33,750 results match your criteria Carpal Tunnel Syndrome Imaging


Acupuncture and related interventions for the treatment of symptoms associated with carpal tunnel syndrome.

Cochrane Database Syst Rev 2018 Dec 2;12:CD011215. Epub 2018 Dec 2.

School of Korean Medicine, Pusan National University, Beom-eu, Meulgeum, Yangsan, Korea, South, 626-870.

Background: Carpal tunnel syndrome (CTS) is a compressive neuropathic disorder at the level of the wrist. Acupuncture and other methods that stimulate acupuncture points, such as electroacupuncture, auricular acupuncture, laser acupuncture, moxibustion, and acupressure, are used in treating CTS. Acupuncture has been recommended as a potentially useful treatment for CTS, but its effectiveness remains uncertain. Read More

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December 2018
3 Reads

Capitate and Lunate Morphology in Normal Wrist Radiographs-A Pilot study.

Curr Rheumatol Rev 2018 Dec 5. Epub 2018 Dec 5.

Department of Orthopedic Surgery, SUNY Upstate Medical University, Syracuse, NY. United States.

Morphology may provide the basis for the understanding of wrist mechanics. We used classification systems based on cadaver dissection of lunate and capitate types to evaluate a normal database of 70 wrist radiographs in 35 subjects looking for associations between bone shapes. Kappa statistics and a log-linear mixed -effects model with a random intercept were used. Read More

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December 2018

Does the clinical phenotype of mucolipidosis-IIIγ differ from its αβ counterpart?: supporting facts in a cohort of 18 patients.

Clin Dysmorphol 2019 Jan;28(1):7-16

Greenwood Genetic Center, Greenwood, South Carolina.

Mucolipidosis-IIIγ (ML-IIIγ) is a recessively inherited slowly progressive skeletal dysplasia caused by mutations in GNPTG. We report the genetic and clinical findings in the largest cohort with ML-IIIγ so far: 18 affected individuals from 12 families including 12 patients from India, five from Turkey, and one from the USA. With consanguinity confirmed in eight of 12 families, molecular characterization showed that all affected patients had homozygous pathogenic GNPTG genotypes, underscoring the rarity of the disorder. Read More

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January 2019

FCR Interposition Arthroplasty for Concomitant STT and CMC Arthritis.

Tech Hand Up Extrem Surg 2018 Nov 30. Epub 2018 Nov 30.

Christine M. Kleinert Institute, University of Louisville, Louisville, KY.

Arthritis of scaphotrapeziotrapezoid joint is common and can be seen in association with first carpal metacarpal (CMC) arthritis. Untreated scaphotrapeziotrapezoid arthritis may be a cause of residual pain after CMC arthroplasty. There are various treatment options described in the literature ranging from arthrodesis, resection arthroplasty, interpositional arthroplasty, and implant arthroplasty. Read More

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November 2018

Combined synovectomy and extensor carpi radialis longus transfer to realign and stabilise the rheumatoid wrist.

Orthop Traumatol Surg Res 2018 Nov 29. Epub 2018 Nov 29.

Faculté de médecine de Tours, service d'orthopédie traumatologie, université François-Rabelais de Tours, CHRU de Trousseau, 1C, avenue de la République, 37170 Chambray-les-Tours, France.

Background: In patients with rheumatoid arthritis, the surgical treatment of wrist lesions relies on synovectomy combined with stabilisation and realignment of the carpal bones. The objective of this study was to evaluate the outcomes and define the indications of extensor carpi radialis longus (ECRL) transfer to the extensor carpi ulnaris (ECU) as described by Clayton and Ferlic.

Hypothesis: ECRL-to-ECU transfer combined with synovectomy can prevent the development and/or progression of rheumatoid deformities at the wrist. Read More

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November 2018

Clinical Care Redesign to Improve Value in Carpal Tunnel Syndrome: A Before-and-After Implementation Study.

J Hand Surg Am 2018 Nov 28. Epub 2018 Nov 28.

Department of Orthopedics, VOICES Health Policy Research Center, Stanford University, Redwood City, CA; One Medical, San Francisco, CA.

