10,974 results match your criteria Carpal Tunnel Syndrome


The Regenerative Potential of Therapeutic Ultrasound on Neural Tissue: A Pragmatic Review.

Pain Med 2020 May 26. Epub 2020 May 26.

Memorial-Sloan Kettering Cancer Center, New York-Presbyterian Hospital, Weill-Cornell Medicine, New York, New York, USA.

Objectives: Low-intensity ultrasound (LIU)/low-intensity pulsed ultrasound (LIPUS) may influence nerve tissue regeneration and axonal changes in the context of carpal tunnel syndrome (CTS) and in the animal model. The purpose of this pragmatic review is to understand the current knowledge for the effects of low-intensity therapeutic ultrasound in the animal and human model and determine the future directions of this novel field.

Design: Pragmatic review. Read More

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http://dx.doi.org/10.1093/pm/pnaa090DOI Listing

An Incision-less Ultrasound-guided Carpal Tunnel Release Technique.

Tech Hand Up Extrem Surg 2020 Jun 30. Epub 2020 Jun 30.

Physical Medicine and Rehabilitation, Mayo Clinic, Rochester, MN.

Ultrasound guidance in the operative treatment of carpal tunnel syndrome is gaining in popularity as it noninvasively provides the surgeon with a real-time high-resolution overview of anatomic structures. A new incision-less approach to achieve a division of the transverse carpal ligament has been developed that combines ultrasound guidance with cannulated needles and a thread. Conceptually, an abrasive thread is looped percutaneously around the ligament while avoiding injury to neurovascular structures, the palmar aponeurosis, and skin. Read More

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http://dx.doi.org/10.1097/BTH.0000000000000305DOI Listing

Depression Prevalence in Neuropathic Pain and Its Impact on the Quality of Life.

Pain Res Manag 2020 16;2020:7408508. Epub 2020 Jun 16.

Ibn Oumrane Psychiatry Department, Razi University Hospital, Manouba, Tunisia.

Introduction: The management of neuropathic pain remains complex, generally because of the psychiatric comorbidity that is often underdiagnosed. The objectives of our work were to determine the link between depression and the characteristics of NP on the one hand and quality of life on the other hand, in a sample of subjects consulting for neuropathic pain (NP) regardless of etiology.

Methods: We conducted a cross-sectional study involving 61 neuropathic pain consulting patients in whom we assessed five parameters, namely, neuropathic pain based on DN4, pain intensity using EVA, anxiety, and depression according to the HADS and quality of life. Read More

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http://dx.doi.org/10.1155/2020/7408508DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7315316PMC

The Effect of Hamatum Curvature Angle on Carpal Tunnel Volumetry: A Mathematical Simulation Model.

Comput Math Methods Med 2020 10;2020:7582181. Epub 2020 Mar 10.

Independent Researcher, Istanbul, Turkey.

In carpal tunnel volume measurements, the angle of the hamatum curvature is not considered a variable, and its effect on carpal tunnel volume has not been investigated. We hypothesize that a change in the anatomical angle of the hamatum curvature changes the carpal tunnel volume. To prove our hypothesis, we used a mathematical simulation model considering the carpal tunnel as a truncated cone. Read More

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http://dx.doi.org/10.1155/2020/7582181DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7312712PMC

Ultrasound-Guided Corticosteroid Injection in Carpal Tunnel Syndrome: Comparison Between Radial and Ulnar Approaches.

J Pain Res 2020 26;13:1569-1578. Epub 2020 Jun 26.

Neuromusculoskeletal Research Center, Department of Physical Medicine and Rehabilitation, Iran University of Medical Sciences (IUMS), Tehran, Iran.

Purpose: To compare two common approaches for ultrasonography (US)-guided injection.

Patients And Methods: Sixty patients with mild-to-moderate CTS were included in this double-blind randomized controlled trial (RCT). They received a single shot of corticosteroid injection through either the US-guided in-plane approach: radial or ulnar side. Read More

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http://dx.doi.org/10.2147/JPR.S248600DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7326201PMC

Uncommon Causes of Nerve Compression in the Distal Forearm.

Reumatol Clin 2020 Jun 29. Epub 2020 Jun 29.

Rheumatology Department, Unidade Local de Saúde do Alto Minho, Ponte de Lima, Portugal.

Introduction: Nerve compression by anomalous masses located at the wrist and distal forearm is an infrequent condition. They may compress underlying structures in the carpal tunnel region, causing pain and paresthesias, which leads to the wrong diagnosis of carpal tunnel syndrome.

