22,613 results match your criteria Mononeuritis Multiplex

Devastating ischemic dimelic neuropathy after plastic zip tie handcuffs; message for security agencies.

Ann Med Surg (Lond) 2022 Jun 28;78:103819. Epub 2022 May 28.

Bolan Medical College Quetta, Pakistan.

Ischemic monomelic neuropathy (IMN) is an infrequently recognized type of ischemic neuropathy produced by the shunting of blood away from, or the acute non compressive occlusion of, a major proximal limb artery. IMN consists of multiple mononeuropathies with axonal-loss that develop acutely and simultaneously in the distal portion of a limb. Ischemic neuropathies in a single limb are well-known following compression (casts or tourniquet use), proximal vascular procedures like AV fistula formation, thoracic outlet syndrome, trauma, and thromboembolism. Read More

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[Clinical anatomical study on the treatment of tarsal tunnel syndrome with four-point vertical acupotomy].

Zhongguo Gu Shang 2022 Jun;35(6):543-7

Department of Acupuncture, China-Japan Friendship Hospital, Beijing 100029, China.

Objective: To explore safety and accuracy of four-point acupotomy for the treatment of tarsal tunnel syndrome regarding release of ankle tunnel flexor retinaculum to provide an anatomical basis of clinical treatment.

Methods: Twenty-nine adult specimens (15 males and 14 females) fixed with 10% formalin, aged from 47 to 98 years old with an average age of (81.10±11. Read More

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[Case-control study on carpal canal endoscopy and arthroscopy for the treatment of plantar fasciopathy].

Zhongguo Gu Shang 2022 Jun;35(6):538-42

Department of Orthopaedics, People's Hospital of Wuxing District, Huzhou 313000, Zhejiang, China.

Objective: To explore clinical effects of carpal canal endoscopy in treating patients with plantar fasciopathy who failed by conservative treatment.

Methods: From August 2018 to August 2019, 50 patients with plantar fascia were divided into two groups and 25 patients in each group. In carpal canal endoscopy group, included 11 males and 14 females, aged from 39 to 67 years old with an average of(57. Read More

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Anterior interosseous nerve neuropathy in a patient with spinal cord injury: case report and literature review.

Spinal Cord Ser Cases 2022 Jun 22;8(1):61. Epub 2022 Jun 22.

Department of Neurological Surgery, Northwestern University Feinberg School of Medicine, Chicago, IL, USA.

Introduction: Entrapment neuropathies, typically carpal tunnel syndrome and ulnar neuropathy, frequently occur in patients with spinal cord injury (SCI). Upper limb impairments due to entrapment neuropathy can be particularly debilitating in this population. Anterior interosseous nerve (AIN) neuropathy has not been previously described in the SCI population. Read More

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[Neurological complications and consequences of new coronavirus COVID-19 infection in elderly and old patients (literature review).]

Adv Gerontol 2022 ;35(2):231-242

Saint-Petersburg State University, 7-9 Universitetskaya emb., St. Petersburg 199034, Russian Federation, e-mail:

Based on the available publications, the article systematizes information about some forms of lesions of the central nervous system (CNS), their pathogenesis, and clinical manifestations in COVID-19. Risk factors, developmental mechanisms, diagnostic approach, age characteristics of patients with neurological complications of COVID-19 are discussed. The specific mechanisms of the neuroinvasiveness and neurovirulence of the SARS-CoV-2 virus, regardless of the age of patients and the presence of risk factors, lead to systemic damage to the endothelium of small-caliber vessels, generalized thrombovasculitis, and an increased risk of ischemic and hemorrhagic strokes. Read More

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Occupational cold exposure and symptoms of carpal tunnel syndrome - a population-based study.

BMC Musculoskelet Disord 2022 Jun 21;23(1):596. Epub 2022 Jun 21.

Department of Public Health and Clinical Medicine, Section of Sustainable Health, Umeå University, 901 87, Umeå, Sweden.

Background: Cold exposure is an underrecognized occupational hazard that may increase the risk of peripheral nerve entrapment. The aim of this study was to determine if self-reported occupational exposure to contact and ambient cooling was associated with symptoms of carpal tunnel syndrome (CTS).

