10,443 results match your criteria Carpal Tunnel Syndrome


Does insurance coverage affect use of tests and treatments for working age individuals with carpal tunnel syndrome in the United States? Analysis of the National Ambulatory Medical Care Survey (2005-2014).

Arch Phys Med Rehabil 2019 Apr 16. Epub 2019 Apr 16.

University of Pittsburgh, School of Health and Rehabilitation Science, Department of Physical Therapy.

Objective: Carpal tunnel syndrome (CTS) is frequently seen as a work-related disorder. Few studies have examined the treatment of CTS by insurance coverage, and none have used a large, population-based data set. This study examined the extent to which the use of CTS tests/treatments varied for those on worker's compensation (WCI) versus private insurance and Medicaid, controlling for patient and provider characteristics. Read More

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https://linkinghub.elsevier.com/retrieve/pii/S00039993193024
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http://dx.doi.org/10.1016/j.apmr.2019.03.014DOI Listing
April 2019
1 Read

Diagnostic Accuracy of Ultrasound Parameters in Carpal Tunnel Syndrome: Additional Criteria for Diagnosis.

J Ultrasound Med 2019 Apr 17. Epub 2019 Apr 17.

Department of Physiotherapy, Stellenbosch University, Cape Town, South Africa.

Objectives: To determine the diagnostic capacity of ultrasound (US) in detecting carpal tunnel syndrome (CTS).

Methods: Volunteer adults with and without CTS symptoms were recruited from offices in metropolitan Manila, where employees' work was hand/wrist intensive. Carpal tunnel syndrome was independently diagnosed by a reference standard (positive findings on a physical examination and nerve conduction studies). Read More

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http://dx.doi.org/10.1002/jum.15012DOI Listing
April 2019
1 Read

Sonographic morphometry of abductor pollicis brevis: can direct contact yield images comparable with those obtained by the water bath technique?

J Med Ultrason (2001) 2019 Apr 15. Epub 2019 Apr 15.

Department of Orthopedic Surgery, Osaka Medical College, 2-7 Daigakumachi, Takatsuki, 569-8686, Osaka, Japan.

Purpose: This study sought to compare ultrasound-guided measurements of the abductor pollicis brevis (APB) using the water bath technique (WBT) and the direct contact method (DM) and investigate whether the DM can reproduce the measurements that would be obtained with a non-contact method, such as the WBT.

Methods: The APB muscles of 80 hands (40 healthy adults) were measured. The WBT was performed in a plastic container filled with water. Read More

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http://dx.doi.org/10.1007/s10396-019-00945-3DOI Listing
April 2019
1 Read

A Controlled Trial Evaluating the Safety and Effectiveness of Ultrasound-Guided Looped Thread Carpal Tunnel Release.

Hand (N Y) 2019 Apr 15:1558944719842199. Epub 2019 Apr 15.

1 Central Alberta Pain & Rehabilitation Institute, Lacombe, Canada.

Background: Open carpal tunnel release typically requires several weeks of recovery. A less invasive, ultrasound-guided percutaneous technique of releasing the transverse carpal ligament using a thread (thread carpal tunnel release [TCTR]) has been described. To date, its clinical effectiveness and safety have been evaluated exclusively by the group that developed the technique, using a single outcome measure without a control comparison. Read More

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http://dx.doi.org/10.1177/1558944719842199DOI Listing
April 2019
1 Read

Management of Recalcitrant Carpal Tunnel Syndrome.

J Am Acad Orthop Surg 2019 Apr 9. Epub 2019 Apr 9.

From the Department of Orthopaedic Surgery (Dr. Lauder, Dr. Mithani, and Dr. Leversedge), and the Department of Surgery (Dr. Mithani and Dr. Leversedge), Division of Plastic Surgery, Duke University Medical Center, Durham, NC.

Recalcitrant carpal tunnel syndrome presents a clinical challenge. Potential etiologies of persistent or recurrent symptoms after primary carpal tunnel release include incomplete nerve decompression, secondary sites of nerve compression, unrecognized anatomic variations, irreversible nerve pathology associated with chronic compression neuropathy, perineural adhesions, conditions associated with secondary nerve compression, iatrogenic nerve injury, or inaccurate preoperative diagnosis. Understanding the pertinent surgical anatomy and pathophysiology is essential toward developing an effective diagnostic and treatment strategy. Read More

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http://dx.doi.org/10.5435/JAAOS-D-18-00004DOI Listing
April 2019
1 Read

The Effects of Nerve and Tendon Gliding Exercises Combined with Low-level Laser or Ultrasound Therapy in Carpal Tunnel Syndrome.

Indian J Orthop 2019 Mar-Apr;53(2):347-352

Department of Traumatology, Orthopaedics and Hand Surgery, Poznan University of Medical Sciences, Poznań, Poland.

Background: Carpal tunnel syndrome (CTS) is a common medical condition that doctors and physiotherapists come across in clinical practice. There are no explicit recommendations concerning which physical therapy methods should be applied in its treatment; however, there have also been no studies on the effects of combining low-level laser therapy (LLLT) or ultrasound with nerve and tendon gliding exercises. The purpose of this study was to evaluate the therapeutic efficacy of ultrasound and LLLT combined with gliding exercises. Read More

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http://dx.doi.org/10.4103/ortho.IJOrtho_45_17DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6415562PMC
April 2019
4 Reads

Sonographic follow-up after endoscopic carpal tunnel release for severe carpal tunnel syndrome: a one-year neuroanatomical prospective observational study.