Purpose: Carpal tunnel surgery is one of the most common procedures completed on the upper limb in the United States. There is currently no evidence-based high-value clinical care pathway to inform the management of carpal tunnel syndrome (CTS). We created an evidence-based care pathway and implemented a quality improvement initiative to evaluate its effect on patient time, quality, and cost in a tertiary care ambulatory surgery center. Read More

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November 2018

A Prospective, Randomized, Double-Blinded Controlled Trial Comparing Ibuprofen and Acetaminophen Versus Hydrocodone and Acetaminophen for Soft Tissue Hand Procedures.

J Hand Surg Am 2018 Nov 27. Epub 2018 Nov 27.

Department of Orthopaedic Surgery, Penn State Hershey Medical Center, Hershey, PA.

Purpose: To compare the efficacy of opioid versus nonopioid analgesic regimens after elective, soft tissue hand surgery. We hypothesized that there would be no difference in patient-perceived pain relief between these 2 groups.

Methods: This prospective, randomized, double-blinded controlled trial included patients undergoing elective soft tissue hand procedures (carpal tunnel release, trigger finger release, first dorsal compartment release, or ganglion cyst excision). Read More

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November 2018

Isolated Partial Intra-Articular Volar Ulnar Fractures of the Distal Radius: The Tetrahedron Variant.

J Hand Surg Am 2018 Nov 27. Epub 2018 Nov 27.

Hand and Elbow Section, Department of Orthopaedic Surgery, Rush University Medical Center, Chicago, IL.

Purpose: The aim of this study was to assess the treatment and complications of a distinct type of partial intra-articular distal radius fracture.

Methods: Seven patients treated by the senior author between 2008 and 2013 for a partial intra-articular distal radius fracture with isolated involvement of the volar lunate facet were included. All fragments had the distinctive shape of a triangular-base pyramid (tetrahedron) extending from the metaphysis distally. Read More

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November 2018

Carpal Tunnel Syndrome: Retrospective Analysis of 60 Consecutive Cases of Ambulatory Surgical Treatment With Local Anesthesia.

Hand (N Y) 2018 Dec 2:1558944718813721. Epub 2018 Dec 2.

3 Centro Universitário Serra dos Órgãos, Teresópolis, Brazil.

Background: The purpose of this study was to evaluate the safety and efficacy of ambulatory open surgical treatment for carpal tunnel syndrome with local anesthesia and without tourniquet ischemia, sedation by an anesthesiologist, or hospitalization.

Methods: A retrospective analysis of 60 consecutive cases performed during 1 year was conducted, excluding other compressive or noncompressive neuropathies. The criteria for treatment efficacy were improvements in symptoms and recurrence rates, and the safety criterion was the presence of complications. Read More

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December 2018

Cost-Effectiveness Evaluation of Manual Physical Therapy Versus Surgery for Carpal Tunnel Syndrome: Evidence From a Randomized Clinical Trial.

J Orthop Sports Phys Ther 2018 Nov 30:1-27. Epub 2018 Nov 30.

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

Study Design: A randomized clinical trial.

Background: Carpal tunnel syndrome (CTS) results in substantial costs for the society and can be treated by either nonsurgical or surgical approaches.

Objective: To evaluate cost-effectiveness differences of manual physical therapy versus surgery in women with CTS. Read More

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November 2018

The Effects of Needling Therapies on Muscle Force Production: A Systematic Review and Meta-Analysis.

J Orthop Sports Phys Ther 2018 Nov 30:1-38. Epub 2018 Nov 30.

Sports Medicine Research Institute, The Ohio State University Wexner Medical Center, Columbus, OH.

Study Design: Systematic review with meta-analysis.

Background: Needling has been shown to decrease pain in the short-term; however, its effects on muscle force production are unclear.

Objective: Evaluate the evidence regarding the comparative effects of needling on muscle force production. Read More

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November 2018

The Critical Portions of Carpal Tunnel Release, Ulnar Nerve Transposition, and Open Reduction and Internal Fixation of the Distal Part of the Radius.

J Bone Joint Surg Am 2018 Dec;100(23):e148

Department of Orthopaedic Surgery (C.J.D. and C.A.G.), Division of Public Health Services, Department of Surgery (C.J.D.), and Division of General Medical Sciences (A.L.A. and J.M.D.), Washington University School of Medicine, St. Louis, Missouri.