Clinical Cases: We present three cases of patients with symptomatology and clinical tests compatible with compression of the median nerve in the carpal tunnel but whose physical examination showed a soft mass in the distal region of the forearm which was compressing the median nerve, as demonstrated by ultrasound evaluation. Read More

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http://dx.doi.org/10.1016/j.reuma.2020.06.002DOI Listing

Shoulder Double Crush Syndrome: A Retrospective Study of Patients With Concomitant Suprascapular Neuropathy and Cervical Radiculopathy.

Clin Med Insights Arthritis Musculoskelet Disord 2020 22;13:1179544120921854. Epub 2020 Jun 22.

Erlanger Sports and Health Institute, Chattanooga, TN, USA.

Purpose: While the double crush phenomena (compression along two points on a nerve) has been established between median neuropathy and cervical radiculopathy, combined suprascapular neuropathy (SSN) and cervical C5/C6 radiculopathy-so-called shoulder double crush syndrome-has not been well examined. We aim to identify the incidence of shoulder double crush syndrome in patients undergoing arthroscopic suprascapular nerve release for SSN.

Methods: One hundred consecutive patients >18 years of age who were positive for SSN on electromyography and motor nerve conduction studies (EMG/NCS) and underwent a suprascapular nerve release were included. Read More

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http://dx.doi.org/10.1177/1179544120921854DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7309339PMC

Sonoelastic response of median nerve to rehabilitation in carpal tunnel syndrome.

J Ultrason 2020 15;20(81):e90-e94. Epub 2020 Jun 15.

Department of Biophysics, Aydın Adnan Menderes University, Faculty of Medicine , Aydın , Turkey.

To evaluate the sonoelastic response of the median nerve in patients with carpal tunnel syndrome following conservative rehabilitation with splint plus exercise regimens. A total of thirty-five patients diagnosed with mild carpal tunnel syndrome and treated with splint plus exercise therapy; hand resting splint all day for 3 weeks and then only at nights along with nerve gliding exercises in 10 repetitions 3 times a day. The median nerve was evaluated clinically prior to the treatment and at week 6 of therapy using physical examination, electrodiagnostic neurophysiology tests and radiological imaging; Boston Scores, electromyogram, ultrasonography and sonoelastography. Read More

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http://dx.doi.org/10.15557/JoU.2020.0014DOI Listing

Median Nerve Injury in Ultrasound-Guided Hydrodissection and Corticosteroid Injections for Carpal Tunnel Syndrome.

Ultraschall Med 2020 Jun 30. Epub 2020 Jun 30.

Medical Research, Tri-Service General Hospital, National Defense Medical Center, Taipei, Taiwan.

Purpose:  Permanent nerve damage after corticosteroid injection has been suggested when symptoms of median nerve injury (MNI) are irreversible. We assess the outcomes of MNI and their association with ultrasonography (US)-guided hydrodissection and the following corticosteroid injection for symptomatic carpal tunnel syndrome (CTS).

Methods:  US-guided hydrodissection and the following corticosteroid injections were administered to 126 CTS patients. Read More

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http://dx.doi.org/10.1055/a-1140-5717DOI Listing

Carpal Tunnel Syndrome in Military Aviators.

Mil Med 2020 Jun 30. Epub 2020 Jun 30.

Department of Orthopedic Surgery, Tripler Army Medical Center, Honolulu, HI, USA.

Introduction: The incidence of carpal tunnel syndrome (CTS) is increased in occupations exposed to repetitive motion, poor wrist posture, and vibration exposure. While all pilots are exposed to these factors, helicopter pilots are especially exposed to vibration. The study is to identify the incidence and risk factors for CTS in military aviators. Read More

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http://dx.doi.org/10.1093/milmed/usaa077DOI Listing

Relative Motion of the Connective Tissue in Carpal Tunnel Syndrome: The Relation with Disease Severity and Clinical Outcome.

Ultrasound Med Biol 2020 Jun 26. Epub 2020 Jun 26.

Department of Orthopedic Surgery, Mayo Clinic, Rochester, Minnesota, USA. Electronic address:

Excursion of the median nerve and the surrounding subsynovial connective tissue (SSCT) is diminished in patients with carpal tunnel syndrome (CTS). This study sought to determine if SSCT excursion could be utilized to predict surgical outcome. Idiopathic CTS patients were reviewed with ultrasound and electrodiagnostic tests at baseline. Read More

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http://dx.doi.org/10.1016/j.ultrasmedbio.2020.05.017DOI Listing

Understanding central sensitization for advances in management of carpal tunnel syndrome.

F1000Res 2020 15;9. Epub 2020 Jun 15.

Department of Physical Therapy, Occupational Therapy, Rehabilitation and Physical Medicine, Universidad Rey Juan Carlos, Alcorcón, Spain.

