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Carpal tunnel syndrome

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https://www.readbyqxmd.com/read/28210859/effectiveness-of-peloid-therapy-in-carpal-tunnel-syndrome-a-randomized-controlled-single-blind-study
#1
Burcu Metin Ökmen, Meliha Kasapoğlu Aksoy, Aygül Güneş, Riza Eröksüz, Lale Altan
Carpal tunnel syndrome(CTS) is the most common neuromuscular cause of upper extremity disability. We aimed to investigate the effectiveness of peloid therapy in patients with CTS. This randomized, controlled, single-blind study enrolled 70 patients between the ages of 30 to 65 who had a diagnosis of either mild, mild-to-moderate, or moderate CTS. The patients were randomized into two groups using random number table. In the first group, (Group 1)(n = 35), patients were given splint (every night for 6 weeks) + peloid treatment(five consecutive days a week for 2 weeks) and in the second group, (Group 2)(n = 28), patients received splint treatment(every night for 6 weeks) alone...
February 16, 2017: International Journal of Biometeorology
https://www.readbyqxmd.com/read/28209506/efficacy-of-combined-ultrasound-guided-steroid-injection-and-splinting-in-patients-with-carpal-tunnel-syndrome-a-randomized-controlled-trial
#2
Jia-Chi Wang, Kwong-Kum Liao, Kon-Ping Lin, Chen-Liang Chou, Tsui-Fen Yang, Yu-Fang Huang, Kevin A Wang, Jan-Wei Chiu
OBJECTIVES: To compare the effectiveness of local steroid injection plus splinting to that of local steroid injection alone using clinical and electrophysiological parameters in patients with carpal tunnel syndrome (CTS). Design; Randomized controlled study with 12 weeks of follow-up. SETTING: Tertiary care center. PARTICIPANTS: Volunteer sample of 52 patients diagnosed with CTS Clinical trial registration number: NCT02728693.
February 13, 2017: Archives of Physical Medicine and Rehabilitation
https://www.readbyqxmd.com/read/28209312/is-carpal-tunnel-syndrome-present-in-acute-stroke-patients-an-investigative-study-using-clinical-and-imaging-screening-tools
#3
Chen Lin, Aaron I Loochtan, Brian Dresser, Jianhong Chang, Alfredo E Farjat, Kingshuk Choudhury, Lisa D Hobson-Webb
Carpal tunnel syndrome (CTS) is known to develop post-stroke. Median nerve ultrasound (US) is an inexpensive, effective means of screening. In this prospective feasibility study, we compared the ability of the physical exam, the Boston Carpal Tunnel Questionnaire (BCTQ) and median nerve US to screen for carpal tunnel syndrome (CTS) within 72hours of stroke onset. We enrolled 24 consecutive patients. Using US, 19 (79%, p=0.0386) of the 24 patients screened positive for CTS on the paretic side and 20 (83%, p=0...
February 10, 2017: Journal of Clinical Neuroscience: Official Journal of the Neurosurgical Society of Australasia
https://www.readbyqxmd.com/read/28208901/a-comparative-study-of-neurological-complications-in-chronic-kidney-disease-with-special-reference-to-its-stages-and-haemodialysis-status
#4
S G Shyam Lakshman, P Ravikumar, Giridhari Kar, Dwijen Das, Kallol Bhattacharjee, Prithwiraj Bhattacharjee
INTRODUCTION: Globally, Chronic Kidney Disease (CKD) is a critical and rapidly growing health problem and also a major cause of mortality and morbidity. Neurological complications occur in all levels of the nervous system. Central nervous system complications include cerebrovascular accidents, posterior reversible encephalopathy syndrome, osmotic demyelization syndrome, cerebral infection and sinus vein thrombosis. Peripheral nervous system complications include polyneuropathy, mononeuropathy and carpal tunnel syndrome...
December 2016: Journal of Clinical and Diagnostic Research: JCDR
https://www.readbyqxmd.com/read/28207605/ultrasound-guided-fenestration-of-the-carpal-ligament-using-a-double-needle-approach
#5
Gloria E Hwang, Sanjay Kumbar, Todd Stitik, John S Georgy, Hoss Hanna
Injection techniques for carpal tunnel syndrome have evolved from landmark palpation injection techniques to more accurate ultrasound-guided approaches. Presented is a case report describing a technique serendipitously discovered during a carpal ligament fenestration. The case involved a 66-year-old man with a diagnosis of carpal tunnel syndrome. After a failed attempt at treatment using a wrist splint and activity modification, he was treated by median nerve hydrodissection with 100% temporary pain relief...