Background: Overlapping surgery is attracting increased scrutiny. The American College of Surgeons states that the attending surgeon must be present for all critical portions of a surgical procedure; however, critical portions of surgical procedures are not defined. We hypothesized that a Delphi panel process would measure consensus on critical portions of 3 common hand surgical procedures. Read More

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December 2018
1 Read

Primary cemented bipolar radial head prostheses for acute elbow injuries with comminuted radial head fractures: mid-term results of 37 patients.

Musculoskelet Surg 2018 Dec 4. Epub 2018 Dec 4.

Department of Trauma and Handsurgery, Heinrich Heine University Hospital Duesseldorf, Moorenstr. 5, 40225, Düsseldorf, Germany.

Background: Radial head arthroplasty represents a widely accepted treatment for elbow injuries with non-reconstructible radial head fractures. The aim of this retrospective multicenter study was to assess mid-term results of patients with clearly defined elbow injuries including type III fractures of the radial head according to Mason's classification type III after primary arthroplasty using a cemented bipolar design.

Materials And Methods: In 45 cases a primary cemented bipolar arthroplasty of the radial head was implanted for elbow injuries combined with an acute Mason type III radial head fracture. Read More

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December 2018
2 Reads

The Advantages of Type III Scaphoid Nonunion Advanced Collapse (SNAC) Treatment With Partial Carpal Arthrodesis in the Dominant Hand: Results of 5-year Follow-up.

Med Arch 2018 Oct;72(4):253-256

Department of Orthopedics and Traumatology, Vito Fazzi Hospital, Lecce, Italy.

Introduction: The SNAC wrist (Scaphoid nonunion advanced collapse) is one of the complications following scaphoid fractures treated conservatively and one of the causes of wrist arthritis that the hand surgeon has to face most frequently. In these cases surgical management is usually warranted.

Materials And Methods: In the set time frame of 6 years we treated 15 SNAC wrist cases. Read More

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October 2018

My personal experience with arthroplasties in the hand and wrist over the past four decades.

J Hand Surg Eur Vol 2018 Dec 4:1753193418817172. Epub 2018 Dec 4.

Capio/CFR Hospital, Hellerup, Denmark.

I summarize my changing views and practices of arthroplasty in hand surgery over the past four decades. I recommend simple resection of the trapeziectomy for advanced arthritis of the first carpometacarpal joint, silicone implants for the metacarpophalangeal joints and the proximal interphalangeal joints, and the total wrist arthroplasty for advanced wrist arthritis and collapse. I also outline technical tips of these procedures. Read More

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December 2018

Utility of 'baseline' electrodiagnostic studies for carpal tunnel release.

J Hand Surg Eur Vol 2018 Dec 4:1753193418815546. Epub 2018 Dec 4.

1 Department of Orthopaedic Surgery, Brigham and Women's Hospital, Boston, MA, USA.

The utility of routine preoperative electrodiagnostic studies for carpal tunnel syndrome is controversial. One argument in support of routine preoperative electrodiagnostic study is the acquisition of an objective baseline for comparison in cases of postoperative symptom persistence or recurrence. We identified 1141 patients who underwent carpal tunnel release in 1383 limbs at a tertiary care referral centre from July 2008 to June 2013. Read More

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December 2018
1 Read

Menopausal hormone therapy and the incidence of carpal tunnel syndrome in postmenopausal women: Findings from the Women's Health Initiative.

PLoS One 2018 4;13(12):e0207509. Epub 2018 Dec 4.

Department of Epidemiology, College of Public Health, University of Iowa, Iowa City, Iowa, United States of America.

Importance: Carpal tunnel syndrome (CTS) is a common and debilitating condition that commonly affects postmenopausal women.

Objective: To determine the effect of menopausal hormone therapy (HT) in healthy postmenopausal women on CTS risk.

Design: We conducted a secondary analysis of the Women's Health Initiative's (WHI) HT trials linked to Medicare claims data. Read More

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December 2018
1 Read

Arthropathy-like findings and a carpal tunnel syndrome as the presenting features of Scheie syndrome: Three cases from the same family.

Turk J Pediatr 2018 ;60(3):344-347

Pediatric Rheumatology, Department of Pediatrics, Faculty of Medicine, Erciyes University, Kayseri, Turkey.