BMC Musculoskelet Disord 2019 Apr 9;20(1):157. Epub 2019 Apr 9.

The First Department of Orthopaedics, The Second Affiliated Hospital of Xi'an Jiaotong University, Xi'an Shaanxi, 710004, People's Republic of China.

Background: Endoscopic carpal tunnel release (ECTR) has been gradually adopted for the treatment of severe carpal tunnel syndrome (CTS). However, perioperative assessment of neuroanatomical parameters of median nerve, which are important determinant of median nerve recovery, has rarely been reported. This one-year prospective study aimed to investigate the natural history of the neuroanatomical morphology of the median nerve after ECTR in severe CTS patients by high-frequency ultrasonography and assess the ability of neuroanatomical measures to quantify morphological recovery of the median nerve after ECTR. Read More

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http://dx.doi.org/10.1186/s12891-019-2548-6DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6456940PMC
April 2019
2 Reads

Timing of Extracorporeal Shock Wave Therapy in Rabbits with Carpal Tunnel Syndrome.

J Tissue Eng Regen Med 2019 Apr 9. Epub 2019 Apr 9.

Department and Research Institute of Rehabilitation Medicine, Yonsei University College of Medicine, Seoul, South Korea.

The purpose of this study is to evaluate the effect of extracorporeal shock wave therapy (ESWT) according to treatment timing in rabbits with 10% dextrose-induced carpal tunnel syndrome (CTS). 0.1-mL 10% dextrose solution was injected under ultrasound guidance twice weekly to the left forepaw subsynovial connective tissue (SSCT) within the carpal tunnel of 36 New Zealand white rabbits to induce CTS. Read More

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http://dx.doi.org/10.1002/term.2862DOI Listing
April 2019
2 Reads

Median Neuropathy After Blood Draw Mimics Painful Clenched Fist Syndrome in a Child.

Hand (N Y) 2019 Apr 8:1558944719837674. Epub 2019 Apr 8.

1 Washington University School of Medicine, Saint Louis, MO, USA.

Background: Clenched fist syndrome is a rare disorder, often attributed to a conversion disorder without anatomic basis. Here, we review the literature surrounding clenched fist syndrome and challenge the assumption it is always psychiatric in origin, via description of a case of clenched fist syndrome responsive to surgical nerve decompression.

Methods: An unusual case of clenched fist syndrome is reviewed and discussed. Read More

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http://dx.doi.org/10.1177/1558944719837674DOI Listing
April 2019
3 Reads

Practice patterns in the conservative treatment of carpal tunnel syndrome: Survey results from members of the American Society of Hand Therapy.

J Hand Ther 2019 Apr 4. Epub 2019 Apr 4.

Department of Occupational Therapy, School of Health, Related Professions, University of Mississippi Medical Center, Jackson, Mississippi, University of Mississippi Medical Center, Jackson MS, USA.

Study Design: A cross-sectional descriptive design was used.

Introduction: Carpal tunnel syndrome (CTS) is a complex combination of symptoms resulting from compression of the median nerve within the carpal tunnel. A study that compares the conservative interventions identified in the literature with the actual conservative interventions being implemented by therapists for the treatment of CTS is not presently available. Read More

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http://dx.doi.org/10.1016/j.jht.2019.03.003DOI Listing
April 2019
1 Read

Carpal tunnel syndrome and spinal canal stenosis: harbingers of transthyretin amyloid cardiomyopathy?

Clin Res Cardiol 2019 Apr 5. Epub 2019 Apr 5.

Department of Cardiology, Angiology and Respiratory Medicine, Amyloidosis Center, University Hospital Heidelberg, Im Neuenheimer Feld 410, 69120, Heidelberg, Germany.

Background: Carpal tunnel syndrome (CTS) and spinal canal stenosis can be frequently observed in the medical history of patients with transthyretin amyloidosis (ATTR), both in the hereditary (mt-ATTR) and wild-type (wt-ATTR) form. The aim of this retrospective single-center analysis was to determine the prevalence of these findings, delay to diagnosis of systemic amyloidosis and the prognostic value in a large cohort of patients with wt-ATTR and mt-ATTR amyloidosis.

Methods: Medical records of 253 patients diagnosed with wt-ATTR, 136 patients with mt-ATTR and 77 asymptomatic gene carriers were screened for history of CTS and spinal canal stenosis and laboratory analysis, electrocardiography and echocardiographic results, respectively. Read More

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http://dx.doi.org/10.1007/s00392-019-01467-1DOI Listing
April 2019
1 Read

Comparison of Ultrasound-Guided Versus Landmark-Based Corticosteroid Injection for Carpal Tunnel Syndrome: A Prospective Randomized Trial.

J Hand Surg Am 2019 Apr;44(4):304-310

Department of Orthopaedic Surgery, Seoul National University College of Medicine, Seoul National University Hospital, Seoul, South Korea.