Carpal tunnel syndrome is the most common nerve compression disorder of the upper extremity, and it is traditionally considered a peripheral neuropathy associated with a localized compression of the median nerve just at the level of the carpal tunnel. Surgery and physiotherapy are treatment approaches commonly used for this condition; however, conflicting clinical outcomes suggest that carpal tunnel syndrome may be more complex. There is evidence supporting the role of peripheral nociception from the median nerve in carpal tunnel syndrome; however, emerging evidence also suggests a potential role of central sensitization. Read More

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http://dx.doi.org/10.12688/f1000research.22570.1DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7308881PMC

Carpal Tunnel Syndrome Caused by Lipofibromatous Hamartoma of the Median Nerve.

J Korean Neurosurg Soc 2020 Jun 29. Epub 2020 Jun 29.

Department of Orthopaedic Surgery, Bucheon St. Mary's Hospital, College of Medicine, The Catholic University of Korea, Seoul, Korea.

Lipofibromatous hamartoma (LFH) is a rare tumor of the peripheral nerves, which usually involves the median nerve. The authors reported on two rare cases of carpal tunnel syndrome due to LFH of the median nerve. A 49-year-old female patient complained of the mass and symptoms consistent with LFH. Read More

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http://dx.doi.org/10.3340/jkns.2020.0082DOI Listing

Prior Carpal Tunnel Syndrome and Early Concomitant Echocardiographic Findings Among Patients with Cardiac Amyloidosis.

J Card Fail 2020 Jun 24. Epub 2020 Jun 24.

Department of Cardiology, Rabin Medical Center, Petah Tikva, Israel; Sackler Faculty of Medicine, Tel Aviv University, Tel Aviv, Israel.

We aimed to characterize patients with systemic amyloidosis stratified by a prior diagnosis of carpal tunnel syndrome (CTS) and to describe early echocardiographic parameters concomitant with CTS. Patients with suspected amyloidosis during CTS diagnosis were excluded. Our cohort included 108 patients with systemic amyloidosis of which 36% had a prior CTS at a median of 4 (IQR 2. Read More

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http://dx.doi.org/10.1016/j.cardfail.2020.06.009DOI Listing

Litigation in Hand Surgery: A 30-Year Review.

Plast Reconstr Surg 2020 Jun 22. Epub 2020 Jun 22.

University of Michigan, Section of Plastic Surgery, Ann Arbor, MI.

Background: Although hand surgery is generally safe and effective, some patients experience complications or poor outcomes prompting them to seek compensation. This study reviews malpractice claims in hand surgery using a national dataset to assess reasons for litigation and identify predictors of outcome.

Methods: The Westlaw database was queried for cases related to hand surgery and medical malpractice between 1989 and 2018. Read More

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http://dx.doi.org/10.1097/PRS.0000000000007157DOI Listing

Complications associated with volar locking plate fixation for distal radius fractures in 1955 cases: A multicentre retrospective study.

Int Orthop 2020 Jun 26. Epub 2020 Jun 26.

Department of Orthopaedic Surgery, CHA Bundang Medical Center, CHA University School of Medicine, 351 Yatap-dong, Bundang-gu, Seongnam-si, Gyeonggi-do, Republic of Korea.

Purpose: Since volar locking plates (VLPs) have the benefits of more stable fixation and fewer complications, VLP osteosynthesis is now the preferred osteosynthesis method in the operative management of distal radius fractures (DRF). Along with the increases in operative management of VLP, the character and frequency of complications have changed. Thus, this multicentre study aimed to identify the characteristics of patients with DRFs who were treated with VLP fixation, describe the complication types and rates related to the procedure, and compare the results with those found in the literature. Read More

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http://dx.doi.org/10.1007/s00264-020-04673-zDOI Listing

Carpal tunnel syndrome and exposure to work-related biomechanical stressors and chemicals: Findings from the Constances cohort.

PLoS One 2020 25;15(6):e0235051. Epub 2020 Jun 25.

Univ Angers, CHU Angers, Univ Rennes, Inserm, EHESP, Irset (Institut de recherche en santé, environnement et travail) - UMR_S 1085, Angers, France.

Objective: To investigate the effects of co-exposure to biomechanical wrist stressors and chemicals on the risk of CTS in a large cohort of French workers.

Methods: Prospective study using the data collected at baseline and at the first 12 month-follow-up for the 18,018 participants included in the population-based Constances cohort between 2012 and 2015. CTS at follow-up and exposure to biomechanical wrist stressors and chemicals at baseline were assessed using a self-administered questionnaire. Read More

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http://journals.plos.org/plosone/article?id=10.1371/journal.pone.0235051PLOS
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7316232PMC

Neuro-Sjögren: Uncommon or underestimated problem?

