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"Carpal tunnel syndrome is a common peripheral nerve disorder in adults; it causes pain, numbness, and even muscle atrophy, and will negatively affect patients' everyday life and work. Many characteristics of carpal tunnel syndrome have been found, and MRI as a novel imaging technology can reveal the patient's disease more objectively. To meet the challenge, we recommend Deep CTS, a complete deep learning framework that can divide the carpal tunnel from the MR snapshot. The Deep CTS features the shape classifier with a simple convolutional neural network and the carpal tunnel region segmentation with simplified U-Net. Deep CTS can divide the carpal tunnel area more effectively and improve the intersection over results cooperation with the union of results with the specialized framework for the carpal tunnel. The experimental results showed that the actual performance of the embedded deep learning framework was superior than other segmentation networks for small objects.
Source link: https://doi.org/10.1007/s10278-022-00661-4
"To compare the results of low-level laser therapy and corticosteroid injection in patients with moderate carpal tunnel syndrome," says the author. Patients with moderate CTS were randomized to the corticosteroid or LLLT groups. A carpal tunnel of 44 patients was treated with 40 mg of triamcinolone acetate solution. In the 1st month, VAS and Quick DASH scores were higher in the corcorcorosteroid group, but there were no significant differences between groups in the 6th month. Sensory distal latency and sensory nerve conduction rates in the corticosteroid group alone showed significant improvements in the 1st and 6th months. After the therapy, median nerve intensity rate and palmary spring rate in both groups increased dramatically. "No significant difference at the 6th month was apparent at the 6th month, based on this report.
Source link: https://doi.org/10.1007/s10103-021-03489-6
"Background" - Numerous sonographic modalities and parameters have been used to diagnose carpal tunnel syndrome, with varying success. Our umbrella review sought to summarize the findings from systematic reviews and meta-analyses relating to the use of ultrasound imaging to diagnose CTS. The median nerve at the carpal tunnel inlet's cross-sectional area demonstrated the highest reliability and diagnostic accuracy among multiple parameters. The degree of CSA expansion was correlated to CTS severity, according to CTS severity. When median nerve stiffness and vascularity at the wrist increased in these patients, median nerve stiffness and vascularity at the wrist could provide additional insight into CTS evaluation. Conclusions Sonography is a reliable way to determine CTS, with inlet CSA being the most robust measure. Sonoelastography and Doppler ultrasound can be used as auxiliary devices to diagnose CTS diagnoses. In the presence of concomitant neuromuscular disease, further research is required to expand the use of sonography for diagnosing CTS.
Source link: https://doi.org/10.1007/s00415-022-11201-z
Different therapeutic approaches can be used to treat "Background Carpal tunnel syndrome, the commonest neuropathy of the upper limb," says the author. Local corticosteroid injection has been widely used in clinical practice, due to its effectiveness in treating CTS. The goal of this systematic review and meta-analysis was to determine the effects of ultrasound-guided corticosteroid injection versus landmark-guided corticosteroid injection on patients with CTS' clinical and electrophysiological outcomes. Methods We conducted a systematic literature search in Medline, Embase, and CENTRAL, among which we included controlled trials that compared US-guided and LM-based corticosteroid injection in treating people with CTS. We investigated the following results: The following results were evaluated: The Boston carpal tunnel questionnaire's functional status scale, disease severity scale, and adverse event rate. Overall conclusion This meta-analysis revealed the safety of a US-guided corticosteroid injection over LM-guided corticosteroid injection in improving functional status, increasing symptom severity, and lowering the incidence of adverse event prevalence in individuals with CTS.
Source link: https://doi.org/10.1007/s00402-022-04437-x
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