Gökay S, Kardaş F, Kendirci M, Sözeri B. Arthropathy-like findings and a carpal tunnel syndrome as the presenting features of Scheie syndrome: Three cases from the same family. Turk J Pediatr 2018; 60: 344-347. Read More

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January 2018
1 Read

Long-term results of vascularized os pisiform transfer for advanced Kienböck disease after follow-up for at least 15 years: A case series.

Medicine (Baltimore) 2018 Nov;97(48):e13229

Department of Orthopedics, West China Hospital, Sichuan University, Chengdu, Sichuan, China.

No surgical procedure perfectly treats advanced Kienböck disease. Although vascularized os pisiform transferring (VOPT) is one of the main therapeutic approaches, reports on long-term follow-up and case series for this technique are scarce.We collected postoperative results in 11 patients with advanced Kienböck disease who underwent VOPT between 1986 and 2001 in our Hospital. Read More

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November 2018

The Association Between Concomitant Ulnar Nerve Compression at the Elbow and Carpal Tunnel Syndrome.

Hand (N Y) 2018 Nov 30:1558944718813669. Epub 2018 Nov 30.

1 NYU Langone Orthopedic Hospital, New York City, USA.

Background: Many patients treated for ulnar nerve compression at the elbow (UNE) are concomitantly treated for carpal tunnel syndrome (CTS). We sought to investigate the association between the conditions.

Methods: The Statewide Planning and Research Cooperative System (SPARCS) database was used to determine the number of patients with UNE concomitantly treated for CTS in New York State from 2003 to 2014. Read More

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November 2018

Pseudogout: An Autoimmune Paraneoplastic Manifestation of Myelodysplastic Syndrome.

Cureus 2018 Sep 27;10(9):e3372. Epub 2018 Sep 27.

Internal Medicine, University at Buffalo / Sisters of Charity Hospital, Buffalo, USA.

Myelodysplastic syndrome (MDS) is often associated with autoimmune paraneoplastic manifestations. Seronegative arthritis is among one of them. Very rarely, pseudogout demonstrated as paraneoplastic autoimmune manifestations of MDS has been adumbrated so far. Read More

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September 2018
2 Reads

Comments on "Utilization of Electrodiagnostic Testing for Carpal Tunnel Syndrome by General Practitioners Prior to Hand Surgery Consultation".

Hand (N Y) 2018 Nov 28:1558944718815253. Epub 2018 Nov 28.

2 Hospital Universitario Puerta de Hierro Majadahonda, Madrid, Spain.

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November 2018

IncobotulinumtoxinA Efficacy and Safety in Adults with Upper-Limb Spasticity Following Stroke: Results from the Open-Label Extension Period of a Phase 3 Study.

Adv Ther 2018 Nov 27. Epub 2018 Nov 27.

University of Nevada at Reno, Reno, NV, USA.

Introduction: The objective of the study was to investigate the efficacy and safety of repeated incobotulinumtoxinA injections for the treatment of upper-limb post-stroke spasticity in adults.

Methods: Adults 18-80 years of age with post-stroke upper-limb spasticity who completed the 12-week randomized, double-blind, placebo-controlled main period (MP) of a phase 3 trial (NCT01392300) were eligible to enrol in the 36-week open-label extension period (OLEX). The OLEX included three treatment cycles at fixed 12-week injection intervals; subjects were injected with 400 U incobotulinumtoxinA into the affected upper limb. Read More

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November 2018
1 Read

A Rare Case of Complex Carpal Injury: Divergent Trapezium-Trapezoid Fracture Dislocation.

J Hand Microsurg 2018 Dec 20;10(3):150-154. Epub 2018 Mar 20.

Department of Orthopaedics, Maulana Azad Medical College, New Delhi, India.

Divergent trapezium-trapezoid fracture dislocation is a rare and complex injury. The authors present an unusual case of dislocation of the trapezium-trapezoid complex with scaphoid fracture. A 25-year-old man suffered a road traffic accident leading to complex carpal injury due to axial and rotation forces (steer wheel injury) on the left wrist. Read More

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December 2018
1 Read

[Treatment of giant cell tumor of distal radius with vascular anastomosis with proximal graft of vascular].