Purpose: Although a local corticosteroid injection for carpal tunnel syndrome (CTS) is frequently performed by palpation using anatomical landmarks, ultrasound (US) allows physicians to visualize and confirm placement of the injectate close to the median nerve, possibly improving the efficacy of the injection. The aim of this study was to compare the effectiveness and complications of US-guided steroid injections with landmark-based injections for CTS.

Methods: A total of 102 patients with CTS were randomized into 2 groups: landmark-based injection and US-guided injection. Read More

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http://dx.doi.org/10.1016/j.jhsa.2019.02.007DOI Listing
April 2019
1 Read

Nerve Conduction Studies in Surgical Cubital Tunnel Syndrome Patients.

Hand (N Y) 2019 Apr 4:1558944719840750. Epub 2019 Apr 4.

1 West Virginia University, Morgantown, USA.

Background: Electrodiagnostic studies (EDX) serve a prominent role in the diagnostic workup of cubital tunnel syndrome (CBTS), but their reported sensitivity varies widely. The goals of our study were to determine the sensitivity of EDX in a cohort of patients who responded well to surgical cubital tunnel release (CBTR), and whether the implementation of the Association of Neuromuscular and Electrodiagnostic Medicine (AANEM) criteria improves the sensitivity.

Methods: We identified 118 elbows with clinical CBTS who had preoperative EDX and underwent CBTR. Read More

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http://dx.doi.org/10.1177/1558944719840750DOI Listing
April 2019
3 Reads

Quantitative muscle ultrasound in upper extremity mononeuropathies.

Muscle Nerve 2019 Apr 3. Epub 2019 Apr 3.

Department of Neurology, Beth Israel Deaconess Medical Center, Harvard Medical School, 330 Brookline Avenue, Boston, Massachusetts, USA.

Introduction: We assessed the potential use of quantitative ultrasound (QUS) in the evaluation hand muscles affected by upper extremity mononeuropathies.

Methods: The gray scale levels (GSLs) of abductor pollicis brevis (APB), abductor digiti minimi (ADM), and first dorsal interosseous (FDI) of 30 healthy and 30 upper extremity mononeuropathy patients were measured and compared with standard electrophysiological values.

Results: Mean GSL was elevated in 34 APBs of carpal tunnel syndrome patients and 18 FDIs of ulnar neuropathy patients (e. Read More

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http://dx.doi.org/10.1002/mus.26481DOI Listing
April 2019
3 Reads

Increased Risk of Coronary Artery Disease in People with a Previous Diagnosis of Carpal Tunnel Syndrome: A Nationwide Retrospective Population-Based Case-Control Study.

Biomed Res Int 2019 3;2019:3171925. Epub 2019 Mar 3.

Graduate Institute of Acupuncture Science, China Medical University, Taichung 404, Taiwan.

Background: Existing literature suggests that an association exists between coronary artery disease (CAD) and carpal tunnel syndrome (CTS), but few researchers have explored whether CTS is a risk for CAD.

Materials And Methods: This large case-control study explored the association between CTS and CAD, using health insurance claims data from Taiwan's National Health Insurance Research Database (NHIRD) between January 2000 and December 2013. International Classification of Diseases, Ninth Revision, Clinical Modification (ICD-9-CM) diagnostic codes identified 70,622 patients with CAD (ICD-9-CM codes 410-414; cases); 70,622 patients without CAD were frequency-matched by age, sex, and index year of CAD and served as controls. Read More

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http://dx.doi.org/10.1155/2019/3171925DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6421002PMC
March 2019
3 Reads

Flexor Tenosynovectomy for Recurrent Carpal Tunnel Syndrome: A Retrospective Case Series of 108 Hands.

Hand (N Y) 2019 Apr 2:1558944719840735. Epub 2019 Apr 2.

1 The University of Tennessee College of Medicine, Chattanooga, USA.

Background: The etiology of recurrent carpal tunnel syndrome (CTS) is unclear, and outcomes following secondary surgery in this demographic have been poorer than primary surgery. Fibrosis and hypertrophy have been identified in the flexor tenosynovium in these patients. The authors use flexor tenosynovectomy (FTS) for recurrent CTS after primary carpal tunnel release and present a review of these patients. Read More

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http://dx.doi.org/10.1177/1558944719840735DOI Listing
April 2019
1 Read

Can we accurately predict nerve conduction study outcome using a carpal tunnel syndrome questionnaire?

Surgeon 2019 Mar 29. Epub 2019 Mar 29.

Trauma and Orthopaedic Surgery, NHS Tayside, Ninewells Hospital and Medical School, Dundee, United Kingdom. Electronic address:

NCS are often routinely performed for CTS despite recommendations from the BOA, BSSH and NICE that they are associated with increased costs and prolonged waiting times. This prospective study aimed to assess if the Kamath and Stothard clinical questionnaire could accurately predict nerve conduction study (NCS) results when diagnosing carpal tunnel syndrome (CTS). Eighty-eight patients referred with signs and symptoms of CTS from September 2016 to February 2017 were included. Read More

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http://dx.doi.org/10.1016/j.surge.2019.02.001DOI Listing
March 2019
2 Reads

Work-related neck and upper limb disorders - quantitative exposure-response relationships adjusted for personal characteristics and psychosocial conditions.