Brain Behav 2020 Jun 25:e01665. Epub 2020 Jun 25.

Department of Internal Medicine, Connective Tissue Diseases and Geriatrics, Medical University of Gdansk, Gdansk, Poland.

Objectives: Sjögren's syndrome (SS) is a chronic inflammatory disease with an autoimmune background with possible complications from peripheral (PNS) and central nervous system (CNS). The aim of this study was to assess the prevalence and to describe the phenotype of peripheral neuropathies in patients with SS.

Materials & Methods: We studied fifty patients with primary Sjögren's syndrome for peripheral nervous system involvement. Read More

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http://dx.doi.org/10.1002/brb3.1665DOI Listing

Autonomic nervous system may be affected after carpal tunnel syndrome surgery: A possible mechanism for persistence of symptoms after surgery.

Ideggyogy Sz 2020 05;73(05-06):185-188

University of Health Sciences, Istanbul Physical Medicine and Rehabilitation Training and Research Hospital, Istanbul.

Background And Purpose: After carpal tunnel surgery, some patients report complaints such as edema, pain, and numbness. Purpose - The aim of this study was to evaluate autonomic nervous system function in patients with a history of carpal tunnel surgery using sympathetic skin response (SSR).

Methods: Thirty three patients (55 ±10 years old) with a history of unilateral operation for carpal tunnel syndrome were included in the study. Read More

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http://dx.doi.org/10.18071/isz.73.0185DOI Listing

Upper limb entrapment neuropathies in multiple sclerosis.

Mult Scler J Exp Transl Clin 2020 Apr-Jun;6(2):2055217320930774. Epub 2020 Jun 10.

Statistical Services Unit, University of Sheffield, UK.

Introduction: Entrapment neuropathies of upper limbs such as carpal tunnel and cubital tunnel syndromes are common in the general population. Identification of entrapment neuropathies of upper limbs in patients with multiple sclerosis can be clinically challenging as signs and symptoms could be attributed to multiple sclerosis. People at later stages of multiple sclerosis use mobility aids and wheelchairs. Read More

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http://dx.doi.org/10.1177/2055217320930774DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7288819PMC

Vibration-induced injuries in workers exposed to transient and high frequency vibrations.

J Occup Med Toxicol 2020 17;15:18. Epub 2020 Jun 17.

Department of Occupational and Environmental Medicine, School of Public Health and Community Medicine, Institute of Medicine, Sahlgrenska Academy, University of Gothenburg, Medicinaregatan 16A, Box 414, SE-405 30 Gothenburg, Sweden.

Background: The risk of developing vibration white fingers and neurosensory symptoms increases with the duration and intensity of the exposure. The aim of this study was to investigate the risk of developing vibration white fingers (VWF), neurosensory symptoms and musculoskeletal disorders among workers exposed to transient and high frequency vibrations.

Methods: The study included 38 vibration exposed workers from a loader assembly plant in Sweden (30 males and 8 females). Read More

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http://dx.doi.org/10.1186/s12995-020-00269-wDOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7301979PMC

Additional value of ultrasound in the assessment of carpal tunnel syndrome in rheumatological daily practice. A case of persistent median artery thrombosis.

Joint Bone Spine 2020 May 13. Epub 2020 May 13.

Department of Clinical and Molecular Sciences, Polytechnic University of Marche, Rheumatology Unit, "Carlo Urbani" Hospital, Jesi, Ancona, Italy.

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http://dx.doi.org/10.1016/j.jbspin.2020.04.018DOI Listing

Carpal Tunnel Syndrome Surgery: What You Should Know.

Plast Reconstr Surg Glob Open 2020 Mar 20;8(3):e2692. Epub 2020 Mar 20.

Department of Hand and Wrist Surgery, Rothman Orthopaedic Institute, Thomas Jefferson University, Philadelphia, Pa.

Carpal tunnel release (CTR) surgery continues to evolve. Carpal tunnel syndrome remains a primarily clinical diagnosis, although ultrasound has supplemented electrodiagnostic testing as a confirmatory tool. Magnetic resonance imaging of the carpal tunnel has also showed some promise as an alternative method for the examination of the median nerve. Read More

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http://dx.doi.org/10.1097/GOX.0000000000002692DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7253261PMC

PROFILE OF PATIENTS WITH CARPAL TUNNEL SYNDROME TREATED AT A REFERRAL SERVICE.

Acta Ortop Bras 2020 May-Jun;28(3):117-120

Universidade Federal do Triângulo Mineiro, Uberaba, MG, Brazil.

