scholarly journals Concurrent musculoskeletal and soft tissue pain in the upper extremity can affect the treatment and prognosis of carpal tunnel syndrome: redefining a common condition

2017 ◽  
Vol Volume 10 ◽  
pp. 2497-2502
Author(s):  
Reynaldo P Lazaro ◽  
Thomas Eagan
Keyword(s):  
Carpal Tunnel Syndrome ◽  
Soft Tissue ◽  
Upper Extremity ◽  
Carpal Tunnel ◽  
Common Condition ◽  
Tunnel Syndrome

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

CLINICAL AND ELECTROPHYSIOLOGICAL COMPARISON OF DIFFERENT METHODS OF SOFT TISSUE COVERAGE OF THE MEDIAN NERVE IN RECURRENT CARPAL TUNNEL SYNDROME

2008 ◽  
Vol 62 ◽  
pp. 194-200 ◽  
Author(s):  
Nicolas M. Stütz ◽  
Andreas Gohritz ◽  
Alexander Novotny ◽  
Udo Falkenberg ◽  
Ulrich Lanz ◽  
...  
Keyword(s):  
Carpal Tunnel Syndrome ◽  
Soft Tissue ◽  
Median Nerve ◽  
Carpal Tunnel ◽  
Soft Tissue Coverage ◽  
Tunnel Syndrome

Forearm, hand, and wrist

2013 ◽  
pp. 1314-1322
Author(s):  
Karen Walker-Bone ◽  
Benjamin Ellis
Keyword(s):  
Rheumatoid Arthritis ◽  
Carpal Tunnel Syndrome ◽  
Soft Tissue ◽  
Musculoskeletal System ◽  
Carpal Tunnel ◽  
Diagnostic Tests ◽  
De Quervain’S Disease ◽  
Vital Part ◽  
Tunnel Syndrome ◽  
Forearm Pain

The forearm, hand, and wrist is a functionally vital part of the musculoskeletal system and in consequence, is highly sophisticated and complex in its anatomical development. Frequently, the hand and wrist may be the site of onset of symptoms of a polyarthropathy such as rheumatoid arthritis or of osteoarthritis, so that the physician should always seek to screen for such conditions before making a local diagnosis. Tenosynovitis, de Quervain’s disease, trigger digit, Dupuytren’s, and carpal tunnel syndrome are local soft tissue pathologies which can usually be discriminated on clinical grounds with or without the use of simple diagnostic tests and are satisfying to treat for the most part. Non-specific forearm pain is more complex, with much controversy surrounding not only its aetiopathogenesis but also its existence. It can be difficult to diagnose and difficult to treat.

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.

scholarly journals Synovial Angioma of the FDP Flexor Sheath: A Rare Cause of Carpal Tunnel Syndrome

2013 ◽  
Vol 7 (1) ◽  
pp. 72-74 ◽  
Author(s):  
Robert George ◽  
Kenneth Lee
Keyword(s):  
Carpal Tunnel Syndrome ◽  
Soft Tissue ◽  
Carpal Tunnel ◽  
Ring Finger ◽  
Dominant Male ◽  
Tumour Resection ◽  
Tissue Mass ◽  
Surgical Exploration ◽  
Compressive Neuropathy ◽  
Tunnel Syndrome

It has been previously noted that synovial haemangiomas in the hand and wrist are very rare pathological entities. We report the case of a 34-year-old right hand dominant male who presented to his general practitioner with an enlarging left volar wrist/ palmar mass, who further developed symptoms consistent with carpal tunnel syndrome. An MRI scan subsequently confirmed a large, complex mass with area of necrosis and peripheral enhancement. The rate of mass growth and radiological features raised the possibility of a soft tissue malignancy, and the gentleman was urgently referred to our unit for surgical exploration and removal of tumour. Surgical exploration demonstrated a tan-coloured soft tissue mass on the ulnar aspect of the median nerve. It appeared to arise from, and marginally infiltrated, the tendon sheath of the FDP tendon to the ring finger and the lumbrical muscle of the fourth ray; the distal and proximal extent of the tumour was difficult to define due to the diffuse growth of the tumour. Resection was achieved with macroscopic margins, with excellent functional recovery immediately and at 6 month follow-up. Histological analysis was consistent with a synovial haemangioma, comprising of numerous thin-walled blood vessels with a central cystic cavity containing blood and fibrin. Our case further demonstrates the diagnostic challenges posed by compressive neuropathy due to soft tissue masses, even with thorough clinical and radiological assessment. In the context of a rapidly growing tumour, malignancy must always be suspected and might highlight a role for pre-operative biopsy.

Sign in / Sign up

Export Citation Format

Share Document