BMC Musculoskelet Disord 2019 Apr 1;20(1):139. Epub 2019 Apr 1.

Division of Occupational and Environmental Medicine, Department of Laboratory Medicine, Lund University, Medicon Village, SE-223 81, Lund, Sweden.

Background: We have previously reported quantitative exposure-response relationships between physical exposures recorded by technical methods, and complaints and diagnoses in the neck/shoulders, and the elbows/hands, based on group data. In the present study the number of workers was doubled, and information on individual factors, and psychosocial working conditions was used. Relationships between various kinds of exposure and response have been analysed in this larger and more detailed sample. Read More

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http://dx.doi.org/10.1186/s12891-019-2491-6DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6444852PMC
April 2019
1 Read

Solitary Calcified Nodules as the Cause of Carpal Tunnel Syndrome: Two Case Reports and Literature Reviews.

Front Neurol 2019 15;10:224. Epub 2019 Mar 15.

Department of Orthopaedics, Kaohsiung Veterans General Hospital, Kaohsiung, Taiwan.

Solitary calcified nodule-related carpal tunnel syndrome (CTS) is rare and easy to be misdiagnosed owing to the high incidence of primary CTS. Release of the transverse carpal ligament without removal of the mass leads to persistence of the symptoms and subsequent complications like wasting of the thenar muscles. Here, we report two cases of solitary calcified nodule-related CTS and discuss the role of ultrasound in preventing misdiagnosis. Read More

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http://dx.doi.org/10.3389/fneur.2019.00224DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6428736PMC
March 2019
2 Reads

Effectiveness of surgical versus conservative treatment for carpal tunnel syndrome: A systematic review, meta-analysis and qualitative analysis.

Hong Kong Physiother J 2018 Dec 2;38(2):91-114. Epub 2018 Jul 2.

Department of Hygiene, Epidemiology and Medical Statistics Medical School, National and Kapodistrian University of Athens, Greece.

Background: Carpal tunnel syndrome (CTS) is the most common entrapment neuropathy of the upper limb. Treatment options include physiotherapy, splinting, steroid injections or surgery.

Objective: To compare the effectiveness of surgical versus conservative treatment for CTS for symptom and functional improvement and improvement of neurophysiological parameters. Read More

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http://dx.doi.org/10.1142/S1013702518500087DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6405353PMC
December 2018
2 Reads

Exercises using a touchscreen tablet application improved functional ability more than an exercise program prescribed on paper in people after surgical carpal tunnel release: a randomised trial.

J Physiother 2019 Apr 26;65(2):81-87. Epub 2019 Mar 26.

Andalusian Public Foundation for the Management of Health Research of Seville FISEVI, Seville, Spain.

Question: In people who have undergone surgical carpal tunnel release, do sensorimotor-based exercises performed on the touchscreen of a tablet device improve outcomes more than a conventional home exercise program prescribed on paper?

Design: Randomised, parallel-group trial with concealed allocation, assessor blinding, and intention-to-treat analysis.

Participants: Fifty participants within 10 days of surgical carpal tunnel release.

Intervention: Each participant was prescribed a 4-week home exercise program. Read More

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http://dx.doi.org/10.1016/j.jphys.2019.02.008DOI Listing
April 2019
1 Read

Opioid Versus Nonopioid Analgesia After Carpal Tunnel Release: A Randomized, Prospective Study.

Hand (N Y) 2019 Mar 29:1558944719836211. Epub 2019 Mar 29.

1 Geisinger Medical Center, Danville, PA, USA.

Background: The purpose of this investigation was to compare pain control and patient satisfaction for conventional postoperative opioid analgesia and nonopioid multimodal analgesia after elective open or endoscopic carpal tunnel release (CTR).

Methods: As part of a randomized, prospective study, patients undergoing primary, elective CTR were randomized to receive either postoperative opioids or nonopioid medications as part of a multimodal pain control strategy. Patients currently taking opioids were excluded. Read More

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http://dx.doi.org/10.1177/1558944719836211DOI Listing
March 2019
1 Read

Multistate Comparison of Cost, Trends, and Complications in Open Versus Endoscopic Carpal Tunnel Release.

Hand (N Y) 2019 Mar 29:1558944719837020. Epub 2019 Mar 29.

2 NYU Langone Health, Brooklyn, NY, USA.

Background: Surgical carpal tunnel release is performed by either open carpal tunnel release (OCTR) or endoscopic carpal tunnel release (ECTR). The purpose of this study was to assess differences in intraoperative and postoperative complications, trends, and costs between OCTR and ECTR.

Methods: State Ambulatory Surgery and Services Databases (SASD) files for California, Florida, and New Jersey were queried for patients who underwent OCTR and ECTR between 2000 and 2014. Read More

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http://dx.doi.org/10.1177/1558944719837020DOI Listing
March 2019
1 Read

Motor Nerve Conduction Tests in Carpal Tunnel Syndrome.

Front Neurol 2019 14;10:149. Epub 2019 Mar 14.

