scholarly journals Prevalence of Carpal Tunnel Syndrome (Cts) In Civil Shooters: Retrospective Neurophysiological Evaluation

2021 ◽  
Author(s):  
Aleksander Rajczewski ◽  
Artur Fabijański ◽  
Ksawery Bogusławski ◽  
Michał Kaźmierczak ◽  
Juliusz Huber
Keyword(s):  
Risk Factor ◽  
Carpal Tunnel Syndrome ◽  
Brachial Plexus ◽  
Carpal Tunnel ◽  
Muscle Tension ◽  
Motor Evoked Potential ◽  
Upper Extremities ◽  
Cervical Disc ◽  
Neurophysiological Studies ◽  
Tunnel Syndrome

Abstract Background: Shooting may impact the development of mononeuropathies in upper extremities nerves or cervical disc-root conflicts. The study aimed to assess whether shooting sports trained with a handgun by civils are a risk factor of carpal tunnel syndrome (CTS) and other neuropathies of the upper extremity nerves.Method: Neurophysiological studies utilising electromyography (at rest-rEMG, during maximal contraction-mcEMG), electroneurography (ENG) and motor evoked potential (MEP) were applied in nine shooters (rigorously screened as positive using clinical examination for carpal tunnel syndrome among the population of 42) to confirm pathologies.Results: Increased muscle tension in rEMG and simultaneous decrease of motor units activity in mcEMG were recorded both in upper extremities of proximal and distal muscles in shooters than in healthy controls-volunteers, ENG examination confirmed CTS in shooting hand of four persons (4/42, 9,5%); all examined subjects suffered from brachial plexus pathologies on both sides (according to MEPs examinations) and two had ulnar neuropathy at the wrist on shooting side.Conclusions: Shooting is a moderate risk factor for CTS and significant for brachial plexus neuropathies.Trial registration: The Bioethics Committee of Poznan University of Medical Sciences approved the study (decision number 554/17 of 22 June 2017), performed following the Declaration of Helsinki.

Survey on the Prevalence of Carpal Tunnel Syndrome in Simple Repetitive Workers Who Use Upper Extremities

2001 ◽  
Vol 13 (3) ◽  
pp. 209 ◽  
Author(s):  
Ji Eun Son ◽  
Tae Woon Jang ◽  
Yoon Kou Kim ◽  
Young Seoub Hong ◽  
Kap Yeol Jung ◽  
...  
Keyword(s):  
Carpal Tunnel Syndrome ◽  
Carpal Tunnel ◽  
Upper Extremities ◽  
Tunnel Syndrome

scholarly journals OUR EXPERIENCE IN CARPAL TUNNEL SYNDROME THERAPEUTIC EFFECTIVENESS EVALUATION

2019 ◽  
Vol 7 ◽  
pp. 833-838
Author(s):  
Jolanta Umure ◽  
Ināra Logina ◽  
Marija Mihailova
Keyword(s):  
Neuropathic Pain ◽  
Carpal Tunnel Syndrome ◽  
Carpal Tunnel ◽  
Corticosteroid Injection ◽  
Motor Nerve ◽  
Clinical Effectiveness ◽  
University Hospital ◽  
Compression Tests ◽  
Neurophysiological Studies ◽  
Tunnel Syndrome

Objectives: Analyze the literature data on the incidence and manifestation of carpal tunnel syndrome (CTS), as well as the pathogenesis and treatment options. Perform a specially designed, validated test - Pain Detection. Evaluate the objective state of patients with CTS - sensory impairment, compression test. Assess patients’ neurologic and neurophysiologic data before and after the blockade and evaluate its effectiveness. Perform a specially designed, validated test - Patients` Global Impression of Change scale (PGIC) one month after corticosteroid injection (CSI).Methods and Materials: The study includes an analysis of 55 arms of patients of different age with mild and moderate CTS who came for a neurological examination at the Neurology Outpatient Department of the Pauls Stradiņš Clinical University Hospital during the period of 01.08.2018 – 01.01.2019. All patients were analyzed clinically and neurophysiologically before CSI and one month after CSI. A Pain Detect scale, PGIC scale, compression tests and sensory tests were used for the evaluation of clinical symptom. A median nerve sensory and motor nerve conduction study was performed.Results: According to the Pain Detect scale, 60% of patients showed neuropathic pain before CSI, and 78% of patients presented clinical effectiveness after CSI. 98% of patients present clinical effectiveness after CSI in the PGIC scale. 85% of patients had improvement in neurophysiological studies – motor distal latency decreased after CSI. Before CSI, the average motor distal latency was 5.7ms (range 4.5-12.9ms SD±1.5), which was on average 130% from the maximal norm (range 102- 293 SD±36). After the CSI, the average motor distal latency was 5.2ms (range 3.8-10.7ms SD±1.3), which was on average 120% from the maximal norm (range 88-243 SD±30). We didn’t find any significant correlation between the improvement of the patient's clinical condition and the improvement of electrophysiological outcomes.Conclusions: The study concludes that the Pain Detect sensitivity for neuropathic pain evaluation of patients with CTS is 60%. Patients show clinical and neurophysiological improvement after CSI, but there is no correlation between neurophysiological and clinical improvement. The study concludes that the PGIC scale can be used to quickly assess the effectiveness of therapy.

