scholarly journals The Natural History of Carpal Tunnel Syndrome in Lactation

1989 ◽  
Vol 82 (6) ◽  
pp. 349-350 ◽  
Author(s):  
J S Wand
Keyword(s):  
Carpal Tunnel Syndrome ◽  
Natural History ◽  
Carpal Tunnel ◽  
Surgical Decompression ◽  
Steroid Injections ◽  
History Of ◽  
Tunnel Syndrome ◽  
Inflammatory Drugs ◽  
One Year ◽  
Primiparous Women

In a retrospective postal study of 27 women who have developed carpal tunnel syndrome (CTS) in the puerperium, the condition was found to affect predominantly elderly primiparous women (mean age 31.5 years). The condition was associated with breastfeeding in 24 women. The three who did not breastfeed had less severe symptoms which resolved within one month of onset. The symptoms developed a mean of 3.5 weeks following delivery, lasted 6.5 months and started to resolve within 14 days of weaning. Symptomatic treatments with either splint-age, diuretics, non-steroidal anti-inflammatory drugs or steroid injections provided some benefit. Two patients required surgical decompression. All patients were symptom-free by one year.

Natural history of carpal tunnel syndrome according to the neurophysiological classification

1998 ◽  
Vol 19 (6) ◽  
pp. 357-361 ◽  
Author(s):  
L. Padua ◽  
M. Lo Monaco ◽  
I. Aprile ◽  
N. Paciello ◽  
P. Tonali ◽  
...  
Keyword(s):  
Carpal Tunnel Syndrome ◽  
Natural History ◽  
Carpal Tunnel ◽  
History Of ◽  
Neurophysiological Classification ◽  
Tunnel Syndrome

Carpal tunnel syndrome. A new feature in the natural history of TOS?

2002 ◽  
Vol 18 (10) ◽  
pp. 983-993 ◽  
Author(s):  
Eva Estirado de Cabo ◽  
Manuel Posada de la Paz ◽  
Pilar de Andrés Copa ◽  
Mar del Mar Plaza Cano ◽  
Marisa L. García de Aguinaga ◽  
...  
Keyword(s):  
Carpal Tunnel Syndrome ◽  
Natural History ◽  
Carpal Tunnel ◽  
History Of ◽  
Tunnel Syndrome ◽  
New Feature

Point Blank: A Retrospective Review of Self-inflicted Gunshot Wounds to the Hand

Hand ◽  
2021 ◽  
pp. 155894472110146
Author(s):  
Brian W. Starr ◽  
Douglas R. Dembinski ◽  
Frank Yuan ◽  
Elizabeth A. Lax ◽  
Suma Yalamanchili ◽  
...  
Keyword(s):  
Carpal Tunnel Syndrome ◽  
Adverse Events ◽  
Carpal Tunnel ◽  
Gunshot Wounds ◽  
Surgical Decompression ◽  
Low Energy ◽  
Wound Infections ◽  
Tunnel Syndrome ◽  
Acute Carpal Tunnel Syndrome ◽  
Surgical Release

Background A paucity of literature exists specifically examining self-inflicted (SI) gunshot wounds (GSWs) to the hand and wrist, which impart greater energy and have a higher risk of adverse events than non–self-inflicted (NSI) GSWs. Methods We retrospectively reviewed records of patients who presented to our plastic surgery service after sustaining acute GSWs involving the hand and wrist between 2016 and 2018. Results We identified 60 patients who sustained GSWs involving the hand and wrist; 17 (28%) were SI, and 43 (72%) were NSI. Within the SI group, 100% of patients were Caucasian, with an average age of 54 years. Within the NSI cohort, 77% of patients were Black, 19% were Caucasian, and 4% identified as other. While not statistically significant, we noted a substantial increase in patients requiring operative intervention in the SI cohort (65% SI vs 37% NSI, P = .08). There was a statistically significant increase in patients requiring more than 1 operation in SI patients (24% SI vs 5% NSI, P = .04). Patients who sustained SI injuries were also more likely to present with acute carpal tunnel syndrome requiring urgent surgical release and to develop wound infections (12% vs 0%, P = .08). Conclusions Self-inflicted GSWs involving the hand and wrist are associated with greater morbidity than their low-energy NSI counterparts. Individuals presenting with SI GSWs are more likely to be older, to require multiple operations, to develop infections, and to present with acute carpal tunnel syndrome requiring urgent surgical decompression.