Department of Neurology and Clinical Neurophysiology, Canisius Wilhelmina Hospital, Nijmegen, Netherlands.

For the preoperatively often required confirmation of clinically defined carpal tunnel syndrome (CTS), sensory as well as motor nerve conduction studies can be applied. The aim of this study was to test the sensitivity of specific motor nerve conduction tests in comparison with, as well as in addition to, sensory nerve conduction tests. In 162 patients with clinically defined CTS, sensory and motor nerve conduction tests were performed prospectively. Read More

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http://dx.doi.org/10.3389/fneur.2019.00149DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6426775PMC
March 2019
1 Read

MRI analysis of carpal tunnel syndrome in hemodialysis patients versus non-hemodialysis patients: a multicenter case-control study.

J Orthop Surg Res 2019 Mar 28;14(1):91. Epub 2019 Mar 28.

Department of Orthopedic Surgery, Tsuchiya General Hospital, Hiroshima, Japan.

Background: Carpal tunnel syndrome (CTS) is common among patients receiving hemodialysis and deeply influences their daily life. Amyloid deposits are considered the main reason for median nerve compression, but its prevalence is unclear. Therefore, to determine the main region of amyloid deposition inside the carpal tunnel, we measured the cross-sectional area (CSA) of each component of the carpal tunnel in preoperative magnetic resonance imaging (MRI). Read More

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http://dx.doi.org/10.1186/s13018-019-1114-0DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6440162PMC
March 2019
2 Reads

[Carpal tunnel syndrome secondary to a rare anatomical variation of the median nerve].

Pan Afr Med J 2018 20;31:39. Epub 2018 Sep 20.

Traumatologie-Orthopédie Aile 4, CHU Ibn Rochd, Casablanca, Maroc.

Carpal tunnel syndrome is one of the the most common reasons for consultation in hand surgery with an annual incidence of 300 per 100 000 inhabitants and, in France, of 80 000 surgical interventions. In most cases, carpal tunnel syndrome is idiopathic occurring without a recognizable cause. However, beyond these forms, the merging of several mechanisms can explain the cause-and-effect relationship of this pathology . Read More

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http://dx.doi.org/10.11604/pamj.2018.31.39.15526DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6430855PMC
April 2019
1 Read

The Effectiveness of Ultrasound-Guided Steroid Injection Combined with Miniscalpel-Needle Release in the Treatment of Carpal Tunnel Syndrome vs. Steroid Injection Alone: A Randomized Controlled Study.

Biomed Res Int 2019 24;2019:9498656. Epub 2019 Feb 24.

Department of Rehabilitation Medicine, Sun Yat-sen Memorial Hospital, Sun Yat-sen University, Guangzhou, Guangdong Province, China.

Objectives: Carpal tunnel syndrome (CTS) is one of the most common nerve entrapment syndromes, which has a serious impact on patients' work and life. The most effective conservative treatment is steroid injection but its long-term efficacy is still not satisfactory. The aim of this study was to evaluate the effectiveness of steroid injection combined with miniscalpel-needle (MSN) release for treatment of CTS under ultrasound guidance versus steroid injection alone. Read More

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https://www.hindawi.com/journals/bmri/2019/9498656/
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http://dx.doi.org/10.1155/2019/9498656DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6409054PMC
February 2019
7 Reads

Prevalence of carpal tunnel syndrome symptoms among dentists working in Riyadh.

Ann Saudi Med 2019 Mar 7:epub. Epub 2019 Mar 7.

Dr. Faisal Ahmed Alhusain, College of Medicine, King Saud bin Abdulaziz University for Health Sciences,, Al Hars Al Watani Ar Rimayah, Riyadh 14611, Saudi Arabia, T: +966 11 8011111, ORCID: https://orcid.org/0000-0002-8422.5244.

Background: Approximately 3-6% of the general population have carpal tunnel syndrome (CTS). CTS is more prevalent among people with occupations that involve repetitive and forceful maneuvers, such as dentists. It is important to identify risk factors for these symptoms and to understand the impact they may have on clinical practice. Read More

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http://dx.doi.org/10.5144/0256.4947.2019.07.03.1405DOI Listing
March 2019
1 Read

Factors determining the effectiveness of conservative treatment in patients with carpal tunnel syndrome.

Int J Occup Med Environ Health 2019 Apr 19;32(2):197-215. Epub 2019 Mar 19.

University of Rzeszów, Rzeszów, Poland (Faculty of Medicine, Institute of Physiotherapy).

Objectives: The study aims to assess selected factors contributing to the long-term effects of the conservative treatment of carpal tunnel syndrome (CTS).

Material And Methods: Forty-nine individuals diagnosed with CTS were enrolled in the study. The symptoms resulted from occupational hand overuse in 37 patients. Read More

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http://dx.doi.org/10.13075/ijomeh.1896.01320DOI Listing
April 2019
5 Reads

Associations of screen work with neck and upper extremity symptoms: a systematic review with meta-analysis.

Occup Environ Med 2019 Mar 20. Epub 2019 Mar 20.

Department of Public and Occupational Health, Amsterdam UMC, Vrije Universiteit Amsterdam, Amsterdam, The Netherlands.