Case 13

2018 ◽  
Author(s):  
Bashar Katirji
Keyword(s):  
Carpal Tunnel Syndrome ◽  
Brachial Plexus ◽  
Carpal Tunnel ◽  
Thoracic Outlet Syndrome ◽  
Median Sternotomy ◽  
Cubital Tunnel Syndrome ◽  
Brachial Plexopathy ◽  
Neurogenic Thoracic Outlet Syndrome ◽  
Tunnel Syndrome ◽  
Neurogenic Disorder

Thoracic outlet syndrome remains a controversial syndrome despite being described more than a century ago. This syndrome has neurogenic, vascular, and disputed types. True neurogenic thoracic outlet syndrome is relatively rare syndrome often associated with a cervical rib or cervical band. Symptoms include pain, hand and forearm numbness, and hand weakness and atrophy. The true neurogenic disorder has classical electrodiagnostic presentations. This case highlights the anatomy of the brachial plexus and distinguishes true neurogenic thoracic outlet syndrome from carpal tunnel syndrome, cubital tunnel syndrome, C8 radiculopathy, T1 radiculopathy, and post-median sternotomy brachial plexopathy, with emphasis on the electrodiagnostic findings.

scholarly journals Smoking as risk factor for carpal tunnel syndrome: A birth cohort study

2019 ◽  
Vol 60 (3) ◽  
pp. 299-304
Author(s):  
Sina Hulkkonen ◽  
Juha Auvinen ◽  
Jouko Miettunen ◽  
Jaro Karppinen ◽  
Jorma Ryhänen
Keyword(s):  
Risk Factor ◽  
Cohort Study ◽  
Carpal Tunnel Syndrome ◽  
Birth Cohort ◽  
Carpal Tunnel ◽  
Birth Cohort Study ◽  
Tunnel Syndrome

Histoplasmosis of the Upper Extremities: Clinical Case, Treatment Algorithm, and Systematic Review

Hand ◽  
2020 ◽  
pp. 155894472091121
Author(s):  
Maria T. Huayllani ◽  
David J. Restrepo ◽  
Daniel Boczar ◽  
Andrea Sisti ◽  
Brian D. Rinker ◽  
...  
Keyword(s):  
Systematic Review ◽  
Carpal Tunnel Syndrome ◽  
Carpal Tunnel ◽  
Treatment Algorithm ◽  
Clinical Signs ◽  
Upper Extremities ◽  
Treatment Modalities ◽  
Treatment Recommendation ◽  
Persistent Symptoms ◽  
Tunnel Syndrome

Background: Histoplasmosis of the upper extremities is extremely rare, and there is no consensus in its management. The aim of this study was to present a case report and literature review of histoplasmosis in the upper extremities to provide the best treatment recommendation and to increase awareness of this disease. Methods: A systematic review of the literature was performed in PubMed, MEDLINE, and EMBASE databases with the search terms “(Tenosynovitis AND histoplasmosis)” OR “(Upper limbs AND histoplasmosis)” OR “(Upper extremities AND histoplasmosis)” OR “((finger OR arm OR hand OR forearm OR wrist) AND histoplasmosis).” Manuscripts were included in the study if they described diagnosis of histoplasmosis in the bone, joint, synovia, or tendons of the upper extremities. Results: In all, 14 manuscripts and 15 cases of histoplasmosis of the upper extremities from 1992 to 2015 met the inclusion criteria. Eight (53.3%) patients were diagnosed with tenosynovitis, 5 (33.3%) with osteomyelitis, 1 (6.7%) with carpal tunnel syndrome, and 1 (6.7%) with joint wrist abscess. Immunosuppression, travel history, previous diagnosis with histoplasmosis, and persistent symptoms may suggest infectious causes. Surgery and medical treatment together are recommended to optimize outcomes compared with single treatment alone. Conclusions: Histoplasmosis of the upper extremities may have various clinical presentations, including tenosynovitis, osteomyelitis, carpal tunnel syndrome, and joint wrist abscess. The type of surgical approach may depend on the etiology of disease. Increased awareness and knowledge of the clinical signs, symptoms, and effective treatment modalities will help decrease possible complications, such as tendon rupture and functional impairment of the upper extremities.

scholarly journals Elevated Tissue Polypeptide Antigen as a Risk Factor for Carpal Tunnel Syndrome in Haemodialyzed Patients

Nephron ◽  
1988 ◽  
Vol 50 (1) ◽  
pp. 83-84 ◽  
Author(s):  
Gerd Walz ◽  
Ulrich Kunzendorf ◽  
Anke Schwarz ◽  
Renate Bauer ◽  
Frieder Keller ◽  
...  
Keyword(s):  
Risk Factor ◽  
Carpal Tunnel Syndrome ◽  
Carpal Tunnel ◽  
Tissue Polypeptide Antigen ◽  
Tunnel Syndrome
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