The Association of Carpal Tunnel Syndrome with Other Upper Extremity Conditions

Hand Surgery ◽  
1997 ◽  
Vol 02 (01) ◽  
pp. 1-3
Author(s):  
Akihiko Asami ◽  
Tsu-Min Tsai ◽  
Beng-Hai Lim
Keyword(s):  
Carpal Tunnel Syndrome ◽  
Upper Extremity ◽  
Carpal Tunnel ◽  
Tunnel Syndrome

Evaluation of female hormone-related symptoms in women undergoing carpal tunnel release

2013 ◽  
Vol 39 (2) ◽  
pp. 155-160 ◽  
Author(s):  
C. H. Song ◽  
H. S. Gong ◽  
K. J. Bae ◽  
J. H. Kim ◽  
K. P. Nam ◽  
...  
Keyword(s):  
Carpal Tunnel Syndrome ◽  
Upper Extremity ◽  
Carpal Tunnel ◽  
Rating Scale ◽  
Carpal Tunnel Release ◽  
Menopausal Status ◽  
Related Factors ◽  
Female Hormone ◽  
Scale Scores ◽  
Tunnel Syndrome

As carpal tunnel syndrome is more common in women, particularly around the menopause, female-related risk factors are suspected to play a role in its pathogenesis. We have assessed whether female hormone-related symptoms are associated with upper extremity disabilities in women undergoing carpal tunnel release. A total of 92 women with a mean age of 53 years scheduled for surgery for carpal tunnel syndrome were assessed preoperatively for female hormone-related symptoms using the menopausal rating scale and other female-related factors such as menopausal status, pregnancy number and serum female hormone levels. Upper extremity disability was evaluated using the Disabilities of the Arm, Shoulder, and Hand (DASH) questionnaire. DASH scores had a moderate correlation with total menopausal rating scale scores, but not with other female-related factors assessed. This study suggests that female hormone-related symptoms are associated with subjective upper extremity disabilities in women with carpal tunnel syndrome. This information may be helpful in addressing patients’ complex symptoms or interpretation of outcomes in women with carpal tunnel syndrome.

scholarly journals The role of electrodiagnostic testing in carpal tunnel syndrome

1997 ◽  
Vol 3 (1) ◽  
pp. E4 ◽  
Author(s):  
Lawrence H. Phillips ◽  
Vern C. Juel
Keyword(s):  
Primary Care ◽  
Carpal Tunnel Syndrome ◽  
Upper Extremity ◽  
Carpal Tunnel ◽  
Primary Care Physicians ◽  
Electrodiagnostic Testing ◽  
Use Patterns ◽  
Tunnel Syndrome ◽  
The University ◽  
Upper Extremity Symptoms

Electrodiagnostic testing in patients who have upper-extremity symptoms, which may include carpal tunnel syndrome (CTS), has been the gold standard for diagnosis for many years. Depite their value, these tests are underutilized. The authors examined the use patterns of electrodiagnostic testing at the University of Virginia by reviewing the records of the Electromyography Laboratory for the calendar year 1994. Studies in patients with CTS comprised 15% of the 1626 studies performed during that time. The mononeuropathy was mild in the majority of cases and most of the patients were referred for testing by specialists. There was a clear referral bias on the part of the primary care physicians, and the severity of mononeuropathy in the patients they referred for testing was significantly greater than in patients referred by specialists. The data indicate that electrodiagnostic testing has clear value in the evaluation of patients who have upper-extremity symptoms. Despite this fact, primary care physicians appear to underutilize electrodiagnostic testing.

scholarly journals A Survey of the Use of Ultrasound by Upper Extremity Surgeons

Hand ◽  
2016 ◽  
Vol 12 (1) ◽  
pp. 31-38 ◽  
Author(s):  
William L. Wang ◽  
Kevin Kruse ◽  
John R. Fowler
Keyword(s):  
Carpal Tunnel Syndrome ◽  
Upper Extremity ◽  
Carpal Tunnel ◽  
Imaging Modality ◽  
Practice Setting ◽  
Chi Square ◽  
Ultrasound Machine ◽  
Significant Difference ◽  
Tunnel Syndrome ◽  
Chi Square Analysis