Methods: In this mainly cross-sectional study, surveys were conducted on a population-based sample of men and women between 18 and 70 years of age, living in northern Sweden. Read More

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Frozen vein wrapping for chronic nerve constriction injury reduces sciatic nerve allodynia in a rat model.

BMC Neurosci 2022 Jun 20;23(1):37. Epub 2022 Jun 20.

Department of Orthopedic Surgery, Graduate School of Medicine, Chiba University, 1-8-1 Inohana, Chuo-ku, Chiba, 260-8677, Japan.

Background: Autologous vein wrapping (VW) is used in the treatment of recurrent chronic constriction neuropathy and traumatic peripheral nerve injury. However, use of autologous veins is limited by the inability to obtain longer veins of sufficient length for larger sites. Frozen allograft tissue has several advantages, including its availability for large grafts, avoidance of donor-site morbidity, and shorter operation time. Read More

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Foot Drop, Hindfoot Varus, and Tibialis Posterior Tendon Transfer in Cerebral Palsy.

Orthop Clin North Am 2022 Jul 27;53(3):311-317. Epub 2022 May 27.

Department of Orthopaedic Surgery, University of California Davis, 4860 Y Street, Suite 3800, Sacramento, CA, USA; Department of Orthopaedic Surgery, Shriners Children's Hospital Northern California, 2425 Stockton Boulevard, Sacramento, CA 95817, USA. Electronic address:

The transfer of the tibialis posterior tendon has been used to correct hindfoot varus and dorsiflexion weakness in cerebral palsy. It is expendable, has a favorable direction for dorsiflexion and eversion posterior to the tibia, and is the source of hindfoot varus in most cases. However, the foot and ankle must be flexible without skeletal deformity. Read More

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Comparison of Two Manual Therapy Programs, including Tendon Gliding Exercises as a Common Adjunct, While Managing the Participants with Chronic Carpal Tunnel Syndrome.

Pain Res Manag 2022 8;2022:1975803. Epub 2022 Jun 8.

Department of Physical Therapy, College of Applied Medical Sciences, Majmaah University, Majmaah, Saudi Arabia.

Background: Carpal tunnel syndrome (CTS) is the symptomatic compression neuropathy of the median nerve at the wrist level that may become a reason for upper limb disability, in the women and men population.

Objective: This study aimed to compare the efficacy of the neurodynamic technique (NT) and carpal bone mobilization technique (CBMT) incorporated with tendon gliding exercises (TGE) as an effect-enhancing adjunct while managing the participants with chronic CTS.

Methods: The study followed a two-arm parallel-group randomized comparative design. Read More

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[Impact of sarcopenia on effectiveness of lumbar decompression surgery in patients with lumbar spinal stenosis].

Zhongguo Xiu Fu Chong Jian Wai Ke Za Zhi 2022 Jun;36(6):745-750

Department of Orthopedics, Peking Union Medical College Hospital, Chinese Academy of Medical Sciences, Beijing, 100730, P. R. China.

Objective: To investigate the impact of sarcopenia on effectiveness of lumbar decompression surgery in patients with lumbar spinal stenosis.

Methods: The clinical data of 50 patients with lumbar spinal stenosis who met the selection criteria between August 2017 and December 2020 were retrospectively analyzed. According to the diagnostic criteria of the European Working Group on Sarcopenia in Older People (EWGSOP), based on the calculation of the skeletal muscle index (SMI) at the L level, SMI<45. Read More

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The effectiveness of slider and tensioner neural mobilization techniques in the management of upper quadrant pain: A systematic review of randomized controlled trials.

J Bodyw Mov Ther 2022 Jul 18;31:102-112. Epub 2022 Mar 18.

Department of Health Sciences, School of Sciences, European University Cyprus, Nicosia, 1516, Cyprus. Electronic address:

Background: Little attention has been given to support the use of slider and tensioner neural mobilization (NM) techniques for upper quadrant pain (UQP). The purpose of this study was to systematically review the effectiveness of these techniques in patients with UQP.