Objectives: It has often been suggested that screen work (ie, work on desktop, laptop, notebook or tablet computers) is a risk factor for neck and upper extremity symptoms. However, an up-to-date overview and quantification of evidence are lacking. We aimed to systematically review the association of exposure to screen work with neck and upper extremity symptoms from prospective studies. Read More

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http://dx.doi.org/10.1136/oemed-2018-105553DOI Listing
March 2019
1 Read

Examination of the Hand and Wrist.

N Engl J Med 2019 Mar;380(12):e15

From St. Elizabeth's Medical Center, Brighton, MA (C.S.D.); Tufts University School of Medicine (C.S.D.), Beth Israel Deaconess Medical Center (C.C.S.), and Harvard Medical School (C.C.S.) - all in Boston; and St. Mary's Medical Center, San Francisco (W.K.W.).

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http://www.nejm.org/doi/10.1056/NEJMvcm1407111
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http://dx.doi.org/10.1056/NEJMvcm1407111DOI Listing
March 2019
5 Reads

Sleep disturbance and response to surgical decompression in patients with carpal tunnel syndrome: a prospective randomized pilot comparison of open versus endoscopic release.

Acta Biomed 2019 Jan 22;90(1):92-96. Epub 2019 Jan 22.

Philadelphia Hand to Shoulder Center, P.C. Thomas Jefferson University Department of Orthopedic Surgery.

Background: Sleep disturbance is a common complaint of patients with carpal tunnel syndrome (CTS). While carpal tunnel release (CTR) surgery has been shown to relieve subjective sleep-related complaints, data is lacking on the global effect on sleep using validated sleep measures. Additionally, it is not known if open (OCTR) or endoscopic release (ECTR) produce differing degrees of sleep-symptom relief. Read More

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http://dx.doi.org/10.23750/abm.v90i1.6474DOI Listing
January 2019
1 Read

Topical Fisionerv® is effective in treatment of peripheral neuropathic pain.

Acta Biomed 2019 Jan 24;90(1):51-55. Epub 2019 Jan 24.

Dept. of Biomedical Sciences and Human Oncology, School of Medicine, University of Bari, Italy..

Background: Management of neuropathic pain (Neu P) is complex and difficult. Although there are several therapeutic options, treatment with Neu P is often inadequate, which led to undertreated patients. Thus, it would be desirable, for Neu P treatment, further multimechanistics approaches. Read More

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http://dx.doi.org/10.23750/abm.v90i1.6305DOI Listing
January 2019
1 Read

[Relationship of BMI and wrist joint index with carpal tunnel syndrome in manual laborers].

Zhonghua Lao Dong Wei Sheng Zhi Ye Bing Za Zhi 2019 Jan;37(1):30-33

Department of Neurology, Tianjin Third Central Hospital, Tianjin 300170, China; Tianjin Key Laboratory of Artificial Cell, Artificial Cell Engineering Technology Research Center of Public Health Ministry, Tianjin Institute of Hepatobiliary Disease, Tianjin 300170, China.

To evaluate the severity of median nerve damage in patients with carpal tunnel syndrome (CTS) , and to analyze its relationship with body mass index (BMI) and wrist joint index. From May 2016 to January 2017, 23 patients with mild CTS (mild group) and 35 patients with moderate to severe CTS (moderate to severe group) were enrolled in this study. And 22 healthy volunteers matched for sex and age were selected as control group. Read More

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http://dx.doi.org/10.3760/cma.j.issn.1001-9391.2019.01.006DOI Listing
January 2019
9 Reads

Comparison of Local-Only Anesthesia Versus Sedation in Patients Undergoing Staged Bilateral Carpal Tunnel Release: A Randomized Trial.

Hand (N Y) 2019 Mar 17:1558944719836237. Epub 2019 Mar 17.

1 The Ohio State University Wexner Medical Center, Columbus, USA.

Purpose: Carpal tunnel syndrome is a common disease treated operatively. During the operation, the patient may be wide-awake or sedated. The current literature has only compared separate cohorts. Read More

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http://dx.doi.org/10.1177/1558944719836237DOI Listing
March 2019
1 Read

Muscle Fiber Type Changes in Lumbrical Muscles at Early Stages of Chronic Nerve Compression.

Curr Med Sci 2019 Feb 13;39(1):59-66. Epub 2019 Mar 13.

Department of Hand Surgery, Union Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, 430022, China.

Chronic nerve compression (CNC) neuropathy is a common disease in the clinic and provokes paraesthesia, or numbness at early stage. The changes in muscle fiber composition and motor nerve terminal morphology in distal muscles were studied in this study. A well-established CNC model was used to assess the changes in the muscles. Read More

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http://link.springer.com/10.1007/s11596-019-2000-z
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http://dx.doi.org/10.1007/s11596-019-2000-zDOI Listing
February 2019
4 Reads

Assessment of manual dysfunction in occupationally active women with carpal tunnel syndrome.

Int J Occup Med Environ Health 2019 Apr 11;32(2):185-196. Epub 2019 Mar 11.

The Jerzy Kukuczka Academy of Physical Education in Katowice, Katowice, Poland (Department of Kinesitherapy and Special Methods in Physiotherapy).