Objective: To describe the clinical and epidemiological characteristics of people diagnosed with carpal tunnel syndrome (CTS) treated at a hand surgery outpatient clinic of a regional referral service.

Methods: Interview and specific medical examination of 150 people diagnosed with CTS underwent, and statistical analysis of the results obtained.

Results: Women smokers, in the fifth decade of life, married, overweight and educated until the elementary level prevailed in our study. Read More

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http://dx.doi.org/10.1590/1413-785220202803227138DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7269141PMC

PHALEN TEST POSITIVATION TIME AND ITS CORRELATION WITH ELECTRONEUROMYOGRAPHY.

Acta Ortop Bras 2020 May-Jun;28(3):114-116

Universidade Federal do Piauí, Teresina, PI, Brazil.

Objective: To compare the classification of CTS by the Phalen test with electromyography.

Methods: Cross-sectional observational study. Patients at orthopedic outpatient clinic with carpal tunnel syndrome were evaluated by the Phalen test and compared with the result of the electroneuromyography. Read More

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http://dx.doi.org/10.1590/1413-785220202803225744DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7269134PMC

[Carpal tunnel syndrome: correlation between median nerve relative constriction in the carpal tunnel and distal motor latency].

Handchir Mikrochir Plast Chir 2020 Jun 12;52(3):192-195. Epub 2020 Jun 12.

Schwarzwald-Baar Klinikum Villingen-Schwenningen GmbH Plastische, Hand- und Ästhetische Chirurgie.

Purpose: This study analyses the correlation between the constriction in the substance of the median nerve in the carpal tunnel and distal motor latency, gender and age of patients with a carpal tunnel syndrome.

Patients And Methods: In 82 patients (59 women and 23 men with an average age of 66.6 (41-89) years) with an electrophysiologically verified carpal tunnel syndrome undergoing open carpal tunnel release, the diameter of the median nerve was measured at the narrowest point of the nerve at the level of the constriction and the widest point of the nerve proximal to the constriction. Read More

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http://dx.doi.org/10.1055/a-1164-6679DOI Listing

Cross-Sectional Area Reference Values of the Median Nerve at the Palm using Ultrasound.

Muscle Nerve 2020 Jun 12. Epub 2020 Jun 12.

Department of Neurology, Wake Forest School of Medicine, Winston-Salem, NC, USA.

Introduction: The most common neuromuscular ultrasound abnormality in carpal tunnel syndrome is enlargement of the median nerve near the distal wrist crease, but sometimes the median nerve enlarges in the palm, just distal to the transverse carpal ligament. This study was conducted to devise a protocol for measuring the median nerve in the palm and to generate reference values for nerve cross-sectional area at this site.

Methods: A systematic protocol was developed, 30 healthy individuals underwent ultrasound of the median nerve in the palm bilaterally, and cross-sectional area was recorded. Read More

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http://dx.doi.org/10.1002/mus.27001DOI Listing

DeepNerve: A New Convolutional Neural Network for the Localization and Segmentation of the Median Nerve in Ultrasound Image Sequences.

Ultrasound Med Biol 2020 Jun 9. Epub 2020 Jun 9.

Department of Biomedical Engineering, National Cheng Kung University Hospital, Tainan, Taiwan.

Carpal tunnel syndrome commonly occurs in individuals working in occupations that involve use of vibrating manual tools or tasks with highly repetitive and forceful manual exertion. In recent years, carpal tunnel syndrome has been evaluated by ultrasound imaging that monitors median nerve movement. Conventional image analysis methods, such as the active contour model, are typically used to expedite automatic segmentation of the median nerve, but these usually suffer from an arduous manual intervention. Read More

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http://dx.doi.org/10.1016/j.ultrasmedbio.2020.03.017DOI Listing
June 2020
2.214 Impact Factor

[Surgical treatment of carpal tunnel syndrome: open release of the flexor retinaculum and hypothenar fat flap for revision surgery].

Oper Orthop Traumatol 2020 Jun 10;32(3):219-235. Epub 2020 Jun 10.

Handchirurgie, Vulpius Klinik, Vulpiusstr. 29, 74906, Bad Rappenau, Deutschland.

Objective: Decompression of the median nerve by complete release of the flexor retinaculum and the distal antebrachial fascia. In the case of revision surgery providing of a scar-free covering of the median nerve, if necessary.

Indications: Carpal tunnel release is indicated for symptomatic patients with painful paraesthesia or neurological deficits after adequate diagnostic evaluation. Read More

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http://dx.doi.org/10.1007/s00064-020-00662-yDOI Listing

Diagnosis Accuracy of Carpal Tunnel Syndrome in Diabetic Neuropathy.