Method: The PubMed, Cochrane Library and EBSCOhost were searched without chronological restriction to identify randomized clinical trials (RCTs) that assessed pain changes following NM in the upper quadrant. Read More

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Comparison of Radial Extracorporeal Shock Wave Therapy and Local Corticosteroid Injection Effectiveness in Patients With Carpal Tunnel Syndrome: A Randomized Controlled Study.

Am J Phys Med Rehabil 2022 Jul 4;101(7):685-692. Epub 2021 Oct 4.

From the Ankara Şereflikoçhisar State Hospital, Ankara, Turkey (HÖD); Kirşehir Ahi Evran University Education and Research Hospital, Kirşehir, Turkey (FT); Ankara City Hospital, Ankara, Turkey (HD); and High Specialization University, Ankara, Turkey (HRE).

Objective: The aim of the study was to compare the effectiveness of radial extracorporeal shock wave therapy and local corticosteroid injection on pain, function, and nerve conduction studies in the treatment of idiopathic carpal tunnel syndrome.

Design: A total of 72 patients who were diagnosed as having carpal tunnel syndrome were included in the study. The radial extracorporeal shock wave therapy group received radial extracorporeal shock wave therapy, the local corticosteroid injection group received local corticosteroid injection, and the control group only used a resting hand splint. Read More

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NSAIDs in sciatica (NIS): study protocol for an investigator-initiated multicentre, randomized placebo-controlled trial of naproxen in patients with sciatica.

Trials 2022 Jun 14;23(1):493. Epub 2022 Jun 14.

Department of Rheumatology, Østfold Hospital Trust, Grålum, Norway.

Background: Nonsteroidal anti-inflammatory drugs (NSAIDs) are widely used to treat sciatica, despite insufficient evidence from placebo-controlled trials. NSAIDs may cause serious side effects; hence, there is a strong need to clarify their potential beneficial effects in patients with sciatica.

Methods: This is a multicentre, randomized, placebo-controlled, parallel-group superiority trial. Read More

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Palmar Creases and Their Implication on Carpal Tunnel Surgery.

Ann Plast Surg 2022 06;88(5 Suppl 5):S495-S497

From the Prisma Health/University of South Carolina School of Medicine, Columbia, SC.

Background: A thorough knowledge of normal and variant anatomy of the wrist and hand is fundamental to avoiding complications during carpal tunnel release. The purpose of this study was to document variations of the surface anatomy of the hand to identify a safe zone in which the initial carpal tunnel incision could be placed. The safe zone was identified as the distance between the radial side of hook of hamate and the ulnar edge of the origin of the motor branch of the median nerve (MBMN). Read More

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Cubital Tunnel Syndrome: Review of Diagnosis and Management.

Handchir Mikrochir Plast Chir 2022 Jun 10;54(3):253-262. Epub 2022 Jun 10.

University of Western Ontario Roth|McFarlane Hand and Upper Limb Center.

Cubital tunnel syndrome is one of the most common upper extremity nerve entrapment conditions. Clinical examination and electrodiagnostic studies assist in the diagnosis. Mild cases can be successfully treated conservatively, aiming to reduce traction and compression on the nerve. Read More

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[Differential therapeutic Approaches in Treatment of Carpal Tunnel Syndrome].

Handchir Mikrochir Plast Chir 2022 Jun 10;54(3):236-243. Epub 2022 Jun 10.

BG Unfallklinik Ludwigshafen Klinik für Hand-, Plastische und Rekonstruktive Chirurgie, Schwerbrandverletztenzentrum, Klinik für Plastische Chirurgie der Universität Heidelberg.

Carpal tunnel syndrome (CTS) is one of the most common compression neuropathies. The therapeutic concept should be tailored to each patient individually, with initial non-surgical treatment being the standard of care for early CTS. Primary surgical intervention should be considered in more advanced diseases stages, in case of concomitant pathologies (including space-occupying lesions, complex regional pain syndrome or diabetic neuropathy), if non-surgical strategies have failed or in pregnancy-related CTS. Read More

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Steroidinjektion bei Karpaltunnelsyndrom: Ergebnisse nach fünf Jahren.

Johann Steurer

Praxis (Bern 1994) 2022 ;111(8):483-484

Universitätsspital Zürich, Zürich, Schweiz.

