scholarly journals Negative Neurodynamic Tests Do Not Exclude Neural Dysfunction in Patients With Entrapment Neuropathies

2017 ◽  
Vol 98 (3) ◽  
pp. 480-486 ◽  
Author(s):  
Larissa T. Baselgia ◽  
David L. Bennett ◽  
Robert M. Silbiger ◽  
Annina B. Schmid
Keyword(s):  
Entrapment Neuropathies ◽  
Neural Dysfunction

Entrapment Neuropathies: Electrodiagnostic Criteria

2019 ◽  
Vol 24 (6) ◽  
pp. 12-15
Author(s):  
Jay Blaisdell ◽  
James B. Talmage
Keyword(s):  
Nerve Conduction ◽  
Task Force ◽  
Conduction Block ◽  
Cubital Tunnel Syndrome ◽  
Conduction Delay ◽  
Test Results ◽  
Sixth Edition ◽  
Entrapment Neuropathies ◽  
Axon Loss ◽  
Tunnel Syndrome

Abstract Like the diagnosis-based impairment (DBI) method and the range-of-motion (ROM) method for rating permanent impairment, the approach for rating compression or entrapment neuropathy in the upper extremity (eg, carpal tunnel syndrome [CTS]) is a separate and distinct methodology in the AMA Guides to the Evaluation of Permanent Impairment (AMA Guides), Sixth Edition. Rating entrapment neuropathies is similar to the DBI method because the evaluator uses three grade modifiers (ie, test findings, functional history, and physical evaluation findings), but the way these modifiers are applied is different from that in the DBI method. Notably, the evaluator must have valid nerve conduction test results and cannot diagnose or rate nerve entrapment or compression without them; postoperative nerve conduction studies are not necessary for impairment rating purposes. The AMA Guides, Sixth Edition, uses criteria that match those established by the Normative Data Task Force and endorsed by the American Association of Neuromuscular & Electrodiagnostic Medicine (AANEM); evaluators should be aware of updated definitions of normal from AANEM. It is possible that some patients may be diagnosed with carpal or cubital tunnel syndrome for treatment but will not qualify for that diagnosis for impairment rating; evaluating physicians must be familiar with electrodiagnostic test results to interpret them and determine if they confirm to the criteria for conduction delay, conduction block, or axon loss; if this is not the case, the evaluator may use the DBI method with the diagnosis of nonspecific pain.

CUBITAL TUNNEL SYNDROME DUE TO GIANT CELL TUMOUR OF TENDON SHEATHS

Hand Surgery ◽  
2006 ◽  
Vol 11 (01n02) ◽  
pp. 89-91 ◽  
Author(s):  
G. Mitsionis ◽  
E. E. Pakos ◽  
I. Gavriilidis ◽  
Anna Batistatou
Keyword(s):  
Giant Cell ◽  
Giant Cell Tumour ◽  
Present Report ◽  
Cubital Tunnel Syndrome ◽  
Cell Tumour ◽  
Cubital Tunnel ◽  
Malignant Neoplasms ◽  
Entrapment Neuropathies ◽  
First Case ◽  
Tunnel Syndrome

Cubital tunnel syndrome is one of the most common entrapment neuropathies in adults. It is mainly caused by the depression of ulnar nerve from normal structures at the elbow area. Despite the fact that several pathgological entities can be potential mechanisms of the syndrome, the pathogenesis due to benign or malignant neoplasms is extremely rare. In the present report we describe the first case of cubital tunnel syndrome due to giant cell tumour of the tendon sheaths.

scholarly journals Entrapment Neuropathies of the Lower Extremity

PM&R ◽  
2013 ◽  
Vol 5 ◽  
pp. S31-S40 ◽  
Author(s):  
Anita Craig
Keyword(s):  
Lower Extremity ◽  
Entrapment Neuropathies

Entrapment Neuropathies

1984 ◽  
Vol 41 (5) ◽  
pp. 474-474
Author(s):  
J. Kimura
Keyword(s):  
Entrapment Neuropathies