February 15, 2017: American Journal of Physical Medicine & Rehabilitation
https://www.readbyqxmd.com/read/28205476/an-experimental-survey-on-the-effect-of-using-the-cts-6-tool-on-the-diagnosis-of-carpal-tunnel-syndrome-by-hand-surgeons
#6
Richard L Hutchison, Alan L Hutchison, Maureen A Hirthler
BACKGROUND: This controlled randomized experiment tested the research hypothesis that providing the CTS-6 quantitative diagnostic information to hand surgeons affects the diagnosis of carpal tunnel syndrome. METHODS: Surgeon members of American Association for Hand Surgery participated in an online survey. Demographic and practice pattern information was collected. Few surgeons routinely use diagnostic questionnaires or algorithms. Each member was given four clinical scenarios...
March 2017: Journal of Hand Surgery Asian-Pacific Volume
https://www.readbyqxmd.com/read/28173726/distally-extended-muscle-belly-of-the-flexor-digitorum-within-the-carpal-tunnel-is-it-a-risk-factor-for-carpal-tunnel-syndrome
#7
Hye Jung Choo, Sun Joo Lee, Young-Mi Park, Dong Wook Kim
Background The distally extended muscle belly of the flexor digitorum (MB-FD) within the carpal tunnel has been suggested as a plausible cause for carpal tunnel syndrome (CTS) based on cadaveric studies. Purpose To evaluate whether MB-FD within the carpal tunnel is a risk factor for CTS by comparing asymptomatic volunteers and patients with CTS. Material and Methods Presence, length, and cross-sectional area of MB-FD within the carpal tunnel were evaluated in 63 wrists of 32 asymptomatic volunteers and 52 wrists of 33 patients with CTS using ultrasonography...
January 1, 2017: Acta Radiologica
https://www.readbyqxmd.com/read/28164057/tubercular-tenosynovitis-of-hand-a-rare-presentation
#8
Aditya Jain, Rajesh Rohilla, Ashish Devgan, Jitendra Wadhwani
INTRODUCTION: Tuberculosis tenosynovitis of the wrist and hand is an unusual condition. It mimics a number of other clinical conditions such as ganglion, De quervan's disease, carpal tunnel syndrome, granulomatous gout, neurofibroma, and haemangioma. CASE REPORT: We present case of 58-year-old male patient with swelling over thenar region of left hand where the initial fine needle aspiration cytology (FNAC) report suggested diagnosis of ganglion/synovial cyst, but the patient did not improve with conservative treatment...
September 2016: Journal of Orthopaedic Case Reports
https://www.readbyqxmd.com/read/28160901/evaluation-of-carpal-arch-widening-and-outcomes-after-carpal-tunnel-release
#9
Yong Eok Kwon, Hyun Sik Gong, Han Sol Shin, Hyung Rae Lee, Ka Hyun Kim, Goo Hyun Baek
PURPOSE: The purpose of this study was to compare the carpal arch widths between baseline and 6 months after open carpal tunnel release, and to determine whether any increase in the carpal arch width was associated with clinical outcomes of surgery. METHODS: We measured carpal arch widths in standardized carpal tunnel radiographs before, and 6 months after, open carpal tunnel release in 76 patients with carpal tunnel syndrome. Clinical outcomes were assessed for grip strength change and perceived disability using the Disabilities of the Arm, Shoulder, and Hand questionnaire at 6-month follow-up...
February 2017: Journal of Hand Surgery
https://www.readbyqxmd.com/read/28158978/morphologic-change-of-nerve-and-symptom-relief-are-similar-after-mini-incision-and-endoscopic-carpal-tunnel-release-a-randomized-trial
#10
Won-Taek Oh, Ho-Jung Kang, Il-Hyun Koh, Jin-Young Jang, Yun-Rak Choi
BACKGROUND: The symptoms in carpal tunnel syndrome (CTS) can be ameliorated by open and endoscopic release of the transverse carpal ligament. It is unknown whether a mini-incision or endoscopic carpal tunnel release more effectively reverses the pathological changes that are observed in the median nerve in patients with CTS and these morphologic changes correlates with the subjective outcomes after carpal tunnel release. We hypothesized that (1) at 24 weeks after surgery, the subjective outcomes of mini-incision release and endoscopic release would not differ in patients with CTS; and (2) the ultrasonographic (US) morphology of the median nerve reverses similarly after mini-incision and endoscopic release; (3) the subjective outcomes correlates with these morphologic changes...
