Carpal Tunnel Syndrome and Cubital Tunnel Syndrome: Work-Related Musculoskeletal Disorders in Four Symptomatic Radiologists

2003 ◽  
Vol 181 (1) ◽  
pp. 37-42 ◽  
Author(s):  
Lynne Ruess ◽  
Stephen C. O'Connor ◽  
Kenneth H. Cho ◽  
Faheem H. Hussain ◽  
William J. Howard ◽  
...  
Keyword(s):  
Carpal Tunnel Syndrome ◽  
Musculoskeletal Disorders ◽  
Carpal Tunnel ◽  
Cubital Tunnel Syndrome ◽  
Cubital Tunnel ◽  
Work Related ◽  
Work Related Musculoskeletal Disorders ◽  
Tunnel Syndrome

scholarly journals Ergonomic Awareness: Simple Solution To Prevent Work-Related Musculoskeletal Disorders (WMSDs)

2019 ◽  
Vol 10 (1) ◽  
pp. 86-86
Author(s):  
Khalid Aziz ◽  
Ambreen Shehzad ◽  
Syeda Tahniyat Ali
Keyword(s):  
Carpal Tunnel Syndrome ◽  
Connective Tissue ◽  
Musculoskeletal Disorders ◽  
Carpal Tunnel ◽  
Simple Solution ◽  
Work Related ◽  
Work Related Musculoskeletal Disorders ◽  
Tunnel Syndrome ◽  
Tissue Injuries

Musculoskeletal disorders are injuries or dysfunctions that affects muscles, bones, nerves, tendons, ligaments, joints, cartilages, and spinal discs. They include sprains, strains, tears, soreness, pain, carpal tunnel syndrome, hernias, and connective tissue injuries of the structures previously mentioned

Evaluation of PROMIS Outcomes for Surgical Treatment of Cubital Tunnel Syndrome With and Without Carpal Tunnel Syndrome

Hand ◽  
2021 ◽  
pp. 155894472110289
Author(s):  
Amy Phan ◽  
Warren Hammert
Keyword(s):  
Carpal Tunnel Syndrome ◽  
Carpal Tunnel ◽  
Postoperative Period ◽  
Cubital Tunnel Syndrome ◽  
Cubital Tunnel ◽  
Measurement Information ◽  
Level Of Evidence ◽  
Patient Reported ◽  
Tunnel Syndrome ◽  
Measurement Information System

Background: Assessment of outcomes for cubital tunnel syndrome (CuTS) surgeries has been difficult due to heterogeneity in outcome reporting. Our objective was to evaluate the outcomes for 2 cohorts treated surgically for isolated CuTS and for combined CuTS and carpal tunnel syndrome (CTS) using Patient Reported Outcomes Measurement Information System (PROMIS). Methods: There were 29 patients in the isolated CuTS cohort and 30 patients in the combined CuTS and CTS cohort. PROMIS Physical Function (PF), Pain Interference (PI), Depression, and Upper Extremity (UE) were completed preoperatively and 1-week, 6-weeks, and 3-months postoperatively. Responsiveness was evaluated by standardized response means (SRM). Results: Significant improvements from the 1-week to 6-week postoperative period are shown in the isolated CuTS cohort for PROMIS PF ( P = .002), PI ( P = .0002), and UE ( P = .02), but scores plateau after 6-weeks postoperatively. A similar pattern for the same time points was seen for the combined CuTS and CTS group for PROMIS PF ( P = .001), PI ( P = .02), and UE ( P = .04), with a plateau of scores beyond 6 weeks postoperatively. PROMIS UE was more responsive (SRM range: 0.11-1.03) than the PF (SRM range: 0.02-0.52) and PI (SRM range: 0.11-0.40), which were both mildly responsive for both cohorts. Conclusions: PROMIS lacks the sensitivity to show improvement beyond 6-weeks postoperatively for both isolated CuTS and combined CuTS and CTS. Patients with combined nerve compressions follow similar trajectories in the postoperative period as those with isolated CuTS. Level of Evidence: Level IV.

scholarly journals A Clinical Scoring System for Distinguishing Patients With Coincident Cubital Tunnel Syndrome Among Patients With Carpal Tunnel Syndrome

Hand ◽  
2016 ◽  
Vol 12 (1) ◽  
pp. 43-49
Author(s):  
Justin Koh ◽  
Kodi K. Azari ◽  
Prosper Benhaim
Keyword(s):  
High Risk ◽  
Carpal Tunnel Syndrome ◽  
Carpal Tunnel ◽  
Scoring System ◽  
Cubital Tunnel Syndrome ◽  
Cubital Tunnel ◽  
Predictive Values ◽  
Cutoff Value ◽  
Tunnel Syndrome ◽  
Tunnel Syndromes

Background: Coincident carpal and cubital tunnel syndromes present a diagnostic challenge, exacerbated by the limitations of nerve conduction study (NCS) for confirming cubital tunnel syndrome. This study develops a diagnostic scoring system, the Koh-Benhaim (KB) score, to identify patients with coincident compression neuropathies. Methods: A retrospective review of 515 patients was performed from patients surgically treated for carpal and/or cubital tunnel release. These patients were divided as patients with isolated carpal tunnel syndrome (n = 337) or coincident carpal and cubital tunnel syndromes (n = 178), then characterized according to demographics, medical history, physical examination, and NCS results. Univariate and multivariate logistic regression identified predictors of coincident neuropathy. A clinical score was constructed by integerizing regression coefficients of predictive factors. Receiver operating characteristic (ROC) curves were generated for each iteration of the score. Sensitivities, specificities, and positive and negative predictive values were calculated to identify the best cutoff value. Results: Decreased intrinsic muscle strength, decreased ulnar sensation, positive elbow flexion test, positive cubital tunnel Tinel’s sign, and abnormal NCS result were selected. The cutoff value for high risk of coincident compression was 3 points: positive predictive value, 82.9% and specificity, 93.4%. Model performance was very good—ROC area under the curve of 0.917. Conclusions: A KB score of 3 or greater represents high risk of coincident cubital tunnel compression. The variables involved are routinely used to assess the cubital tunnel, and all component factors of the KB score were of equivalent clinical weight in assessing patients with potential coincident compression neuropathy.

