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Carpal Tunnel - DOAJ

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Last Updated: 10 September 2022

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Trends in Open vs. Endoscopic Carpal Tunnel Release: A Comprehensive Survey in Japan

Using the National Database of Health Insurance Claims and Specific Health Checkups in Japan, we analyzed trends in open and endoscopic tunnel construction from 2014 to 2019. In the NDB open data repository, more than 90% of all claims are searchable, and over 85% of all claims are searchable. By the prefecture per population, there was a slight correlation coefficient between the endoscopic CTRs and the number of hand surgery specialists by prefecture. However, the number of hand surgeons per capita by region and open CTR per capita was not correlated.

Source link: https://doi.org/10.3390/jcm11174966


Diacutaneous Fibrolysis Intervention in Patients with Mild to Moderate Carpal Tunnel Syndrome May Avoid Severe Cases in Elderly: A Randomized Controlled Trial

The Carpal Tunnel Syndrome is most prevalent among adults of working age. Diacutaneous Fibrolysis has been shown to improve nerve conduction experiments and mechanosensitivity. After DF therapy in patients with CTS, the main aim was to quantify changes in the median nerve, transversal carpal ligament thickness, numbness severity, and subjective assessment of clinical change. Patients with CTS were randomly assigned either the DF group or the sham group, with a total number of 44 patients diagnosed with CTS. The group by time interaction between groups was determined by time interaction between groups by time interaction, which was analyzed by two-way repeated measures analysis of variance. Result: The DF company stifled CSA with a minimum of 0. 45 mm 2 and TCL thickness, a 0. 4 mm difference over the sham group. Patients with mild to moderate CTS may have DF applied to help prevent the disease from spreading as they age.

Source link: https://doi.org/10.3390/ijerph191710983


Intraoperative Steroid Irrigation in Carpal Tunnel

The aim of this test: to see if steroid irrigation of the wound can help with post-operative pain. 11 patients in group1 and group 2 suffered with chronic agony pain on the ulnar side of the wrist not responding to analgesic. Conclusion: Steroid irrigation has a positive effect on post-operative pain with no additional drawbacks, despite no extra drawbacks.

Source link: https://doaj.org/article/f6203ba375294b8cbc6ba88322cd80c6


Proximal palmar mini-incision carpal tunnel release technique

Background: Carpal tunnel syndrome is the most common entrapment neuropathy in humans today. Méhods: Ninety four patients [113 hands] with a carpal tunnel syndrome underwent autopal tunnel replacement after endoscopic surgery, and a 1-cm longitudinal incision left only over the distal flexor decrease. Both before and after the surgical intervention and at their final follow-up, the self- administered Boston Questionnaire was used to determine the severity of patients'u2019 symptoms and their functional status, as well as their functional status. Patients in this group were also asked about the pain level of their scar tissue and functional status, along with a significant decrease in the Boston Carpal Tunnel Questionnaire's symptom severity scale and functional status, which was also asked post-operatively at one month and at the final follow-up, u2013 up.

Source link: https://doaj.org/article/a3289679af1f4ca6b71f24ea97731dc3


The Pathological Links between Adiposity and the Carpal Tunnel Syndrome

In multiple epidemiological studies, there is a correlation between obesity and carpal tunnel syndrome. The carpal tunnel syndrome's ability to reduce the obesity epidemics would not only improve cardio-metabolic health, but also reduced the burden of the disability-free life expectancy.

Source link: https://doi.org/10.3390/cimb44060181


The Correlation of Carpal Tunnel Pressure with Clinical Outcomes following Ultrasonographically-Guided Percutaneous Carpal Tunnel Release

Background: To investigate the correlation between carpal tunnel pressure and clinical findings, as well as the potential predictors of the postoperative recovery pattern in patients with carpal tunnel syndrome. Materials and Methods: Following percutaneous ultrasound-guided carpal tunnel deployment, 33 patients with idiopathic CTS were admitted. Preoperative CTP was positively correlated with preoperative CSA and preoperative BCTQ scores. Conclusions: Preoperative CTP was highly related to the clinical findings and may be a good predictor of postoperative clinical recovery patterns.

Source link: https://doi.org/10.3390/jpm12071045


Does Aging Matter? The Efficacy of Carpal Tunnel Release in the Elderly

In situations where conservative therapy is ineffective, the Open release remains the gold standard in carpal tunnel syndrome management. However, in the literature, the effectiveness of carpal tunnel release in the elderly has been debated. This study seeks to review the latest evidence pertaining to the safety of carpal tunnel release in the elderly. Patients who are older are also less happy with the procedure compared to younger patients.

Source link: https://doi.org/10.5999/aps.2015.42.3.278


Local Corticosteroid Injections versus Surgical Carpal Tunnel Release for Carpal Tunnel Syndrome: Systematic Review and Meta-Analysis

Carpal tunnel syndrome is the most common entrapment neuropathy. For the management of CTS, this meta-analysis compared local steroid injections versus carpal tunnel release. All the clinical trials comparing LSIs against CTR for carpal tunnel syndrome were open, including carpal tunnel syndrome. In the LSIs cohort, Nocturnal anesthesia and visual analogue scale were both higher. median nerve conduction rate, median nerve conduction velocity, median nerve conduction velocity, median nerve conduction velocity, or median nerve sensory amplitude remained unchanged in the Boston Carpal Tunnel Questionnaire's functional and symptom subscales. Both CTR and LSIs were both efficient and cost-effective in reducing carpal tunnel syndrome symptoms. Patients with CTS may require a cycle of LSIs, according to recent reports. Irrespective of the severity of the conditions, new evidence shows that in patients with CTS, a cycle of LSIs may be used. However, patients must be aware that LSIs are not the definitive treatment, and CTR should be emphasized.

Source link: https://doi.org/10.3390/life12040533


Ultrasound-guided needle release of the transverse carpal ligament with and without corticosteroid injection for the treatment of carpal tunnel syndrome

Abstract Background: The purpose of this article is to determine the clinical success of ultrasound-guided needle transplantation of the transverse carpal ligament with and without corticosteroid injection in carpal tunnel syndrome. Methods From June 2016, to June 2017, 49 CTS patients were included in this study. The TCL plus corticosteroid injection was administered by ultrasound-guided needle injection, and 25 wrists were treated with single ultrasound-guided needle injection of the TCL plus corticosteroid injection. After the procedure than group B, Results Group A had a greater overall high and high success three months after the procedure. Between the two groups, there were significant differences in the postprocedure values of above ultrasonic and electrophysiological parameters. Conclusions Both methods are safe in treating CTS. The TCL with corticosteroid injection had greater medication success than single ultrasound-guided needle release of the TCL in treating CTS.

Source link: https://doi.org/10.1186/s13018-018-0771-8


Use of Sonophoresis with Corticosteroids in Carpal Tunnel Syndrome: Systematic Review and Meta-Analysis

Carpal tunnel syndrome is a neuropathic disorder. Compared to other non-surgical treatment techniques, a systematic review and meta-analysis have been conducted into the use of phonophoresis with corticosteroids for the treatment of carpal tunnel syndrome. Eleven papers examining the effect of phonophoresis with corticosteroids in reducing pain in people with carpal tunnel syndrome were included, ten of which were used to conduct the meta-analysis.

Source link: https://doi.org/10.3390/jpm12071160

* Please keep in mind that all text is summarized by machine, we do not bear any responsibility, and you should always check original source before taking any actions

* Please keep in mind that all text is summarized by machine, we do not bear any responsibility, and you should always check original source before taking any actions