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Carpal Tunnel Syndrome - Crossref

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Last Updated: 10 January 2023

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Carpal tunnel syndrome: matching minimally invasive surgical techniques

The authors review three specific minimally invasive surgical techniques used at their hospital in the last 13 years in this paper. In 473 cases, the transillumination process with a single wrist incision and a single linear wrist incision for access with the carpalotome was employed; in 216 cases, the transillumination method was abandoned and a single linear wrist incision was performed; and in 583 cases, the methods were further enhanced by making a second incision in the palm using the carpalotome was used; in 583 cases, the methods were expanded by making a second in 583 cases; Complete remission of symptoms was achieved in 90 percent of patients in Group A, 88% of those in Group B, and 99. 8% of patients in Group C. The technique of median nerve decompression at the wrist, which was used for patients in Group C, is a viable alternative for CTS treatment.

Source link: https://doi.org/10.3171/jns/2008/108/5/1033


Magnetic resonance imaging compared with electrodiagnostic studies in patients with suspected carpal tunnel syndrome: predicting symptoms, function, and surgical benefit at 1 year

Object The aim of this research was to determine the effectiveness of magnetic resonance imaging with that of electrodiagnostic research for the following objectives: 1 prediction of 1-year results and 2 identification of patients who are likely to benefit from surgical rehabilitation. The individual surgeon's decision to treat patients conservatively or by carpal tunnel release was made by the individual surgeon, who had access to the initial EDS but not MR imaging findings. Patients who had undergone surgery showed greater improvement at 1 year than those who did not have surgery. The length of the abnormal T2-weighted nerve signal on MR imaging and median-u2013ulnar sensory latency differences were the most accurate predictors of surgical benefit. Patients had a definite preference for MR imaging over EDS in comparison to EDS. Conclusions The findings obtained by MR imaging of the carpal tunnel suggest surgical benefit independent of nerve conduction studies.

Source link: https://doi.org/10.3171/jns/2008/108/3/0541


The role of electrodiagnostic testing in carpal tunnel syndrome

Electrodiagnostic testing in patients with upper-extremity signs, which may include carpal tunnel syndrome, has been the gold standard for diagnosis for many years. Studies in patients with CTS accounted for 15% of the 1626 studies conducted at that time. There was a strong referral bias on the part of the primary care physicians, and the degree of mononeuropathy in the patients referred for testing was significantly higher than in patients referred by specialists. Electrodiagnostic testing has a clear advantage in the diagnosis of patients with upper-extremity symptoms, according to the reports.

Source link: https://doi.org/10.3171/foc.1997.3.1.5


Endoscopic treatment of carpal tunnel syndrome: a critical review

An extensive review of published papers on the subject of endoscopic carpal tunnel release surgery is included, as well as six endoscopic procedures used to treat carpal tunnel syndrome. The mean time to return to work in patients not receiving Workers' Compensation was 17. 8 days, ranging from 10. 8 to 22. 3 days. Patients in the latter group who underwent open and endoscopic procedures had significantly less pain and returned to work and daily life earlier, according to all studies comparing patients in which open and endoscopic techniques were compared. Endoscopic carpal tunnel release surgery's success and complication rates are similar to those for conventional open procedures.

Source link: https://doi.org/10.3171/foc.1997.3.1.9


Complications in the treatment of carpal tunnel syndrome

Any part of carpal tunnel syndrome diagnosis may result in complications. Endoscopic procedures appear to have some advantage over conventional open techniques in terms of patient care, preservation of grip strength, and return to work; however, these benefits may be negated if a patient's postoperative incision pain, regeneration of grip strength, and return to work are potentially harmed by injury to neurovascular structures and tendons.