February 3, 2017: BMC Musculoskeletal Disorders
https://www.readbyqxmd.com/read/28158963/the-effectiveness-of-manual-therapy-versus-surgery-on-self-reported-function-cervical-range-of-motion-and-pinch-grip-force-in-carpal-tunnel-syndrome-a-randomized-clinical-trial
#11
César Fernández-de-Las-Peñas, Joshua Cleland, María Palacios-Ceña, Stella Fuensalida-Novo, Juan A Pareja, Cristina Alonso-Blanco
Study Design Randomized parallel-group trial. Background Carpal tunnel syndrome (CTS) is a common pain condition that can be managed surgically or conservatively. Objective To compare the effectiveness of manual therapy versus surgery for improving self-reported function, cervical range of motion, and pinch grip tip in women with CTS. Methods In this randomized clinical trial, 100 women with CTS were randomly allocated to either a manual therapy (n=50) or a surgery (n=50) group. The primary outcome was self-rated hand function, assessed with the Boston Carpal Tunnel Questionnaire (BCTQ)...
February 3, 2017: Journal of Orthopaedic and Sports Physical Therapy
https://www.readbyqxmd.com/read/28154344/importance-of-recognizing-carpal-tunnel-syndrome-for-neurosurgeons-a-review
#12
Masatoshi Yunoki, Takahiro Kanda, Kenta Suzuki, Atsuhito Uneda, Koji Hirashita, Kimihiro Yoshino
Idiopathic carpal tunnel syndrome (CTS) is a common complaint, reflecting entrapment neuropathy of the upper extremity. CTS produces symptoms similar to those of other conditions, such as cervical spondylosis or ischemic or neoplastic intracranial disease. Because of these overlaps, patients with CTS are often referred to a neurosurgeon. Surgical treatment of CTS was started recently in our department. Through this experience, we realized that neurosurgeons should have an increased awareness of this condition so they can knowledgeably assess patients with a differential diagnosis that includes CTS and cervical spinal and cerebral disease...
February 2, 2017: Neurologia Medico-chirurgica
https://www.readbyqxmd.com/read/28128860/assessment-of-small-sensory-fiber-function-across-the-spectrum-of-severity-in-carpal-tunnel-syndrome-patients
#13
Christopher Clarke, Christopher Christensen, Matthew W T Curran, K Ming Chan
INTRODUCTION: In compressive neuropathies, large myelinated nerve fibers are generally thought to be more susceptible. In this study, we investigated small myelinated Aδ and unmyelinated C fiber function in patients with mild, moderate, and severe carpal tunnel syndrome. METHODS: Forty-four healthy controls and 81 carpal tunnel syndrome patients in the mild, moderate, or severe categories were recruited. Small fiber sensation in the affected hand was determined with quantitative sensory testing...
January 27, 2017: Muscle & Nerve
https://www.readbyqxmd.com/read/28120574/relaxin-modulates-the-expression-of-mmps-and-timps-in-fibroblasts-of-patients-with-carpal-tunnel-syndrome
#14
Young Mi Kang, Hwan Mo Lee, Seong Hwan Moon, Ho Kang, Yun Rak Choi
PURPOSE: The aim of this study was to investigate the anti-fibrotic effect of relaxin in subsynovial fibroblasts activated by transforming growth factor beta (TGF-β). MATERIALS AND METHODS: To test the anti-fibrotic effect of an adenovirus-relaxin construct (Ad-RLN) on subsynovial fibroblasts in vitro, cells from subsynovial connective tissue of patients with carpal tunnel syndrome were activated with TGF-β1 and exposed to Ad-RLN (as a therapeutic gene) or adenovirus-lacZ construct (as a marker gene) for four hours...
March 2017: Yonsei Medical Journal
https://www.readbyqxmd.com/read/28119835/quantitative-muscle-ultrasonography-in-carpal-tunnel-syndrome
#15
Hyewon Lee, Sungju Jee, Soo Ho Park, Seung-Chan Ahn, Juneho Im, Min Kyun Sohn
OBJECTIVE: To assess the reliability of quantitative muscle ultrasonography (US) in healthy subjects and to evaluate the correlation between quantitative muscle US findings and electrodiagnostic study results in patients with carpal tunnel syndrome (CTS). The clinical significance of quantitative muscle US in CTS was also assessed. METHODS: Twenty patients with CTS and 20 age-matched healthy volunteers were recruited. All control and CTS subjects underwent a bilateral median and ulnar nerve conduction study (NCS) and quantitative muscle US...