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Spatiotemporal, kinematic and kinetic assessment of the effects of a foot drop stimulator for home-based rehabilitation of patients with chronic stroke: a randomized clinical trial.

J Neuroeng Rehabil 2022 Jun 7;19(1):56. Epub 2022 Jun 7.

Department of Rehabilitation Medicine, The Seventh Affiliated Hospital, Sun Yat-Sen University, Shenzhen, China.

Background: Gait disability affects the daily lives of patients with stroke in both home and community settings. An abnormal foot-ankle position can cause instability on the supporting surface and negatively affect gait. Our research team explored the ability of a portable peroneal nerve-targeting electrical stimulator to improve gait ability by adjusting the foot-ankle position during walking in patients with chronic stroke undergoing home-based rehabilitation. Read More

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Effects of Fu's subcutaneous needling on mitochondrial structure and function in rats with sciatica.

Mol Pain 2022 Apr;18:17448069221108717

Department of Physical Medicine and Rehabilitation, 38020China Medical University Hospital, Taichung, Taiwan.

To observe the effects of Fu's subcutaneous needling (FSN) and acupuncture treatment on the mitochondrial structure and function of the skeletal muscle tissue of rats with sciatica. Forty Sprague-Dawley rats were divided into control, model, acupuncture, and FSN groups (10 each) according to a random number table. The control group was left untreated. Read More

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Pediatric lumbar disc herniation: a report of two cases and review of the literature.

Eur J Med Res 2022 Jun 3;27(1):82. Epub 2022 Jun 3.

Cervicodynia/Omalgia/Lumbago/Sciatica Department 2, Sichuan Province Orthopedic Hospital, 132 West First Section First Ring Road, Chengdu, 610041, Sichuan, China.

Background: Lumbar disc herniation (LDH) is not a common condition in children. Most reports on pediatric LDH concern the outcomes of surgeries performed in children in whom nonsurgical treatment failed while the outcome of nonsurgical treatment of LDH in children was rarely reported.

Cases Presentation: Case 1: a 10-year-old girl presented with back pain and sciatica in her left leg for over 3 months. Read More

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A systematic review: normative reference values of the median nerve cross-sectional area using ultrasonography in healthy individuals.

Sci Rep 2022 Jun 2;12(1):9217. Epub 2022 Jun 2.

Lee Kong Chian School of Medicine, Nanyang Technological University Singapore, 11 Mandalay Road, 308232, Singapore, Singapore.

Median nerve cross-sectional area (CSA) was used for screening and diagnosis of neuropathy, but few studies have suggested reference range. Hence, this systematic review was performed to evaluate a normative values of median nerve CSA at various landmarks of upper limb based on ultrasonography. PubMed and Web of science were used to search relevant articles from 2000 to 2020. Read More

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Neurosarcoidosis: A Case Report.

Cureus 2022 Apr 26;14(4):e24501. Epub 2022 Apr 26.

Otolaryngology Department, Hospital da Luz Lisboa, Lisbon, PRT.

Sarcoidosis is a multi-organ granulomatous disease of unknown etiology. Neurological involvement in sarcoidosis is uncommon but cranial mononeuropathies, especially involving the VII and VIII cranial nerves, are highly suggestive of neurosarcoidosis. We report the case of a 54-year-old woman who presented with fever, night sweats, weight loss, polyarthralgia, and bilateral hearing loss. Read More

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Mini-open carpal tunnel release: technique, feasibility and clinical outcome compared to the conventional procedure in a long-term follow-up.

Sci Rep 2022 Jun 1;12(1):9122. Epub 2022 Jun 1.

AUVA - Trauma Hospital (UKH) Styria | Graz, Teaching Hospital of the Medical University of Graz, Göstinger Straße 24, 8020, Graz, Austria.

We sought to evaluate the findings of our anatomically landmarks based mini-open procedure (MCTR) through a palmar approach and to compare its outcome and practicability to the conventional method (OCTR). The study consisted of 100 matched patients (n = 50 MCTR, n = 50 OCTR) with a minimum follow-up of three years. The outcome was characterized via the Disabilities of Arm, Shoulder and Hand Score (DASH), Symptom Severity Scale (SSS), Functional Status Scale (FSC), and Visual Analogue Scale (VAS). Read More

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Ma's bamboo-based medicinal moxibustion therapy of low back pain in lumbar disc herniation: study protocol for a randomized controlled trial.