Source link: https://doi.org/10.3171/foc.1997.3.1.14


Carpal tunnel syndrome caused by tophi deposited under the epineurium of the median nerve: A case report

Introduction Carpal tunnel syndrome is one of the most common forms of peripheral neuropathy, and it is usually caused by compression of the wrist's median nerve. Case presentation We find a 64-year-old man with a history of tophaceous gout who had persistent CTS signs and was admitted to our hospital. When serum uric acid levels were within normal ranges, a carpal tunnel installation and surgery to remove the gouty tophus of the right wrist were performed. The tophi were completely removed from the tophi during the surgical procedure, tophi deposited under the epineurium of the median nerve epineurium were discovered. During a 1-year follow-up period, the patient recovered uneventfully without signs of recurrence of gout and CTS symptoms. Conclusions The gouty tophus is unusual occurrence of CTS, and CTS can be triggered by gouty tophi, if there is evidence of extrinsic compression of the median nerve or signs emanating from the carpal tunnel.

Source link: https://doi.org/10.3389/fsurg.2022.942062


Bilateral Carpal Tunnel Syndrome Following COVID-19 Vaccination: A Case Report

Coronavirus disease 2019 continues to pose significant health risks, with findings into long-term disease sequelae emerging. The post-viral consequences of COVID-19's devastation are being investigated, and COVID-19 is now a recognised phenomenon. Immunization services are rooted in vaccination programs. The public health initiative aimed at reducing morbidity and mortality is rooted in vaccination programs. This case report outlines a patient who had bilateral carpal tunnel syndrome following their second dose of AZD1222 vaccination. Although we do not claim causality, the latest post-vaccination immune-mediated results may eventually include neuropathy exacerbation.

Source link: https://doi.org/10.1142/s242483552272050x


The dose-dependent efficiency of radial shock wave therapy for patients with carpal tunnel syndrome: a prospective, randomized, single-blind, placebo-controlled trial

Abstract Abstract: Extracorporeal shock wave therapy has been shown to be a novel treatment for carpal tunnel syndrome. Patients with mild to moderate CTS were divided into three groups by a sixty-nine patients with mild to moderate CTS. For three weeks in a row, Group A and C patients received one session of radial ESWT and sham eESWT per week, respectively; Group B patients received a single session of rESWT. The three-session rESWT group achieved significant BCTQ point reductions at least 14 weeks, compared to the control group, and the effect was much longer lasting in patients with moderate CTS than mild CTS.

Source link: https://doi.org/10.1038/srep38344


Carpal tunnel syndrome in acromegaly: a nationwide study

Objective Carpal tunnel syndrome is common in patients with acromegaly, with a reported incidence of 19%-u201364%. Patients with acromegaly in Sweden, 2005-2017, according to the Swedish Healthcare Registries, this design retrospective, national, cohort study including patients with acromegaly in Sweden, 2005-2013. During the study period, 48 patients were diagnosed with CTS, while 41 patients underwent at least one CTS surgery. 35 people were hospitalized in CTS before the acromegaly diagnosis was made, but the SIR was 2. 2 years and the CTS was not CTS before the diagnosis of acromegaly was 6. Women with acromegaly were at a higher risk of CTS than men. Patients with acromegaly had a 6-fold greater chance of CTS surgery before the diagnosis of acromegaly compared to the general population. Acromegaly in patients with CTS may help to reduce the diagnostic delay in acromegaly, especially in women.

Source link: https://doi.org/10.1530/eje-20-0530


Comparative study between pre- and post- operative clinical and electrophysiological parameters in determining the recovery of carpal tunnel syndrome

paraphrasedoutput:Methods: The average symptom duration was 19. 9 months, and a comparative study was conducted between the Boston questionnaire and median nerve conduction study parameters in patients with CTS treated by division of the flexor retinaculum in patients with CTS treated by division of the flexor retinaculum by short incision at the palm. For the young group, the mean symptom severity scale score was 40. 92 and for moderate group B was 31. 67, while for the moderate group B, C was 26. 0 and SD=3. 82. Patients in CTS and Boston found a strong correlation between symptomatic relief and Boston severity scales, according to the authors. Conclusions: The only true way to estimate recovery after surgery in CTS-u2011 affected patients is to look at clinical correlations.

Source link: https://doi.org/10.18203/2320-6012.ijrms20223642

* 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