Zhonghua Zhong Liu Za Zhi 2018 Nov;40(11):869-871

Department of Orthopedics, Affiliated Hospital of Inner Mongolia University for The Nationalities, Tongliao 028000, China.

To evaluate the curative effect of proximal fibula graft of vascular anastomosis for giant cell tumor(GCT) of distal radius of bone. 38 patients with distal radius GCT were treated with proximal articular graft of anastomotic vessels. We evaluated the wrist joint function before and after surgery using wrist activity, visual analogue scale(VAS)pain score, grip recovery rate and Cooney scoring system. Read More

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November 2018
3 Reads

[Mode of median nerve irritation under different wrist forcing postures observed by ultrasonography and foot pressure measurement system].

Zhonghua Yi Xue Za Zhi 2018 Nov;98(43):3490-3495

Institute of Digitized Medicine, Wenzhou Medical University, Zhejiang 325035, China.

To analyze the influence of simulation mouse use motion under different wrist forcing postures on median nerve, tendons and ligaments in the carpal tunnel. From June to November in 2017, a total of 49 healthy volunteers [aged from 18 to 27 years, 24 males (48 cases of hands) and 25 females (50 cases of hands)] were selected in the Institute of Digitized Medicine and First Affiliated Hospital of Wenzhou Medical University.Three hand postures of the volunteers were simultaneously and continuously measured by using LOGIQ E9 ultrasonic diagnostic apparatus and Zebris foot pressure distribution measurement system. Read More

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November 2018
1 Read

MSK injury? Make splinting choices based on the evidence.

J Fam Pract 2018 Nov;67(11):678-683

Department of Family Medicine, Uniformed Services University of Health Sciences, Bethesda, MD, USA.

Which devices do-and don't-have evidence to support their use when it comes to injuries like carpal tunnel syndrome, "tennis elbow," or an ankle sprain? Read on. Read More

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November 2018
1 Read

Beyond Human Perception: Sexual Dimorphism in Hand and Wrist Radiographs Is Discernible by a Deep Learning Model.

J Digit Imaging 2018 Nov 26. Epub 2018 Nov 26.

Department of Radiology, Massachusetts General Hospital, 25 New Chardon Street Suite 400B, Boston, MA, 02114, USA.

Despite the well-established impact of sex and sex hormones on bone structure and density, there has been limited description of sexual dimorphism in the hand and wrist in the literature. We developed a deep convolutional neural network (CNN) model to predict sex based on hand radiographs of children and adults aged between 5 and 70 years. Of the 1531 radiographs tested, the algorithm predicted sex correctly in 95. Read More

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November 2018

Revision surgery in carpal tunnel syndrome: a retrospective study comparing the Canaletto® device alone versus a combination of Canaletto and Dynavisc gel.

Hand Surg Rehabil 2018 Nov 21. Epub 2018 Nov 21.

Department of hand surgery, SOS main, CCOM, university hospital of Strasbourg, FMTS, University of Strasbourg, Icube CNRS 7357, 10, avenue Baumann, 67400 Illkirch, France. Electronic address:

The aim of our study was to demonstrate the benefits of combining the Canaletto® implant with carboxymethylcellulose/polyethylene oxide gel in the surgical treatment of carpal tunnel syndrome (CTS) recurrences. Our case series included 39 patients (40 hands, one bilateral case) who underwent revision surgery for recurrent CTS (28 cases) or resistant CTS (12 cases). The mean age of the patients was 56 years. Read More

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November 2018
8 Reads

Radiologic Findings in Polyarticular Amyloid Arthropathy and Myopathy in Multiple Myeloma: A Case Report.

Am J Case Rep 2018 Nov 24;19:1398-1404. Epub 2018 Nov 24.

Department of Diagnostic Radiology, Tan Tock Seng Hospital, Singapore, Singapore.

BACKGROUND Amyloid arthropathy and myopathy are complications of amyloidosis that can be associated with non-specific imaging findings, which may be challenging to interpret. The report is of a case of polyarticular amyloid arthropathy and myopathy in a 56-year-old man with multiple myeloma and includes a description of the radiographic, computed tomography (CT), and magnetic resonance imaging (MRI) findings. CASE REPORT A 56-year-old man with multiple myeloma presented with chronic polyarticular pain and swelling. Read More

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November 2018
5 Reads

Functional and socioprofessional outcome of surgery for Volkmann's contracture.

Orthop Traumatol Surg Res 2018 Nov 20. Epub 2018 Nov 20.

Service orthopédie et traumatologie, boulevard Tanguy Prigent, 29609 Brest, France.

Objectives: Volkmann's ischemic contracture is rare and surgical treatment remains a challenge. The goal of treatment is to obtain permanent recovery of joint range of motion and strength. The goal of this study was to evaluate the functional and socioprofessional outcome of surgical treatment of Volkmann's ischemic contracture. Read More

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November 2018
4 Reads

Wide-Awake Wrist and Small Joints Arthroscopy of the Hand.

Hand Clin 2019 Feb;35(1):85-92

Upper Limb Unit, Wrightington Hospital, Hall Lane, Appley Bridge, Wigan, Lancashire WN6 9EP, UK.

The minimally invasive nature of wrist and small joint arthroscopy renders it particularly suitable for the application of the wide-awake local anesthesia no tourniquet (WALANT) technique. The application of WALANT wrist and small joint arthroscopy has given surgeons the ability to visualize both static and dynamic movements of a joint, to show the pathology and discuss with the patient, and to visualize a patient's repaired structures. This reinforces confidence in surgeons and encourages patients to comply with postoperative rehabilitation. Read More

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February 2019
2 Reads

Wide Awake Hand Surgery Under Local Anesthesia No Tourniquet in South America.

Hand Clin 2019 Feb;35(1):51-58

Departament of Surgery and Orthopedics, Botucatu Medical School, São Paulo State University, UNESP, Av. Professor Mario Rubens Montenegro s/n, Botucatu, São Paulo 18 618-687, Brazil.

The authors report the introduction and development of wide awake hand surgery under local anesthesia no tourniquet (WALANT) in South America, specifically in Brazil, where thousands of cases have already been performed with this technique. This was largely stimulated by Dr Lalonde's first visit to Brazil in 2012. The authors began with smaller procedures such as trigger fingers and carpal tunnels, which were easily implemented. Read More

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February 2019
3 Reads

Ultrasound, Clinical, and Electrophysiological Findings in Persistent Carpal Tunnel Syndrome.

J Neuroimaging 2018 Nov 23. Epub 2018 Nov 23.

Department of Orthopedic Surgery, St. Luke's Hospital, Thessaloniki, Greece.

Background And Purpose: We present the clinical, electrophysiological, and nerve ultrasound findings in cases of persistent carpal tunnel syndrome (PCTS).

Methods: Eighteen PCTS patients underwent evaluation with the Boston Carpal Tunnel Syndrome Questionnaire (BCTSQ), electrophysiology, and nerve ultrasound with a mean of 3.5 months (SD ± 1. Read More

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November 2018
3 Reads

Lateral manus translation for limb-sparing surgery in 18 dogs with distal radial osteosarcoma in dogs.

Vet Surg 2018 Nov 23. Epub 2018 Nov 23.

Department of Veterinary Clinical Medicine, College of Veterinary Medicine, University of Illinois Urbana-Champaign, Urbana, Illinois.

Objective: To describe and report outcomes after lateral translation of the manus for limb-sparing management of distal radial osteosarcoma in dogs.

Study Design: Retrospective case series.

Study Population: Eighteen client-owned dogs. Read More

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November 2018
4 Reads

Improving Hand Function of Severely Impaired Chronic Hemiparetic Stroke Individuals Using Task-Specific Training With the ReIn-Hand System: A Case Series.

Front Neurol 2018 7;9:923. Epub 2018 Nov 7.

Department of Physical Therapy and Human Movement Sciences, Northwestern University, Chicago, IL, United States.

In this study, we explored whether improved hand function is possible in poststroke chronic hemiparetic individuals with severe upper limb motor impairments when they participate in device-aided task-specific practice. Eight participants suffering from chronic stroke (>1-year poststroke, mean: 11.2 years) with severely impaired upper extremity movement (Upper Extremity Subscale of the Fugl-Meyer Motor Assessment (UEFMA) score between 10 and 24) participated in this study. Read More

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November 2018
6 Reads

ARTHROSCOPIC ASSESSMENT OF THE WRIST WITH KIENBÖCK'S DISEASE.