Cubital Tunnel Syndrome in a Patient in Long-Term Haemodialysis

1994 ◽  
Vol 19 (5) ◽  
pp. 636-637 ◽  
Author(s):  
T. KONISHIIKE ◽  
H. HASHIZUME ◽  
K. NISHIDA ◽  
H. INOUE ◽  
K. MORIWAKI
Keyword(s):  
Case Report ◽  
Carpal Tunnel Syndrome ◽  
Carpal Tunnel ◽  
Granulation Tissue ◽  
Muscular Atrophy ◽  
Cubital Tunnel Syndrome ◽  
Cubital Tunnel ◽  
Tunnel Syndrome ◽  
Haemodialysis Treatment

The onset mechanism of cubital tunnel syndrome and carpal tunnel syndrome may be similar in haemodialysis patients. Carpal tunnel syndrome is well recognized as a consequence of dialysis-associated amyloidosis. This case report documents the development of cubital tunnel syndrome in a patient on haemodialysis treatment for 10 years. Proliferating granulation tissue at the elbow had entrapped and displaced the ulnar nerve. This was corrected surgically, and the patient experienced immediate relief of the numbness and the “tingling”, but the muscular atrophy had not improved after 8 months.

Compression Neuropathies of the Upper Extremity

2019 ◽  
pp. 1003-1014
Author(s):  
Wendy Kar Yee Ng
Keyword(s):  
Carpal Tunnel Syndrome ◽  
Upper Extremity ◽  
Carpal Tunnel ◽  
Cubital Tunnel Syndrome ◽  
Nerve Compression ◽  
Cubital Tunnel ◽  
Peripheral Neuropathies ◽  
Tunnel Syndrome ◽  
Radial Tunnel Syndrome

Compression neuropathies of the upper extremity are common, and these conditions can be symptomatically debilitating for patients. Although the author acknowledges that nerve compression can still occur at various sites from the neck proximally to the hand distally for all of the described nerves herein, the author aims with this chapter to describe a series of straightforward, reproducible, and reliable approaches to the evaluation and management of three upper extremity peripheral neuropathies to each of the three major nerves to the hand: carpal tunnel syndrome, cubital tunnel syndrome, and radial tunnel syndrome.

Double Crush Syndrome Related to the Thoracic Outlet Syndrome

Hand Surgery ◽  
1997 ◽  
Vol 02 (02) ◽  
pp. 131-133 ◽  
Author(s):  
Jun Nishida ◽  
Katsuaki Ichinohe ◽  
Tadashi Shimamura ◽  
Masataka Abe
Keyword(s):  
Carpal Tunnel Syndrome ◽  
Carpal Tunnel ◽  
Thoracic Outlet Syndrome ◽  
Cubital Tunnel Syndrome ◽  
Entrapment Neuropathy ◽  
Cubital Tunnel ◽  
Provocation Tests ◽  
Tunnel Syndrome ◽  
Double Crush ◽  
Ulnar Tunnel

Cases diagnosed as having thoracic outlet syndrome were examined by neurological examination, including provocation tests, electromyography and radiological examinations, to detect other sites of entrapment neuropathy of the upper extremity. During the last four years, 555 upper extremities of 494 patients were diagnosed as having thoracic outlet syndrome. Forty-five patients (9.3%) were diagnosed as having other entrapment neuropathy in one extremity. Ten cases were complicated by cervical radiculopathy, 15 by carpal tunnel syndrome, 11 by cubital tunnel syndrome, five by radial tunnel syndrome, two by ulnar tunnel syndrome, two by both carpal tunnel and cubital tunnel syndrome, and one by both cubital and ulnar tunnel syndrome. Surgery was performed for 15 limbs, and the distal lesion was operated on the first in two-thirds of these patients. The relationship between thoracic outlet syndrome and cubital tunnel syndrome or carpal tunnel syndrome has been reported by several authors, but the rates of incidence vary among reports. The rate of incidence seems to depend upon the diagnostic technique. After adoption of the appropriate provocation tests, patients with thoracic outlet syndrome complicated by other entrapment neuropathies were detected at a relatively high rate of incidence. Provocation tests seem to be an essential measure for the diagnosis of double crush syndromes.

scholarly journals Surgical treatment of nerve entrapment syndromes

2003 ◽  
Vol 50 (1) ◽  
pp. 73-82
Author(s):  
Lukas Rasulic ◽  
Vladimir Bascarevic ◽  
Irena Cvrkota
Keyword(s):  
Surgical Treatment ◽  
Carpal Tunnel Syndrome ◽  
Carpal Tunnel ◽  
Descriptive Analysis ◽  
Cubital Tunnel Syndrome ◽  
Nerve Entrapment ◽  
Cubital Tunnel ◽  
Clinical Center ