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Carpal Tunnel Syndrome - Europe PMC

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Last Updated: 10 June 2022

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Potential Misinformation in the Official Disability Guidelines about the Diagnosis and Treatment of Carpal Tunnel Syndrome.

"Objective Workers" compensation policies can lead to inaccurate assumptions about ailments that are known to increase symptoms severity and severity of incapability. Methods One of the many guidelines on carpal tunnel syndrome was reviewed. Favored revisions relating to more thorough identification of signs that are clearly connected to idiopathic median neuropathy and a predictor of pathology are among the most common pathology findings. Conclusions There may be important mental health problems for care under a work rule, such as unhelpful thoughts or sadness regarding symptoms that are not properly addressed by the ODG Guideline. ".

Source link: https://europepmc.org/article/MED/35672919


A Prospective Cohort Study: Platelet-Rich Plasma Combined with Carpal Tunnel Release Treating Carpal Tunnel Syndrome short (running) title: PRP-CTR Treating Carpal Tunnel Syndrome

"Background: PRP injections were found to improve the health of people with mild to moderate Carpal Tunnel Syndrome. " Methods We investigated whether adjuvant PRP therapy would improve the prognosis using CTR, so we included 82 patients in this analysis. Within one month after surgery, CTR combined with PRP therapy improved the VAS, BCTQ-SSS, and BCTQ-FSS in patients with moderate symptoms. Given the increased financial burden on patients, CTR and PRP should be cautious in CTS therapy. ".

Source link: https://europepmc.org/article/PPR/PPR503007


Deep CTS: a Deep Neural Network for Identification MRI of Carpal Tunnel Syndrome.

"Carpal tunnel syndrome is a common peripheral nerve disease in adults, and it can cause pain, numbness, and even muscle atrophy, and can also cause muscle atrophy, which can adversely influence patients' daily life and work. Multiple characteristics of carpal tunnel syndrome have been documented, with MRI as a novel imaging technique that can reveal the patient's health more accurately. To face the challenge, we've created Deep CTS, a complete learning platform that helps to distinguish the carpal tunnel from the MR picture. With simplified U-Net, the Deep CTS consists of the shape classifier with a simple convolutional neural network and the carpal tunnel network segmentation. Deep CTS can segment the carpal tunnel area more effectively and increase the friction over results coordination thanks to the union's union. The experimental findings showed that the results of the new deep learning framework was better than other segmentation networks for small objects.

Source link: https://europepmc.org/article/MED/35661280


Quantitative parameters of diffusion tensor imaging in the evaluation of carpal tunnel syndrome.

The difference between MD and FA of the CT's hook of hamate, fractional anisotropy, axial diffusivity, and radial diffusivity of the median nerve at the distal radioulnar joint, the inlet of the carpal tunnel at the pisiform level, was determined, as well as the difference between MD and FA of the DRUJ and the outlet of CT. There was a positive correlation between distal motor latency time and Delta MD, as well as a negative relationship between distal motor latency time and Delta FA. Alterations in the median nerve along the CT are the most significant features of CTS, and reveal the degree of median nerve compression and functional deficit. ".

Source link: https://europepmc.org/article/MED/35655836


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

"The aim of this research was to establish the role of ad-junctive surgical treatments on the median nerve of carpal tunnel syndrome, as measured by somatosensory generated potentials on the nerve. " Following each of the three treatments, a statistically significant improvement was observed in comparison to the baseline mean SEP latency for the median nerve, also known as N19. The average decrease in latency after ligament release alone was 1. 52 msec, and the total increase in latency from baseline to minimal internal neurolysis was 4. 72 msec. ".

Source link: https://europepmc.org/article/MED/35643487


Boston Carpal Tunnel Questionnaire and Severity of Carpal Tunnel Syndrome.

"Objectives Carpal tunnel syndrome is a common compressive neuropathy related to disability in severe cases. " In clinical settings, tools capable of determining the severity spectrum median nerve entrapment are highly recommended. Conclusions There were no significant differences between BCTQ scores across the severity range of median nerve entrapment, not even comparing mild cases with the group's moderate/severe. BCTQ is not appropriate to determine the interpatient toxicity of median nerve entrapment on clinical use, according to the study.

Source link: https://europepmc.org/article/MED/35608641


Ultrasonography for the diagnosis of carpal tunnel syndrome: an umbrella review.

"Background" is a term that refers to the fact that carpal tunnel syndrome has been diagnosed with numerous sonographic modalities and parameters, with varying success. Our umbrella review sought to summarize the results from systematic research and meta-analyses on the use of ultrasound imaging to diagnose CTS. Multiple parameters were found in the cross-sectional region of the median nerve at the carpal tunnel inlet's highest stability and diagnostic accuracy. The degree of CSA expansion was inversely related to CTS severity. As median nerve stiffness and vascularity at the wrist were increased in these patients, median nerve stiffness and vascularity at the wrist could provide additional insight into CTS examination. Conclusions: Sonography is a quick way to diagnose CTS, with inlet CSA being the most robust measure. Sonoelastography and Doppler ultrasound can serve as complementary tools to confirm CTS diagnoses. CTS diagnosis is still lacking in the presence of concomitant neuromuscular disease, and further research is required to increase the use of sonography for diagnosing CTS.

Source link: https://europepmc.org/article/MED/35639198


Effect of ultrasound-guided versus landmark-guided local corticosteroid injection for carpal tunnel syndrome: a systematic review and meta-analysis.

"Background Carpal tunnel syndrome, the most common neuropathy of the upper limbs, can be treated with a variety of therapeutic techniques. " Local corticosteroid injection has been widely used in clinical practice, as it demonstrated high success in treating CTS. The aim of this systematic review and meta-analysis was to determine the impact of ultrasound-guided corticosteroid injection versus landmark-guided corticosteroid injection on CTS patients. Methods We conducted a systematic literature review in Medline, Embase, and CENTRAL, which is the most comprehensive review of the randomized controlled trials that compared US-guided and LM-based corticosteroid injection in treating CTS patients with CTS. We evaluated the following results: The following information was found: The Boston carpal tunnel questionnaire's functional status scale, disease severity scale, and adverse event incidence. Conclusion This meta-analysis found the success of US-guided corticosteroid injection over LM-guided corticosteroid injection in improving occupational function, symptom severity, and lowering the incidence of CTS-related adverse events.

Source link: https://europepmc.org/article/MED/35635576


Platelet-Rich Plasma Versus Corticosteroid Injections for the Treatment of Mild-to-Moderate Carpal Tunnel Syndrome: A Markov Cost-Effectiveness Decision Analysis.

"Background Platelet-rich plasma or corticosteroid injections can be used to conservatively treat mild-to-moderate carpal tunnel syndrome. " For the treatment of mild-to-moderate CTS, we compared the cost-effectiveness of PRP injections versus corticosteroid injections. Results - $ 13. 52/QALY, BCTQ-S: acetate injection, BCTQ-S: - $ 13. 52/QALY, and BCTQ-F: - $ 16. 04/QALY, a 30-year-old injection. ICER for corticosteroid injections tested by VAS in comparison to PRP injections; - $ 13. 52/QALY; BCTQ-S: - $ 13. 52/QALY, -QALY BCTQ-F: $ 417 708. 44 versus $ 376 908. 45, BCTQ-S: $ 417 115. 09 versus $ 356 614. 18, BCTQ-F: $ 417 708. 40 versus $ 376 908. 41, and BCTQ-F: $ 417 708. 44 versus $ 376 908. 45. BCTQ-S: $ 1024. 40/QALY, BCTQ-S: $ 899. 95/QALY, and BCTQ-F: $ 1215. 51/QALY from a societal standpoint, compared to PRP injections. Conclusions PRP injections were more cost-effective than methylprednisolone/triamcinolone injections from healthcare and societal perspectives for mild-to-moderate CTS. ".

Source link: https://europepmc.org/article/MED/35603672


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

"However, good evidence on the clinical effectiveness of extracorporeal shock wave therapy for carpal tunnel syndrome is still lacking. " This research sought to determine the effectiveness and safety of extracorporeal shock wave therapy in contrast to conventional treatments of carpal tunnel syndrome alone. From the PubMed, Embase, and Cochrane Central Register of Controlled Trials Central's database, all available studies comparing the results of extracorporeal shock wave therapy for treating carpal tunnel syndrome related to carpal tunnel syndrome were published before 20 January 2022. At 8-10 and 12-14 weeks post-treatment, or through the ATM approach, extracorporeal shock wave therapy did not demonstrate superior efficacy compared to placebo with night wrist splint alone. Extracorporeal shock wave therapy's therapeutic effect is temporary and largely nonsignificant compared to using night wrist splints alone. ".

Source link: https://europepmc.org/article/MED/35630095

* 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