scholarly journals Flexor Tenosynovectomy for Recurrent Carpal Tunnel Syndrome: A Retrospective Case Series of 108 Hands

Hand ◽  
2019 ◽  
pp. 155894471984073 ◽  
Author(s):  
Chase T. Kluemper ◽  
Rachel E. Swafford ◽  
Michael J. Hankins ◽  
Caleb M. Davis ◽  
Mark A. Brzezienski ◽  
...  
Keyword(s):  
Carpal Tunnel Syndrome ◽  
Carpal Tunnel ◽  
Case Series ◽  
Retrospective Case ◽  
Retrospective Case Series ◽  
Tunnel Syndrome

scholarly journals PROFILE OF PATIENTS WITH CARPAL TUNNEL SYNDROME TREATED AT A REFERRAL SERVICE

2020 ◽  
Vol 28 (3) ◽  
pp. 117-120
Author(s):  
HENVER RIBEIRO DE PAIVA FILHO ◽  
VALDÊNIA DAS GRAÇAS NASCIMENTO PAIVA ◽  
ELIAS FELIX DE OLIVEIRA ◽  
MURILO ANTÔNIO ROCHA
Keyword(s):  
Carpal Tunnel Syndrome ◽  
Carpal Tunnel ◽  
Case Series ◽  
Hand Surgery ◽  
Elementary Level ◽  
Level Of Evidence ◽  
Women Smokers ◽  
Referral Service ◽  
Tunnel Syndrome ◽  
Epidemiological Characteristics

ABSTRACT Objective: To describe the clinical and epidemiological characteristics of people diagnosed with carpal tunnel syndrome (CTS) treated at a hand surgery outpatient clinic of a regional referral service. Methods: Interview and specific medical examination of 150 people diagnosed with CTS underwent, and statistical analysis of the results obtained. Results: Women smokers, in the fifth decade of life, married, overweight and educated until the elementary level prevailed in our study. Arterial hypertension and diabetes were the most reported comorbidities, and Durkan’s test was the most prevalent. Conclusion: CTS is prevalent in women in their fifth decade of life, with bilateral involvement and high school. The hypertension and diabetes are the most common diseases in people with CTS. Level of evidence IV, Case series.

Clinical Assessment of Usefulness, Effectiveness and Safety of Jackyakamcho-tang (Shaoyaogancao-tang) on Muscle Spasm and Pain: A Case Series

2004 ◽  
Vol 32 (04) ◽  
pp. 611-620 ◽  
Author(s):  
Woo Sang Jung ◽  
Sang Kwan Moon ◽  
Seong Uk Park ◽  
Chang Nam Ko ◽  
Ki Ho Cho
Keyword(s):  
Carpal Tunnel Syndrome ◽  
Herbal Medicine ◽  
Carpal Tunnel ◽  
Medical Records ◽  
Cervical Spondylosis ◽  
Single Case ◽  
Case Series ◽  
Muscle Spasm ◽  
Tunnel Syndrome ◽  
Thalamic Pain

This study is a retrospective single case series. Two hundred and thirty-seven patients were treated with Jackyakamcho-tang (JKT) for relief of muscle spasm and pain; 81 of them were included in analysis. (The others were excluded because of insufficient medical records to confirm the diagnosis or assess the response.) There were 29 patients with nocturnal leg cramps, 28 with cervical spondylosis, 13 with thalamic pain and 11 with carpal tunnel syndrome, for which the effectiveness was assessed as 86.2%, 60.7%, 45.5% and 72.8%, respectively. Adverse effects (indigestion, diarrhea or edema) were seen in 11.1% of the total patients, but severe cases were only 3.7%. Taking the effectiveness and the safety into consideration, the usefulness was assessed as 86.2%, 57.1%, 53.9% and 72.8% for treating nocturnal leg cramps, cervical spondylosis, thalamic pain and carpal tunnel syndrome, respectively. In conclusion, we suggest that JKT is a useful herbal medicine with analgesic and anti-spasmodic effects.

Ultrasound-Assisted Percutaneous Release in Carpal Tunnel Syndrome and Trigger Digits: A Over 1000-Case Series

2017 ◽  
Vol 43 ◽  
pp. S196
Author(s):  
Tung-Tai Wu ◽  
Po-Ting Wu ◽  
Chien-An Shih ◽  
Chun-Ta Lai ◽  
Kuo-Chen Wu ◽  
...  
Keyword(s):  
Carpal Tunnel Syndrome ◽  
Carpal Tunnel ◽  
Case Series ◽  
Percutaneous Release ◽  
Tunnel Syndrome ◽  
Ultrasound Assisted

scholarly journals Motor Examination in the Diagnosis of Carpal Tunnel Syndrome

2017 ◽  
Vol 09 (02) ◽  
pp. 067-073
Author(s):  
Mithun Neral ◽  
Joseph Imbriglia ◽  
Lois Carlson ◽  
Ronit Wollstein
Keyword(s):  
Carpal Tunnel Syndrome ◽  
Ulnar Nerve ◽  
Carpal Tunnel ◽  
Manual Muscle Testing ◽  
Relative Importance ◽  
Retrospective Case ◽  
Muscle Testing ◽  
Motor Testing ◽  
Tunnel Syndrome ◽  
Measured Strength