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.

Use of a Wheel Aesthesiometer for Testing Sensibility in the Hand Results in patients with carpal tunnel syndrome

1986 ◽  
Vol 11 (2) ◽  
pp. 182-186
Author(s):  
D. R. MARSH
Keyword(s):  
Carpal Tunnel Syndrome ◽  
Carpal Tunnel ◽  
Surgical Decompression ◽  
Spatial Discrimination ◽  
Sensory Impairment ◽  
Discrimination Test ◽  
New Instrument ◽  
Before And After ◽  
Tunnel Syndrome

Tests of spatial discrimination were performed on the hands of patients with carpal tunnel syndrome, before and after surgical decompression. Impairment of sensibility and its recovery after treatment were better demonstrated by a new instrument, the wheel aesthesiometer, than by the moving two-point discrimination test. The psychophysics of the new test and the nature of the sensory impairment in carpal tunnel syndrome are discussed.

Von Willebrand’s Disease presenting as Acute Carpal Tunnel Syndrome

1998 ◽  
Vol 23 (1) ◽  
pp. 114-114 ◽  
Author(s):  
D. G. PARTHENIS ◽  
C. B. KARAGKEVREKIS ◽  
M. A. WALDRAM
Keyword(s):  
Carpal Tunnel Syndrome ◽  
Carpal Tunnel ◽  
Spontaneous Bleeding ◽  
Von Willebrand's Disease ◽  
Von Willebrand’S Disease ◽  
History Of ◽  
Tunnel Syndrome ◽  
Acute Carpal Tunnel Syndrome

We describe a patient who developed acute carpal tunnel syndrome due to spontaneous bleeding without a history of injury. Immediate decompression relieved the symptoms. Further haematological investigations revealed that the patient was suffering from von Willebrand’s disease.

A Randomized Prospective Comparison of Ultrasound-Guided and Landmark-Guided Steroid Injections for Carpal Tunnel Syndrome

2017 ◽  
Vol 34 (2) ◽  
pp. 107-113 ◽  
Author(s):  
Fariba Eslamian ◽  
Bina Eftekharsadat ◽  
Arash Babaei-Ghazani ◽  
Fateme Jahanjoo ◽  
Mojgan Zeinali
Keyword(s):  
Carpal Tunnel Syndrome ◽  
Carpal Tunnel ◽  
Ultrasound Guided ◽  
Steroid Injections ◽  
Prospective Comparison ◽  
Tunnel Syndrome

scholarly journals Incidental finding of a persistent median artery (palmar type) during a routine carpal tunnel decompression: a case report

2017 ◽  
Vol 99 (7) ◽  
pp. e204-e205
Author(s):  
J Butt ◽  
AK Ahluwalia ◽  
A Dutta
Keyword(s):  
Case Report ◽  
Carpal Tunnel Syndrome ◽  
Median Nerve ◽  
Carpal Tunnel ◽  
Incidental Finding ◽  
Surgical Decompression ◽  
Iatrogenic Injury ◽  
Palmar Fascia ◽  
Tunnel Syndrome ◽  
Median Artery

Carpal tunnel syndrome is characterised by compression of the median nerve. The mainstay of treatment is surgical decompression. This case report highlights the occurrence of a persistent median artery, which could complicate surgery. A 55-year-old woman underwent carpal tunnel decompression. An incidental finding of a large-calibre persistent median artery, which was superficial to the flexor sheath, could have been damaged. This was carefully retracted and the procedure was completed, without any complications. Several studies have shown the prevalence of persistent median artery to range from 1.1–27.1%. It is usually found deep to the flexor retinaculum but in this case it was found to be just beneath the palmar fascia. There is increased chance of iatrogenic injury with this particular variant. Surgeons performing the procedure should be mindful of this variation, because accidental damage could result in devastating consequences to the hand.

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