Acta Ortop Bras 2018 ;26(5):286-289

Grupo de Mão e Microcirurgia, Instituto de Ortopedia e Traumatología, Hospital das Clinicas (HC-FMUSP), Faculdade de Medicina, Universidade de São Paulo, São Paulo, SP, Brazil.

Objective: Treatment of Kienböck's disease is challenging and the variability of results, despite the surgical technique, shows that there must be other aspects that can influence outcomes. The objective of this study is determine, through arthroscopic approach, the pattern of impairment of the carpal bones in Lichtman stage III patients.

Method: Wrist arthroscopy was performed in patients with symptoms and evidence of lunate necrosis on x-rays, with signs of 3A and 3B stages. Read More

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January 2018
8 Reads

Sequence of joint tissue inflammation during rheumatoid arthritis development.

Arthritis Res Ther 2018 Nov 21;20(1):260. Epub 2018 Nov 21.

Department of Rheumatology C1-R, Leiden University Medical Centre, PO Box 9600, Leiden, 2300RC, the Netherlands.

Objective: Subclinical joint inflammation in patients with arthralgia is predictive for progression to rheumatoid arthritis (RA). However, the time course of progression for bone marrow edema (osteitis), synovitis, and/or tenosynovitis is unsettled. This longitudinal study assessed the course of magnetic resonance imaging (MRI)-detected subclinical joint inflammation during progression to RA. Read More

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November 2018
6 Reads

Early detection of median nerve compression by Electroneurography can improve outcome in children with Mucopolysaccharidoses.

Orphanet J Rare Dis 2018 Nov 21;13(1):209. Epub 2018 Nov 21.

Department of Pediatric Neurology, CHU Trousseau, APHP, Paris, France.

Background: Carpal tunnel syndrome (CTS) is a common complication of the mucopolysaccharidoses. In severe or attenuated mucopolysaccharidoses patients, clinical symptoms of CTS usually appear at a late stage of median nerve compression. Relying on CTS symptoms is often too late and there is a risk of axonal damage and further irreversible sequelae. Read More

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November 2018
1 Read

Minimal clinically important difference for the Boston Carpal Tunnel Questionnaire: new insights and review of literature.

J Hand Surg Eur Vol 2018 Nov 21:1753193418812616. Epub 2018 Nov 21.

1 Department of Neurology, Canisius Wilhelmina Hospital, Nijmegen, The Netherlands.

No consensus exists about the minimal clinically important difference for the Boston Carpal Tunnel Questionnaire, which hampers its clinical application. This study assessed the minimal clinically important difference of this questionnaire. The Boston Carpal Tunnel Questionnaire was completed by 180 patients, with clinically defined carpal tunnel syndrome, preoperatively and at about 8 months follow-up after carpal tunnel release, together with a six-point scale for perceived improvement. Read More

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November 2018
1 Read

Palmar Capsuloligamentous Plication in Dorsal Capitolunate Instability: Technique and Preliminary Results.

Tech Hand Up Extrem Surg 2018 Nov 19. Epub 2018 Nov 19.

Department of Plastic Surgery, Medical University Graz, Graz, Austria.

Midcarpal instability (MCI) is a form of the carpal instability nondissociative pattern and can be differentiated into dorsal, palmar, or extrinsic MCI. Dorsal MCI can frequently be observed in adolescent or adult patients due to trauma or hyperlaxity of the palmar intrinsic carpal ligaments. Clinical stress tests and cinematography are capable to depict the ligamentous instability centered around the capitolunate area. Read More

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November 2018
4 Reads

Intravenous Regional Anesthesia Using a Forearm Tourniquet: A Safe and Effective Technique for Outpatient Hand Procedures.

Hand (N Y) 2018 Nov 21:1558944718812190. Epub 2018 Nov 21.