AbstractThe relative importance and use of motor evaluation to diagnose carpal tunnel syndrome (CTS) is not clear. Because the ulnar nerve is not affected in CTS, we evaluated comparing the strength of the median-nerve innervated muscles to the ulnar innervated muscles in the same patient, through manual muscle testing (MMT) and a handheld dynamometer. Our purpose was to evaluate whether this method, which takes into account patient-dependent factors that would affect both groups of muscles equally, can provide better assessment of CTS. A retrospective case-control review of MMT and dynamometer-measured strength for CTS was performed. The study was performed retrospectively but prior to surgery or other treatment. There were 28 cases (CTS) and 14 controls (without CTS). Positive nerve conduction tests defined cases. MMT of the thenar musculature was found to be unreliable as a test for CTS. Comparisons to ulnar nerve innervated muscle strength did not improve sensitivity or specificity of the MMT examination. Use of the dynamometer improved sensitivity and specificity of motor testing in CTS over MMT. Motor evaluation is important for the diagnosis of CTS, but further study is warranted, specifically to define the method of motor evaluation and delineate the subgroup of patients (predominantly thenar motor presentation) that would benefit most from motor testing and motor-focused treatment.

Self-Administered Hand Symptom Diagram for Carpal Tunnel Syndrome Diagnosis

2004 ◽  
Vol 29 (6) ◽  
pp. 571-574 ◽  
Author(s):  
V. SHARMA ◽  
E. P. WILDER-SMITH
Keyword(s):  
Carpal Tunnel Syndrome ◽  
Carpal Tunnel ◽  
Case Series ◽  
Subjective Assessment ◽  
The Self ◽  
Syndrome Diagnosis ◽  
Tunnel Syndrome ◽  
Prospective Case Series ◽  
Hand Symptoms ◽  
Assessment Scales

In a prospective case series in Singapore we studied whether a hand symptom diagram can be used to predict carpal tunnel syndrome as defined by standardized clinical and neurophysiological protocol. Forty patients (mean age, 48 years, range 18–76) with carpal tunnel syndrome found it difficult to complete the hand diagram, and only four patients were able to mark it helpfully. There was no relation between drawings, clinical and neurophysiological parameters. A self-administered hand symptoms diagram is not useful for supporting a diagnosis of carpal tunnel syndrome amongst Singaporeans. Cultural factors may significantly influence subjective assessment scales such as the self-administered hand symptom diagram, which has been found effective in North American populations.

The Effect of Long-Distance Bicycling on Ulnar and Median Nerves

2005 ◽  
Vol 33 (8) ◽  
pp. 1224-1230 ◽  
Author(s):  
Venu Akuthota ◽  
Christopher Plastaras ◽  
Kirstin Lindberg ◽  
John Tobey ◽  
Joel Press ◽  
...  
Keyword(s):  
Carpal Tunnel Syndrome ◽  
Ulnar Nerve ◽  
Carpal Tunnel ◽  
Sensory Nerve ◽  
Case Series ◽  
Hand Position ◽  
Long Distance ◽  
Deep Branch ◽  
Tunnel Syndrome ◽  
Cycling Event

Background Distal ulnar neuropathies have been identified in cyclists because of prolonged grip pressures on handlebars. The so-called cyclist palsy has been postulated to be an entrapment neuropathy of the ulnar nerve in the Guyon canal of the wrist. Previous studies utilizing nerve conduction studies have typically been either case reports or small case series. Hypothesis Electrophysiologic changes will be present in the ulnar and median nerves after a long-distance multiday cycling event. Study Design Cohort study; Level of evidence, 2. Methods A total of 28 adult hands from 14 subjects underwent median and ulnar motor and sensory nerve conductions, which were performed on both hands before and after a 6-day, 420-mile bike tour. A ride questionnaire was also administered after the ride, evaluating the experience level of the cyclist, equipment issues, hand position, and symptoms during the ride. Results Distal motor latencies of the deep branch of the ulnar nerve to the first dorsal interosseous were significantly prolonged after the long-distance cycling event. The median motor and sensory studies as well as the ulnar sensory and motor studies of the abductor digiti minimi did not change significantly. Electrophysiologic and symptomatic worsening of carpal tunnel syndrome was observed in 3 hands, with the onset of carpal tunnel syndrome in 1 hand after the ride. Conclusion Long-distance cycling may promote physiologic changes in the deep branch of the ulnar nerve and exacerbate symptoms of carpal tunnel syndrome.

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