Medicina (Kaunas) 2020 Jun 5;56(6). Epub 2020 Jun 5.

Centre for Neurological Research and Diagnostic, RoNeuro Institute, 400364 Cluj-Napoca, Romania.

Carpal tunnel syndrome (CTS) is a common pathology, but sometimes the diagnosis is delayed in patients with diabetic neuropathy (DN). The aim of the study is twofold: first, to compare the accuracy of ultrasound (US) with that of electroneurography (ENG) in the diagnosis of CTS associated with DN, using the clinical diagnosis as a reference standard, and second, to investigate the correlation between morphological US parameters and electrodiagnosis (EDX) measurements in patients with CTS and DN. This study included patients with DN. Read More

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http://dx.doi.org/10.3390/medicina56060279DOI Listing

Evaluating the Impact of Patient Social Deprivation on the Level of Symptom Severity at Carpal Tunnel Syndrome Presentation.

Hand (N Y) 2020 Jun 8:1558944720928487. Epub 2020 Jun 8.

University of Rochester Medical Center, NY, USA.

There is a paucity of research examining the impact of social deprivation on the level of symptom severity at presentation, including in common hand conditions like carpal tunnel syndrome. We aimed to determine whether patient deprivation is associated with worse Patient-Reported Outcomes Measurement Information System (PROMIS) Upper Extremity (UE), Physical Function (PF), Pain Interference (PI), and Depression scores. Patients presenting to an academic hand clinic from December 2016 to December 2018 for a new patient visit for carpal tunnel syndrome completed PROMIS UE, PF, PI, and Depression Computer Adaptive Tests. Read More

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http://dx.doi.org/10.1177/1558944720928487DOI Listing

Comparison of two manual therapy techniques in patients with carpal tunnel syndrome: A randomized clinical trial.

Caspian J Intern Med 2020 ;11(2):163-170

Mobility Impairment Research Center, Health Research Institute, Babol University of Medical Sciences, Babol, Iran.

Background: Manual therapy techniques are part of physiotherapy treatment of carpal tunnel syndrome (CTS) which are classified into two groups including nerve mobilization and mechanical interface mobilization. The aim of the study was to find which manual therapy method-technique directed to mechanical interface and nerve mobilization-has superior beneficial effects on clinical and electrophysiological findings in conservative management of patients with CTS.

Methods: Thirty patients with CTS participated into two groups namely: mechanical interface and nerve mobilization in this randomized clinical trial. Read More

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http://dx.doi.org/10.22088/cjim.11.2.163DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7265508PMC
January 2020

The effects of acupressure on the symptoms severity and function status and electrodiagnostic findings in patients with carpal tunnel syndrome.

Complement Ther Med 2020 Jun 5;51:102420. Epub 2020 May 5.

Nursing Care Research Center, Semnan University of Medical Sciences, Semnan, Iran; Department of Nursing, Faculty of Nursing and Midwifery, Semnan University of Medical Sciences, Semnan, Iran. Electronic address:

Objective: This study aimed to evaluate the effects of acupressure on the symptoms severity, function status and electrodiagnostic findings in patients with Carpal tunnel syndrome (CTS).

Design: This double blind, randomized, controlled clinical trial study was conducted on 57 patients with CTS that selected through convenience sampling. The patients were randomly assigned to three groups, including (1) acupressure; (2) placebo acupressure; and (3) control. Read More

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http://dx.doi.org/10.1016/j.ctim.2020.102420DOI Listing

Carpal Tunnel Decompression Surgery Outcome and Effect of Diabetes.

Eur Neurol 2020 Jun 5:1-6. Epub 2020 Jun 5.

Internal medicine department, Neurology division, King Abdulaziz University Hospital and faculty of medicine, King Abdulaziz University, Jeddah, Saudi Arabia.

Objective: The benefits of carpal tunnel decompressive surgery (CTDS) among diabetic patients with carpal tunnel syndrome (CTS) were previously investigated through comparing the outcome before and after CTDS, and in comparison to nondiabetic CTS. We sought to investigate if diabetes mitigates the benefits of CTDS compared to not receiving CTDS.

Methods: In this retrospective study, we compared the risk of reporting any unfavorable outcomes among CTS patients (diabetic and nondiabetic) who underwent CTDS versus no CTDS after controlling for diabetes. Read More

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http://dx.doi.org/10.1159/000507957DOI Listing

Injection versus decompression for carpal tunnel syndrome (INDICATE): feasibility trial.

J Hand Surg Eur Vol 2020 Jun 5:1753193420929249. Epub 2020 Jun 5.