1287 A Comparison of Surgical Decompression and Steroid Injections to Treat Carpal Tunnel Syndrome: A Meta-Analysis

2021 ◽  
Vol 108 (Supplement_6) ◽  
Author(s):  
F La Costa
Keyword(s):  
Carpal Tunnel Syndrome ◽  
Carpal Tunnel ◽  
Steroid Injection ◽  
Muscular Atrophy ◽  
Meta Analysis ◽  
Surgical Decompression ◽  
Optimal Treatment ◽  
Post Treatment ◽  
Entrapment Neuropathies ◽  
Tunnel Syndrome

Abstract Introduction Carpal tunnel syndrome (CTS) is caused by compression of the median nerve at the wrist. It accounts for 90% of all entrapment neuropathies, with a 7-16% in the UK. It has a significant impact on patients’ daily lives. Clinically, CTS results in paraesthesia, while extreme cases may involve muscular atrophy and weakness. There is currently a disparity between optimal treatments for CTS. Therefore, this paper aims to identify the optimal treatment for CTS with post-treatment BCTQ (Boston Carpal Tunnel Questionnaire) scores (including both functional and symptomatic severity) at 1, 3 and 6 months. Method The BCTQ scores for were sited from PubMed, Google Scholar and the University of Dundee Library search engine by entering key words such as “carpal tunnel syndrome”, “surgical decompression”, “surgical release” and “steroid injection”. Means and standard deviations for pre- and post-treatment after 1, 3 and 6 months were obtained. From this, forest plots were constructed using a software where steroid injection and surgical decompression were inputted separately, and effect sizes were then compared for 1, 3 and 6 months. Results The meta-analysis included reviewing 133 articles. The effect size was determined using the random effects model. Steroid injection was more effective than surgical decompression after 1 and 3 months. However, after 6 months, surgical decompression was more effective. Conclusions Identification of long-term relief of CTS through surgical decompression allows the reduction of symptom recurrence and thus costly follow-up appointments. This study provides robust clinical findings for the optimal treatment of CTS.

Peripheral nerve injuries in the pediatric population: a review of the literature. Part II: entrapment neuropathies

2018 ◽  
Vol 35 (1) ◽  
pp. 37-45 ◽  
Author(s):  
Javier Robla Costales ◽  
Mariano Socolovsky ◽  
Jaime A. Sánchez Lázaro ◽  
David Robla Costales
Keyword(s):  
Peripheral Nerve ◽  
Pediatric Population ◽  
Peripheral Nerve Injuries ◽  
Review Of The Literature ◽  
Nerve Injuries ◽  
Entrapment Neuropathies

scholarly journals Psychopathy: cognitive and neural dysfunction

2013 ◽  
Vol 15 (2) ◽  
pp. 181-190 ◽  
Keyword(s):  
Antisocial Behavior ◽  
Antisocial Personality Disorder ◽  
Developmental Disorder ◽  
Posterior Cingulate Cortex ◽  
Current Review ◽  
Increased Risk ◽  
Emotional Deficits ◽  
Reinforcement Value ◽  
Neural Dysfunction

Psychopathy is a developmental disorder marked by emotional deficits and an increased risk for antisocial behavior. It is not equivalent to the diagnosis Antisocial Personality Disorder, which concentrates only on the increased risk for antisocial behavior and not a specific cause-ie, the reduced empathy and guilt that constitutes the emotional deficit. The current review considers data from adults with psychopathy with respect to the main cognitive accounts of the disorder that stress either a primary attention deficit or a primary emotion deficit. In addition, the current review considers data regarding the neurobiology of this disorder. Dysfunction within the amygdala's role in reinforcement learning and the role of ventromedial frontal cortex in the representation of reinforcement value is stressed. Data is also presented indicating potential difficulties within parts of temporal and posterior cingulate cortex. Suggestions are made with respect to why these deficits lead to the development of the disorder.

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