Objectives: The aim of this study is to evaluate 2-point discrimination sense (2PD), strength and kinesthetic differentiation of strength (KDS), range of motion (ROM) and kinesthetic differentiation of movement (KDM) dysfunctions in occupationally active women with mild and moderate forms of carpal tunnel syndrome (CTS) compared to a healthy group.

Material And Methods: The 2PD sense, muscle strength and KDS, as well as the ROM and KDM of the radiocarpal articulation were assessed.

Results: The results of the 2PD sense assessment showed significantly higher values in all the examined fingers in the CTS women group compared to healthy women (p < 0. Read More

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http://dx.doi.org/10.13075/ijomeh.1896.01263DOI Listing
April 2019
1 Read

A case of herpes zoster infection mimicking carpal tunnel syndrome.

Neurol India 2019 Jan-Feb;67(1):272-273

Department of Neurology, Malkara State Hospital, Tekirdag, Turkey.

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http://dx.doi.org/10.4103/0028-3886.253607DOI Listing

Health-care providers' perspectives on factors influencing return-to-work after surgery for nontraumatic conditions of the upper extremity.

J Hand Ther 2019 Mar 8. Epub 2019 Mar 8.

Physiotherapy, School of Health and Rehabilitation Sciences, The University of Queensland, St Lucia, Australia; RECOVER Injury Research Centre, The University of Queensland, St Lucia, Australia.

Study Design: This study is a descriptive survey.

Introduction: Health care providers (HCPs) are key stakeholders who facilitate workers' return to work (RTW) following upper extremity surgery. Hand therapists play a major role in this process, yet we do not know if and/or how their perspectives differ from other HCPs. Read More

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http://dx.doi.org/10.1016/j.jht.2018.09.011DOI Listing
March 2019
2 Reads
1.810 Impact Factor

Evaluation of occupational therapy-led advanced practice hand therapy clinics for patients on surgical outpatient waiting lists at eight Australian public hospitals.

J Hand Ther 2019 Mar 8. Epub 2019 Mar 8.

Queen Elizabeth II Jubilee Hospital, Metro South Hospital and Health Service, Coopers Plains, Qld 4108, Australia.

Study Design: This is a prospective cohort study.

Introduction: Evidence is emerging that advanced practice hand therapy clinics improve patient outcomes.

Purpose Of The Study: The aim of this study was to evaluate an advanced practice hand therapy model of care for patients with chronic hand conditions on surgical outpatient waiting lists at eight Australian public hospitals. Read More

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http://dx.doi.org/10.1016/j.jht.2019.01.004DOI Listing
March 2019
2 Reads

Ultrasound Evaluation for Incomplete Carpal Tunnel Release.

Hand (N Y) 2019 Mar 12:1558944719832040. Epub 2019 Mar 12.

4 Thomas Jefferson University, Philadelphia, PA, USA.

Background: Ultrasound can provide evaluation of the anatomy of the carpal tunnel in a convenient, noninvasive office setting. This study is intended to determine the accuracy and diagnostic performance of ultrasound, used by surgeons, for the evaluation of completeness of carpal tunnel release (CTR).

Methods: Ten cadaver arms underwent randomized sectioning of 0%, 25%, 50%, 75%, or 100% of the transverse carpal ligament. Read More

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http://dx.doi.org/10.1177/1558944719832040DOI Listing
March 2019
1 Read

Upper extremity disability is associated with pain intensity and grip strength in women with bilateral idiopathic carpal tunnel syndrome.

NeuroRehabilitation 2019 Mar 7. Epub 2019 Mar 7.

Department of Hand Surgery, Graduate School of Medicine, Nagoya University, Nagoya, Japan.

Background: The upper extremity disability in patients with carpal tunnel syndrome (CTS) is related to dysfunction due to the median nerve damage. However, there is no report on which dysfunctions affect the upper extremity disability.

Purpose: This study aimed to investigate which clinical factors influence upper extremity disability in women with CTS. Read More

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http://dx.doi.org/10.3233/NRE-182589DOI Listing
March 2019
1 Read

Spinal Stenosis in Familial Transthyretin Amyloidosis.

J Neuromuscul Dis 2019 Mar 7. Epub 2019 Mar 7.

MRC Centre for Neuromuscular Diseases, UCL Institute of Neurology and National Hospital for Neurology and Neurosurgery, Queen Square, London, UK.

Here we describe a patient with genetically confirmed ATTR, a family history of the disease and histological confirmation following carpal tunnel release surgery but no other manifestations. The first major neurological or systemic manifestation was cauda equina syndrome with ATTR deposits contributing to lumbar spinal stenosis. Recent gene therapy trials showed improvement in the neuropathy in TTR amyloidosis. Read More

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http://dx.doi.org/10.3233/JND-180348DOI Listing
March 2019
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A Comparison of 6 Diagnostic Tests for Carpal Tunnel Syndrome Using Latent Class Analysis.

Hand (N Y) 2019 Mar 10:1558944719833709. Epub 2019 Mar 10.

