerve entrapment at wrist remains controversial. The aim of the study has been to investigate the prevalence of Guyon's canal syndrome amongst patients diagnosed with the CTS, occupationally exposed to repetitive wrist movements. MATERIAL AND METHODS: The retrospective analysis of 310 patients (268 females, 42 males) representing the mean age of 52±7 years old hospitalized for the suspected occupational CTS was performed...
December 30, 2016: International Journal of Occupational Medicine and Environmental Health
https://www.readbyqxmd.com/read/28582584/systematic-review-hand-activity-and-ultrasound-of-the-median-nerve
#17
R Jaeschke, K Thoirs, G Bain, N Massy-Westropp
Background: Ultrasound is an established method of viewing the median nerve in the carpal tunnel syndrome (CTS). There is some evidence to suggest that immediate changes may occur in the median nerve before and after hand activity. The evidence for the validity and reliability of ultrasound for testing acute changes in the median nerve has not been systematically reviewed to date. Aims: To evaluate the evidence for visible change in ultrasound appearance of the median nerve after hand activity...
June 3, 2017: Occupational Medicine
https://www.readbyqxmd.com/read/28580494/efficacy-of-low-level-laser-therapy-in-carpal-tunnel-syndrome-management-a-systematic-review-and-meta-analysis
#18
Amira Hassan Bekhet, Basma Ragab, Abdelrahman Ibrahim Abushouk, Ahmed Elgebaly, Olfat Ibrahim Ali
We performed this meta-analysis to investigate the efficacy of low-level laser therapy (LLLT), a physiotherapy modality with anti-inflammatory and analgesic effects, in the management of mild-to-moderate carpal tunnel syndrome (CTS). We searched PubMed, Web of Knowledge, Scopus, Cochrane Central, and Virtual Health Library for randomized controlled trials (RCTs) that compared the effects of LLLT with or without splinting versus placebo on functional and electromyographic outcomes in CTS. All outcomes were pooled as mean differences (MD) under the inverse variance or random effects model, using the statistical add-in (MetaXL, version 5...
June 5, 2017: Lasers in Medical Science
https://www.readbyqxmd.com/read/28580055/lipofibromatous-hamartoma-of-the-median-nerve-a-case-report
#19
Haris N Shekhani, Tarek Hanna, Jamlik-Omari Johnson
Lipofibromatous hamartoma is a rare and slow growing benign fibro-fatty tumor. It is characterized by the proliferation of mature adipocytes within the epineurium and the perineurium of the peripheral nerves. In the upper extremity, it most commonly affects the median nerve. Median nerve involvement commonly leads to pain, numbness, paresthesia and carpal tunnel syndrome. This article presents a case of lipofibromatous hamartoma in an 8-year-old child followed by a discussion of the epidemiology, diagnosis, imaging details and treatment options for this condition...
November 2016: Journal of Radiology Case Reports
https://www.readbyqxmd.com/read/28579784/hirayama-disease-monomelic-amyotrophy-clinically-confused-for-carpal-tunnel-syndrome
#20
Halil Ay
Hirayama disease (HD) is a rare motor neuron disorder that involves a single upper extremity. It is clinically characterized by weakness and atrophy of the muscles of the hand and forearm. This article presents a 19-year-old woman who visited the orthopedics outpatient clinic with weakness and atrophy in her right hand and was clinically diagnosed with advanced stage carpal tunnel syndrome and scheduled for surgical intervention; she was later diagnosed with HD by an electrophysiological study. As a result, it has been found that a careful electrophysiological study and neurological examination can be used to diagnose HD...
2017: Neuropsychiatric Disease and Treatment
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