1 Department of Orthopaedic Surgery, Penn State Health Milton S. Hershey Medical Center, Hershey, USA.

Background: Bier block provides anesthesia of an entire extremity distal to the tourniquet without necessitating direct injection at the surgical site. This avoids obscuring anatomy with local anesthetic and anesthetizes a wide area, allowing for multiple procedures and incisions. We hypothesize that a low-volume Bier block with forearm tourniquet, rather than a traditional brachial tourniquet, is a safe, well-tolerated, and effective anesthesia technique. Read More

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November 2018
5 Reads

A Prospective, Randomized Trial Comparing Open and Endoscopic Carpal Tunnel Release Within the Same Patient.

Hand (N Y) 2018 Nov 21:1558944718812129. Epub 2018 Nov 21.

2 Pennsylvania State University College of Medicine, Hershey, USA.

Background: Surgical management of carpal tunnel syndrome includes performing an endoscopic (ECTR) or open (OCTR) carpal tunnel release. Several studies have shown less postoperative pain and improvement in grip and pinch strength with the endoscopic technique. The goal of this study was to prospectively examine outcomes, patient satisfaction, and complications after both ECTR and OCTR in the opposite hands of the same patient. Read More

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November 2018
4 Reads

Association between the capitate-triquetrum distance and carpal collapse in static scapholunate instability.

Acta Orthop Belg 2018 Mar;84(1):68-72

Long-standing scapholunate instability frequently leads to progressive deterioration of the adjacent joint cartilages in a consistent repetitive sequence of arthritis. The purpose of this study was to investigate whether the capitate-triquetrum distance is related with the occurrence of carpal collapse in cases of static scapholunate instability. In this retrospective study, 41 patients formed two groups based on the capitate-triquetrum distance; twenty-four with distance of less than 5mm and 17 with distance of 5mm or more. Read More

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A composite 3D printed model of the midcarpal joint.

Anat Sci Int 2018 Nov 19. Epub 2018 Nov 19.

Department of Anatomy, Yong Loo Lin School of Medicine, National University of Singapore, 4 Medical Drive, MD10, Singapore, 117594, Singapore.

Three-dimensional (3D) printing has recently been developed as a resource for teaching human anatomy through the accurate reproduction of anatomical specimens. Using a composite 3D printed model with the incorporation of metal and magnets, we were able to demonstrate and analyse movements at the midcarpal joint during the 'dart thrower's motion', which is an important motion in daily activities involving the use of the hand. The hand component with the distal row of carpal bones was subjected to flexion and extension at the midcarpal joint and observed for simultaneous abduction/adduction. Read More

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November 2018
1 Read

Directional preference of the extremity: a preliminary investigation.

J Man Manip Ther 2018 Dec 13;26(5):272-280. Epub 2018 Aug 13.

Maccio Physical Therapy, Troy, NY, USA.

: Mechanical diagnosis and therapy (MDT) is a specific classification-based musculoskeletal examination and intervention system that uses repeated end range and sustained movement to classify patients into mechanical syndromes. Research has recently demonstrated increased prevalence, reliability, and efficacy of MDT syndromes in varied peripheral musculoskeletal populations. There is currently no research analyzing if predictive variables exist for establishing directional preference in peripheral joints, other than the wrist. Read More

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December 2018

Observational pilot study of patients with carpal tunnel syndrome treated with Nucleo CMP Forte™.

Pain Manag 2018 Nov 19. Epub 2018 Nov 19.

Servicio de Neurología y Neurofisiología, Hospital Universitari de Bellvitge, L'Hospitalet de Llobregat, Barcelona, Spain.

Aim: Carpal tunnel syndrome (CTS) is a very common entrapment neuropathy characterized by pain and paresthesia in the territory of the median nerve. Although this syndrome has a considerable impact on the patient's quality of life, its medical treatment is far from optimal.

Material & Methods: We performed an observational study to evaluate Nucleo CMP Forte in patients with electromyography-confirmed, mild-moderate CTS. Read More

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November 2018
2 Reads

Articular abnormalities that may mimic arthritis.

J Ultrason 2018 ;18(74):212-223

Leeds Teaching Hospitals and Leeds University, Leeds, UK.

There are numerous abnormalities that present with similar signs and symptoms to arthritis. In this article some of these conditions that can masquerade as arthritis are discussed. Synovial osteochondromatosis is an uncommon benign disorder marked by the metaplastic proliferation of multiple cartilaginous nodules in the synovial membrane of the joints, bursae, or tendon sheaths. Read More

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January 2018
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