3 University of Pittsburgh, PA, USA.

Background: Nerve conduction studies (NCS), ultrasonography (US), Carpal Tunnel Syndrome 6 (CTS-6), Wainner, Lo, and Kamath are clinical diagnostic tools that can be used to diagnose carpal tunnel syndrome (CTS). Latent class analysis (LCA) is a proven statistical technique that can be used to evaluate diagnostic tests in a lack of a reference standard. Given that there is no accepted reference standard, we elected to perform an LCA to evaluate the 6 clinical diagnostic tests. Read More

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http://dx.doi.org/10.1177/1558944719833709DOI Listing
March 2019
1 Read

Physiological Nocturnal Hand Swelling: A Prospective Evaluation of Healthy Volunteers.

J Hand Surg Am 2019 Mar 7;44(3):245.e1-245.e5. Epub 2018 Jul 7.

Rothman Institute, Philadelphia, PA.

Purpose: The goal of this study was to quantify the variation in daily volume that is expected in the normal hand. Our hypothesis is that hand swelling occurs overnight.

Methods: Hand volume measurements of 36 healthy volunteers with no hand pathology were taken daily at 8 am, 2 pm, and 8 pm over a 3-day period. Read More

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https://linkinghub.elsevier.com/retrieve/pii/S03635023173173
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http://dx.doi.org/10.1016/j.jhsa.2018.05.032DOI Listing
March 2019
2 Reads

Optimal Ultrasonographic Measurements for Diagnosing Carpal Tunnel Syndrome in Patients With Diabetic Sensorimotor Polyneuropathy: A Case-Control Study.

Ann Rehabil Med 2019 Feb 28;43(1):45-53. Epub 2019 Feb 28.

Department of Physical Medicine and Rehabilitation, Soonchunhyang University Seoul Hospital, Soonchunhyang University College of Medicine, Seoul, Korea.

Objective: To investigate the optimal sonographic method for diagnosing carpal tunnel syndrome (CTS) in patients with diabetic sensorimotor polyneuropathy (DSP).

Methods: A total of 190 participants were divided into four groups based on DSP history and electrodiagnostic results of CTS. The absolute parameters were measured at baseline and the relative values were calculated: maximal cross-sectional area (CSA) of the median nerve throughout the carpal tunnel (Mmax), median nerve CSA at the forearm level (Mf), ulnar nerve CSA at the pisiform level (Upi), difference between Mmax and Mf (∆MM), and difference between Mmax and Upi (∆MU). Read More

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http://dx.doi.org/10.5535/arm.2019.43.1.45DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6409665PMC
February 2019
1 Read

Electrophysiologic severity of carpal tunnel syndrome in diabetic patients of the Saudi population.

Neurosciences (Riyadh) 2019 Jan;24(1):22-28

Department of Neurology, College of Medicine, Imam Abdulrahman Bin Faisal University, Dammam, Kingdom of Saudi Arabia. E-mail:

Objective: To study the frequency of multiple vascular risk factors and electrophysiological severity of carpal tunnel syndrome (CTS) in Saudi diabetic patients.

Methods: This retrospective cross-sectional study was conducted in Neurology Department, King Fahd Hospital of University, Al-Khobar, Kingdom of Saudi Arabia from April 2017 to March 2018 and included 200 patients with CTS. Body parameters, such as blood pressure (BP), weight, height, and body mass index (BMI), along with laboratory and median nerve electrophysiological parameters, of diabetic and non-diabetic patients were compared, and a p-value<0. Read More

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http://dx.doi.org/10.17712/nsj.2019.1.20180217DOI Listing
January 2019
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A genome-wide association analysis identifies 16 novel susceptibility loci for carpal tunnel syndrome.

Nat Commun 2019 03 4;10(1):1030. Epub 2019 Mar 4.

Nuffield Department of Orthopaedics, Rheumatology, and Musculoskeletal Science, University of Oxford, Botnar Research Centre, Windmill Road, Oxford, OX3 7LD, UK.

Carpal tunnel syndrome (CTS) is a common and disabling condition of the hand caused by entrapment of the median nerve at the level of the wrist. It is the commonest entrapment neuropathy, with estimates of prevalence ranging between 5-10%. Here, we undertake a genome-wide association study (GWAS) of an entrapment neuropathy, using 12,312 CTS cases and 389,344 controls identified in UK Biobank. Read More

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http://dx.doi.org/10.1038/s41467-019-08993-6DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6399342PMC
March 2019
3 Reads
10.742 Impact Factor

Comparison between single portal endoscopic and 1-cm open carpal tunnel release.

Hand Surg Rehabil 2019 Mar 2. Epub 2019 Mar 2.

Department of Orthopaedics and Traumatology Surgery, Hospital San Rafael, Barcelona, Spain; Department of Orthopaedics and Traumatology Surgery, Hospital ASEPEYO San Cugat, Barcelona, Spain.

Given the controversy about the best surgical technique for carpal tunnel release, this study tested the hypothesis that no significant differences would be observed between single-portal endoscopic release and a short, 1-cm incision open release in a large sample of patients. Consecutive patients were assigned to one of the two techniques. Preoperative and postoperative measurements included grip and pinch strength, a visual analog scale for pain and a satisfaction questionnaire. Read More

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http://dx.doi.org/10.1016/j.hansur.2019.02.003DOI Listing
March 2019
2 Reads