Background: Ultrasound is a versatile imaging modality that can be used by upper extremity surgeons for diagnostic purposes and guided injections. The perceptions of ultrasound for diagnosis and treatment among upper extremity surgeons and its barriers for adoption have not been formally surveyed. The purpose of this study is to determine the current usage of musculoskeletal ultrasound for diagnostic purposes and guided injections by upper extremity surgeons and their reasons for using it or not using it in practice. Methods: A 22-question survey was distributed to the American Society for Surgery of the Hand (ASSH). The survey questions consisted of respondent characteristic questions and questions pertaining to the use of ultrasound. Chi-square analysis was performed to assess for a difference in ultrasound usage across respondent characteristics. Results: Three hundred four (43%) answered that they have an ultrasound machine in their office; Fifty-one percent (362) of the respondents use ultrasound for diagnostic purposes. Fifty-five (8%) of the survey respondents use ultrasound to diagnose carpal tunnel syndrome; 168 (23.5%) respondents reported that they use ultrasound for guided injections. There was a statistically significant difference between access to an ultrasound machine in the office by practice setting and use of ultrasound for diagnostic purposes by practice setting. Conclusions: The use of ultrasound by upper extremity surgeons is split for diagnostic purposes, with fewer surgeons using ultrasound to diagnose carpal tunnel syndrome and guided injections. Ultrasound machine availability and the use of ultrasound for diagnosis appear to be influenced by practice setting.

Upper extremity disability is associated with pain intensity and grip strength in women with bilateral idiopathic carpal tunnel syndrome

2019 ◽  
Vol 44 (2) ◽  
pp. 199-205 ◽  
Author(s):  
Akihito Yoshida ◽  
Shigeru Kurimoto ◽  
Katsuyuki Iwatsuki ◽  
Masaomi Saeki ◽  
Takanobu Nishizuka ◽  
...  
Keyword(s):  
Carpal Tunnel Syndrome ◽  
Pain Intensity ◽  
Grip Strength ◽  
Upper Extremity ◽  
Carpal Tunnel ◽  
Idiopathic Carpal Tunnel Syndrome ◽  
Tunnel Syndrome

ENDOSCOPIC CARPAL TUNNEL RELEASE: OUR EXPERIENCE WITH 12,702 CASES

Hand Surgery ◽  
2008 ◽  
Vol 13 (01) ◽  
pp. 21-26 ◽  
Author(s):  
Giorgio Pajardi ◽  
Loris Pegoli ◽  
Giorgio Pivato ◽  
Paolo Zerbinati
Keyword(s):  
Surgical Treatment ◽  
Carpal Tunnel Syndrome ◽  
Upper Extremity ◽  
Operative Treatment ◽  
Carpal Tunnel ◽  
Carpal Tunnel Release ◽  
Nerve Entrapment ◽  
Entrapment Syndrome ◽  
Tunnel Syndrome ◽  
Nerve Entrapment Syndrome

Carpal tunnel syndrome (CTS) is still today the most common nerve entrapment syndrome at the level of the upper extremity. When surgery is indicated, the surgical treatment of choice is the opening of the retinaculum. The authors describe their experience on 12,702 carpal tunnel decompressions, by the endoscopic procedure in a period of 14 years, outlining the indications, post-operative treatment, complications and results.

scholarly journals The PROMIS Upper Extremity Computer Adaptive Test Correlates With Previously Validated Metrics in Patients With Carpal Tunnel Syndrome

Hand ◽  
2019 ◽  
pp. 155894471985118 ◽  
Author(s):  
Jessica L. H. Phillips ◽  
Mitchell K. Freedman ◽  
Jeremy I. Simon ◽  
Pedro K. Beredjiklian
Keyword(s):  
Carpal Tunnel Syndrome ◽  
Upper Extremity ◽  
Carpal Tunnel ◽  
Computer Adaptive Test ◽  
Adaptive Test ◽  
Tunnel Syndrome

A Checklist for Carpal Tunnel Syndrome

1986 ◽  
Vol 30 (14) ◽  
pp. 1438-1442 ◽  
Author(s):  
George M. Calisto ◽  
Bernard C. Jiang ◽  
S.H. Cheng
Keyword(s):  
Carpal Tunnel Syndrome ◽  
Upper Extremity ◽  
Carpal Tunnel ◽  
Manufacturing Sector ◽  
Mechanical Stresses ◽  
Material Management ◽  
Hand Tool ◽  
Working Postures ◽  
Tunnel Syndrome ◽  
Service Data

Efforts to control the incidence of Carpal Tunnel Syndrome (CTS) in industry should focus on introducing the shop supervisor to those basic biomechanical principles underlying the etiology of CTS; i.e., it is the supervisor who best monitors an employee's reactions to prescribed work methods, tools, and concomitant postures. A three-part, pictorially illustrated checklist was developed: Part I assists in the identification of upper-extremity working postures; Part II facilitates the judgement of force/torque levels by identifying the implemented tool and the material which it acts on; and Part III examines the mechanical stresses resulting from hand-tool and/or limb-worksurface interfaces. Copies of the checklist were distributed to several AT&T manufacturing, installation, service, data, and material management centers to determine its readability, relevance, time for completion, and utility in terms of orienting the supervisor to the said principles. In general, supervisory input indicated that the checklist catered mainly to the manufacturing sector: most manufacturing supervisors found the form to be readable, pertinent, and edifying.

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