Trials 2022 May 28;23(1):446. Epub 2022 May 28.

Guizhou University of Traditional Chinese Medicine, Guiyang, 550002, China.

Background: Lumbar disc herniation (LDH) is a common and frequently occurring disease in clinics. Low back pain and sciatica are the presenting symptoms of LDH. To some extent, it can be considered that measures with the capability to improve low back pain or sciatica have the potential to treat LDH. Read More

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Adjunctive Procedures for Median Nerve Decompression in Carpal Tunnel Syndrome An Intraoperative Somatosensory Evoked Potential Study.

Bull Hosp Jt Dis (2013) 2022 Jun;80(2):213-217

The objective of this study was to determine the role of ad- junctive surgical procedures on the median nerve for carpal tunnel syndrome as measured by somatosensory evoked potentials (SEPs) on the nerve. Fifty-five median nerves in 47 patients were studied. In each patient, a base-line SEP was recorded in the operating room prior to incision and then intraoperatively following each of three sequential pro- cedures: division of the transverse carpal ligament, an epi- neurolysis of the nerve, and finally, either an epineurotomy or epineurectomy that we refer to as a "limited internal neu- rolysis" since it did not involve any intraneural dissection of fascicles. Read More

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An Approach to Surgery for Cubital Tunnel Syndrome A Pilot Series.

Bull Hosp Jt Dis (2013) 2022 Jun;80(2):209-212

Background: Cubital tunnel syndrome and the resulting loss of hand dexterity and strength may necessitate surgical management. Studies have demonstrated no difference in outcome between surgical techniques. In an attempt to leave more ulnar nerves in situ while providing for stability within the cubital tunnel, we suggest a surgical treatment approach. Read More

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Predictive Factors Associated with the Need for Simultaneous Carpal Tunnel and Ulnar Nerve at the Elbow Releases.

Bull Hosp Jt Dis (2013) 2022 Jun;80(2):200-208

Introduction: Carpal tunnel syndrome and ulnar nerve compression at the elbow (e.g., cubital tunnel syndrome) are the most common upper extremity compressive neuropa- thies treated by hand surgeons. Read More

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A Brief History of Tendon Transfer and, Specifically, the Opposition Tendon Transfer.

Bull Hosp Jt Dis (2013) 2022 Jun;80(2):186-189

The development of tendon transfers is it relatively recent evolution in orthopedic surgery. Drobnik performed the first upper extremity tendon transfer in 1894 for a patient with radial nerve palsy, which marks the beginning of a field that developed rapidly. By 1918, Steindler had performed his now famous "opponensplasty" in which he rerouted the flexor pollicis longus tendon to the radial base of the proximal pha- lanx. Read More

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Evaluation methods of a rat sciatic nerve crush injury model.

J Integr Neurosci 2022 May;21(3):91

Department of Tuina, Yueyang Hospital of Integrated Traditional Chinese and Western Medicine, Shanghai University of Traditional Chinese Medicine, 200437 Shanghai, China.

Background: The rat sciatic nerve crush injury model is one of the most commonly used models to research peripheral nerve injury (PNI), however, the evaluation of the model preparation lacks exact standards. This study aimed to investigate accurately assessment methods for research concerning the rat sciatic nerve crush injury.

Methods: The sciatic nerve crush injury model of was performed using the FST toothless forceps. Read More

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Extracorporeal Shock Wave Therapy Provides Limited Therapeutic Effects on Carpal Tunnel Syndrome: A Systematic Review and Meta-Analysis.

Medicina (Kaunas) 2022 May 19;58(5). Epub 2022 May 19.

Department of General Medicine, Kaohsiung Chang Gung Memorial Hospital, Kaohsiung 83301, Taiwan.

Night wrist splinting has been a conservative treatment for carpal tunnel syndrome. The addition of extracorporeal shock wave therapy provides an alternative treatment. However, strong evidence on the clinical effectiveness of extracorporeal shock wave therapy for carpal tunnel syndrome is still lacking. Read More

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