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Carpal Tunnel Treatment - Crossref

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Last Updated: 10 September 2022

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Complications in the treatment of carpal tunnel syndrome

Any part of carpal tunnel syndrome management may result in complications. Endoscopic procedures seem to have some advantage over conventional open techniques in terms of patient postoperative incision pain, grip endurance, and return to work; however, these benefits can be negated if nervevascular structures and tendons are affected by injury risk.

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


Endoscopic treatment of carpal tunnel syndrome: a critical review

An extensive review of published papers on the topic of endoscopic carpal tunnel release surgery is included, including six endoscopic techniques 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 second group who underwent open and endoscopic surgery were significantly less pain and returned to work and daily life earlier, according to all studies comparing patients. Endoscopic carpal tunnel release surgery's success and complication rates are similar to those for standard open procedures.

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


New Insights into Treatment of Patients with Carpal Tunnel Syndrome

Abstract: Carpal tunnel syndrome is characterized by median neuropathy at wrist. The first three or four fingers are more prominent during the night and in the morning, and can be improved by shaking or changing the hand position. In addition, corticosteroids injections are known to have potential side effects. Only known to have long-term effects, is surgical treatment with open surgery or endoscopic release. Perineural injection therapy with 5% dextrose is particularly beneficial in the treatment of patients with CTS. Patients with CTS with a minimally invasive carpal tunnel release in the United States is a promising start in the therapy of patients with CTS with many benefits. Therefore, perineural injection therapy with 5% dextrose for short-term use is recommended, while less invasive carpal tunnel installation in the United States is suggested for long-term recovery. Keywords: Carpal tunnel syndrome; therapy; Perineural injection; 5% dextrose; Perineural injection; 5% dextrose; a systematic investigation by a US-led mini-invasive carpal tunnel installation; Carpal tunnel syndrome; Treatment; Keywords: Carpal tunnel syndrome; treatment; 5% dextrose; Percutaneous injection; Perineural injection; Perineural injection; Perineural injection; 5% dextrose; Treatment; a.

Source link: https://doi.org/10.55295/psl.2022.d2


Treatment of Recurrent Carpal Tunnel Syndrome with the Abductor Digiti Minimi Flap: A Case Series

Background: Following the carpal tunnel release of carpal tunnels and need revision surgery, approximately 5% of patients experience recurrent symptoms. Several surgical techniques have been suggested for recurrent carpal tunnel syndrome, and the abductor digiti minimi flap is one of them. Literature on the ADM flap for recurrent CTS is lacking. The aim of this report is to investigate the effects of the ADM flap on recurrent CTS. ADM Flap, July 2016, to February 2019, We treated seven patients with the ADM flap between July 2016 and February 2019. The success rate related to CTS symptoms was 88%. Two patients complained of having a less comfortable grip at the donor site than the others. The median BCTQ symptom and function scores were 2. 9 and 2. 6 respectively. Conclusions: The results of the ADM flap in patients with recurrent CTS were similar to other commonly used procedures in recurrent CTS.

Source link: https://doi.org/10.1142/s2424835522500710


Platelet-rich Plasma in the Treatment of Recurrent Flexor Tenosynovitis of Wrist Complicated with Carpal Tunnel Syndrome in a Patient with Type 2 Diabetes Mellitus: A Case Report

Hand disorders are typical signs in diabetics. Flexor tenosynovitis of the wrist is less common in comparison to FTS of the finger. Case Presentation: A 38-year-old lady was presenting with pain and swelling over the volar aspect of her wrist that was associated with weakness of the grasp. In an in-plane and short-axis view, we scheduled a single injection of platelet-rich plasma under direct USG guidance. Both pain and function scores had a dramatic improvement up until a 3-month follow-up. Conclusion: The wrist's FTS is a less common condition that can be missed with medical examination only. PRP injection seems to be a safe and appropriate therapy option in patients with uncontrolled diabetes, and it may have a positive and beneficial effect in the moderate term.

Source link: https://doi.org/10.13107/jocr.2022.v12.i04.2784


The Efficacy of Ultrasound Guided Platelet Rich Plasma Injection Versus Perineural Dextrose Injection in the Treatment of Severe Carpal Tunnel Syndrome

Aims: To compare the ultrasound-guided platelet rich plasma equival to ultrasound-guided 5% dextrose perineural injection therapy in severe idiopathic carpal tunnel syndrome patients, the ultrasound-guided platelet rich plasma effect is comparable to ultrasound-guided platelet rich plasma stimulation therapy. Patients and Methods: This study involved 60 patients with severe idiopathic CTS diagnosed by electrophysiological testing. According to the line of care, the patient was divided into two groups according to the type of care: Group I: 30 patients were treated by two ultrasound guided injection with 3 mL PRP two weeks apart, and Group II: 30 patients were divided into two groups. Patients were treated by two ultrasound guided perineural injection therapy with 3 ml of 5% dextrose two weeks apart, according to Group II: 30 patients were treated by two ultrasound guided perineural injection therapy with a 3 ml of 5% dextrose two weeks apart. Results: Significant medical improvement, electrophysiological enhancement, and, ultrasonic improvement came three months after treatment, as opposed to before treatment in both groups with improved improvement in group 1. 3 months after treatment, there was a significant difference between the two groups in terms of VAS for pain and VAS for paresthesia.

Source link: https://doi.org/10.9734/jammr/2022/v34i2131525


Physical Therapy Intervention Following Surgical Treatment of Carpal Tunnel Syndrome in an Individual With a History of Postmastectomy Lymphedema

This case report details the physical therapy investigation, intervention, and results of a patient with lymphedema following breast cancer treatment that did not involve carpal tunnel release. The patient was a 53-year-old woman with right upper-limb lymphedema and signs of carpal tunnel syndrome in her right hand who underwent a carpal tunnel release. At the two most distal measurement centers, the forearmgirth decreased 1 to 1. 5 cm, and the arm's girth increased 1. 5 to 2 cm 6 months after surgery. In an individual with persistent lymphedema, this case supports elective hand surgery for CTS.

Source link: https://doi.org/10.1093/ptj/82.10.1009


Outcome Metrics in the Treatment of Carpal Tunnel Syndrome: A Systematic Review

Background: The aim of this systematic review was to determine the metrics used to measure outcomes after carpal tunnel syndrome therapy. Methods: We conducted a systematic review following Preferred Reporting Items for Systematic Reviews and Meta-Analyses recommendations of level I and II randomized controlled trials of carpal tunnel syndrome therapy. From January 2008 to January 2018, we searched the PubMed/MEDLINE electronic database for studies into carpal tunnel syndrome treatment. The Boston Carpal Tunnel Questionnaire and the Visual Analog Scale for pain were the most common PROMs used, and the Boston Carpal Tunnel Questionnaire and the Visual Analog Scale for pain were the two most common PROMs used. Conclusions: Carpal tunnel syndrome treatment is generally defined as a result of a PROM, highlighting recent attempts to monitor patient outcomes from the patient's perspective. Patients'eu2019 preferred method of monitoring outcomes after undergoing carpal tunnel syndrome therapy to promote goal-directed decision-making and therapy is still to be determined by further research.

Source link: https://doi.org/10.1177/1558944720949951

* 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