December 2016: Annals of Rehabilitation Medicine
https://www.readbyqxmd.com/read/28119834/relationship-between-electrodiagnosis-and-various-ultrasonographic-findings-for-diagnosis-of-carpal-tunnel-syndrome
#16
Kyoung Moo Lee, Hyo Jong Kim
OBJECTIVE: To investigate the relationship between electrodiagnosis and various ultrasonographic findings of carpal tunnel syndrome (CTS) and propose the ultrasonographic standard that has closest consistency with the electrodiagnosis. METHODS: Ultrasonography was performed on 50 female patients (65 cases) previously diagnosed with CTS and 20 normal female volunteers (40 cases). Ultrasonography parameters were as follows: cross-sectional area (CSA) and flattening ratio (FR) of the median nerve at the levels of hamate bone, pisiform bone, and lunate bone; anteroposterior diameter (AP diameter) of the median nerve in the carpal tunnel; wrist to forearm ratio (WFR) of median nerve area at the distal wrist crease and 12 cm proximal to distal wrist crease; and compression ratio (CR) of the median nerve...
December 2016: Annals of Rehabilitation Medicine
https://www.readbyqxmd.com/read/28116267/a-rare-case-of-glomus-tumor-of-the-thenar-eminence-of-the-hand-misdiagnosed-as-carpal-tunnel-syndrome
#17
Supreeth Nekkanti, Archana Meka, Shashikiran R, Sunila Ravi
INTRODUCTION: Glomus body is an apparatus present in the skin at the arterio-venous junction whose main function is to control the body temperature. Hyperplasia of the glomus body results in an entity called glomus tumor. Masson described this entity first in 1924, as a tumor of the neuromyoarterial body. Due to its symptoms, it is of ten misdiagnosed and wrongly treated which adds burden to the patient. CASE REPORT: We report a rare case of glomus tumor presenting at an unusal site that is the thenar eminence of the palm...
July 2016: Journal of Orthopaedic Case Reports
https://www.readbyqxmd.com/read/28112552/acupuncture-for-the-treatment-of-peripheral-neuropathy-a-systematic-review-and-meta-analysis
#18
Alexandra Dimitrova, Charles Murchison, Barry Oken
OBJECTIVES: Neuropathy and its associated pain pose great therapeutic challenges. While there has been a recent surge in acupuncture use and research, little remains known about its effects on nerve function. This review aims to assess the efficacy of acupuncture in the treatment of neuropathy of various etiologies. METHODS: The Medline, AMED, Cochrane, Scopus, CINAHL, and clintrials.gov databases were systematically searched from inception to July 2015. Randomized controlled trials (RCTs) assessing acupuncture's efficacy for poly- and mononeuropathy were reviewed...
January 23, 2017: Journal of Alternative and Complementary Medicine: Research on Paradigm, Practice, and Policy
https://www.readbyqxmd.com/read/28111730/-evaluating-the-pain-management-methods-of-patients-with-carpal-tunnel-syndrome
#19
Zeynep Kızılcık Özkan, Seher Ünver, Ayşe Başar
OBJECTIVES: This study sought to evaluate pain severity and pain management methods of patients with carpal tunnel syndrome. METHODS: This descriptive study was conducted with patients who were diagnosed with carpal tunnel syndrome (n=99) in the neurology clinic of the university hospital between August 2014 and December 2015. Patient data form, visual analog scale (VAS) and a pain management inventory were used to collect data. RESULTS: Of the total, 64...
October 2016: Aǧrı: Ağrı (Algoloji) Derneği'nin Yayın Organıdır, the Journal of the Turkish Society of Algology
https://www.readbyqxmd.com/read/28107852/efficacy-of-topical-chamomile-oil-for-mild-and-moderate-carpal-tunnel-syndrome-a-randomized-double-blind-placebo-controlled-clinical-trial
#20
Mohammad Hashem Hashempur, Mohammad Sadegh Ghasemi, Babak Daneshfard, Parissa Sadat Ghoreishi, Zeinab Nasiri Lari, Kaynoosh Homayouni, Arman Zargaran
OBJECTIVE: To evaluate the efficacy of topical chamomile oil in patients with mild and moderate carpal tunnel syndrome (CTS). METHOD: Eighty six patients with electrodiagnostic criteria of mild and moderate CTS were enrolled in this randomized double-blind placebo-controlled clinical trial and received wrist splint plus topical chamomile oil or placebo for 4 weeks. They were evaluated at the baseline and end of the study regarding functional and symptomatic scores, dynamometry, and electrodiagnostic indexes...
February 2017: Complementary Therapies in Clinical Practice
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