Gloucestershire Royal Hospital, Gloucester, UK.

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http://dx.doi.org/10.1177/1753193420929249DOI Listing

Endoscopic Carpal Tunnel Release: Indications, Technique, and Outcomes.

Orthop Clin North Am 2020 Jul;51(3):361-368

The Hand Center of San Antonio, 21 Spurs Lane # 310, San Antonio, TX 78240, USA. Electronic address:

Carpal tunnel is the most common peripheral compressive neuropathy. Nonoperative management may provide temporary alleviation of symptoms, but in most cases surgical decompression is warranted. There are a multitude of approaches ranging from open release under general anesthesia to wide awake in-office endoscopic carpal tunnel release. Read More

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http://dx.doi.org/10.1016/j.ocl.2020.02.001DOI Listing

Clinical and ultrasonographic screening for carpal tunnel syndrome in hemodialysis patients.

Kidney Res Clin Pract 2020 Jun;39(2):213-220

Mansoura Nephrology & Dialysis Unit (MNDU), Department of Internal Medicine, Faculty of Medicine, Mansoura University, Mansoura, Egypt.

Background: Carpal tunnel syndrome (CTS) is one of the most common complications among hemodialysis (HD) patients. This study aimed to assess the prevalence of CTS in HD patients using clinical and noninvasive ultrasound (US) criteria.

Methods: A cross-sectional, observational study was conducted on 94 HD patients to evaluate CTS manifestations and demographic, clinical, and laboratory data. Read More

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http://dx.doi.org/10.23876/j.krcp.20.011DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7321668PMC

Efficacy and Safety of Pulsed Radiofrequency as a Method of Dorsal Root Ganglia Stimulation in Patients with Neuropathic Pain: A Systematic Review.

Pain Med 2020 Jun 3. Epub 2020 Jun 3.

Centre for Evidence-Based Medicine and Health Care, Catholic University of Croatia, Zagreb, Croatia.

Objective: Pulsed radiofrequency (PRF) is a nonablative pain treatment that uses radiofrequency current in short high-voltage bursts, resulting in interruption of nociceptive afferent pathways. We conducted a systematic review with the aim to create a synthesis of evidence about the efficacy and safety of PRF applied to the dorsal root ganglion (DRG) for the treatment of neuropathic pain.

Methods: We searched MEDLINE, CINAHL, Embase, and PsycINFO through January 8, 2019, as well as ClinicalTrials. Read More

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http://dx.doi.org/10.1093/pm/pnaa141DOI Listing

Electroencephalography During Nociceptive Stimulation in Chronic Pain Patients: A Systematic Review.

Pain Med 2020 Jun 3. Epub 2020 Jun 3.

Department of Rehabilitation Sciences and Physiotherapy, Faculty of Medicine and Health Sciences, Ghent University, Ghent, Belgium.

Background: With its high temporal resolution, electroencephalography (EEG), a technique that records electrical activity of cortical neuronal cells, is a potentially suitable technique to investigate human somatosensory processing. By using EEG, the processing of (nociceptive) stimuli can be investigated, along with the functionality of the nociceptive pathway. Therefore, it can be applied in chronic pain patients to objectify whether changes have occurred in nociceptive processing. Read More

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http://dx.doi.org/10.1093/pm/pnaa131DOI Listing

Inappropriate Preoperative Gabapentinoid Use Among Patients With Carpal Tunnel Syndrome.

J Hand Surg Am 2020 May 30. Epub 2020 May 30.

Section of Plastic Surgery, Department of Surgery, Ann Arbor, MI. Electronic address:

Purpose: Gabapentinoids are commonly prescribed for the treatment of neuropathic pain but are not recommended for the primary treatment of carpal tunnel syndrome (CTS). We sought (1) to investigate the preoperative use of gabapentinoids for the treatment of CTS and (2) to determine whether preoperative exposure is associated with persistent gabapentinoid and opioid use after carpal tunnel release.

Methods: We performed a retrospective cohort study using IBM MarketScan Research Databases (2010-2017) of patients who did not fill a gabapentinoid or opioid prescription within 3 months of a new CTS diagnosis undergoing surgical release. Read More

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http://dx.doi.org/10.1016/j.jhsa.2020.04.011DOI Listing

Muscle belly in the tunnel: an unusual cause of carpal tunnel syndrome in a patient with spinal cord injury.

Spinal Cord Ser Cases 2019 06 3;5(1):54. Epub 2019 Jun 3.

Department of Physical Medicine and Rehabilitation, Marmara University School of Medicine, İstanbul, Turkey.

Introduction: Carpal tunnel syndrome, entrapment of median nerve at the wrist, is one of the most commonly encountered peripheral neuropathies in the upper extremity. It is also common in individuals with spinal cord injury due to repetitive movements during wheelchair use. Although it is well known that prevalence of carpal tunnel syndrome is high in individuals with spinal cord injury, no previous study identified aberrant muscle as the cause. Read More

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http://dx.doi.org/10.1038/s41394-019-0201-0DOI Listing

Lipoma in the pronator quadratus: A case report.

Medicine (Baltimore) 2020 May;99(21):e20248

Hand Surgery, the Second Hospital of Jilin University, No. 218, Lane Ziqiang, Nanguan District, Changchun City, Jilin.

Rationale: Lipomas are common benign tumors, constituting 16% of soft tissue mesenchymal tumors. They usually occur under the skin or in the large muscles of the thigh, shoulder, or upper arm. There are few reported cases of lipomas located in the forearm and hand muscles, accounting for less than 1% of all lipomas. Read More

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http://dx.doi.org/10.1097/MD.0000000000020248DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7249885PMC
May 2020
5.723 Impact Factor

Comparing open conventional carpal tunnel release with mini-incision technique in the treatment of carpal tunnel syndrome: A non-randomized clinical trial.

Ann Med Surg (Lond) 2020 Jul 16;55:119-123. Epub 2020 May 16.

Division of Vascular & Endovascular Surgery, Department of Surgery, Shohada-Tajrish Medical Center, Shahid Beheshti University of Medical Sciences, Tehran, Iran.

Background: Carpal tunnel syndrome (CTS) is the most common nerve entrapment neuropathy which is the result of the compression of the median nerve in the wrist. Currently, there is no consensus about the best treatment option. The purpose of this clinical trial was to compare the clinical outcomes of patients undergoing open CT release with mini-incision CT release. Read More

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http://dx.doi.org/10.1016/j.amsu.2020.05.001DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7251294PMC

[A case of "juvenile" self-healing cutaneous mucinosis in an adult].

Ann Dermatol Venereol 2020 May 25. Epub 2020 May 25.

Service de dermatologie, CHU de Caen, avenue de la Côte-de-Nacre, 14000 Caen, France.

Introduction: Self-healing juvenile cutaneous mucinosis (SHJCM) is a stereotypical disease in children characterized by the acute onset of subcutaneous papules and nodules on the face, dorsum of the hands and peri-articular regions that disappear spontaneously within a few months or years. A few cases have been reported in adults, but these display more heterogeneous clinical and histopathological features. Herein we report a case with a juvenile clinical presentation in an adult woman. Read More

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http://dx.doi.org/10.1016/j.annder.2020.04.007DOI Listing

Ultrasound Findings in Less Frequent Causes of Carpal Tunnel Syndrome.

J Ultrasound Med 2020 May 27. Epub 2020 May 27.

Division of Radiology, Hopitaux Universitaires de Genève, Geneva, Switzerland.

The most common etiology of carpal tunnel syndrome (CTS) is idiopathic. However, secondary causes of CTS should be considered when symptoms are unilateral, or electrodiagnostic studies are discrepant with the clinical presentation. Imaging of the carpal tunnel should be performed when secondary causes of CTS are suspected. Read More

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http://dx.doi.org/10.1002/jum.15349DOI Listing
May 2020
1.532 Impact Factor

Identifying Common Peroneal Neuropathy Before Foot Drop.

Plast Reconstr Surg 2020 May 25. Epub 2020 May 25.

Division of Plastic and Reconstructive Surgery, Department of Surgery, Washington University School of Medicine, St. Louis, Missouri.

Background: Common peroneal neuropathy (CPN) shares the same pathophysiology as carpal tunnel syndrome (CTS). However, management is often delayed due to the traditional misconception of recognizing foot drop as the defining symptom for diagnosis. We believe recognizing CPN before foot drop can relieve pain and help improve quality of life. Read More

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http://dx.doi.org/10.1097/PRS.0000000000007096DOI Listing

National Referral Prioritization tool for first specialist assessment: results of a pilot study in orthopaedic surgery.

ANZ J Surg 2020 May 26. Epub 2020 May 26.

Prioritisation, Electives & National Services, DHB Performance and Support and Infrastructure, Ministry of Health, Wellington, New Zealand.

Background: Most public hospitals are receiving more referrals for first specialist assessment than they have capacity to see. Traditional priority categories are too broad for effective discrimination. In New Zealand (NZ) explicit prioritization is required by legislation and supported by the Medical Council of NZ. Read More

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http://dx.doi.org/10.1111/ans.16002DOI Listing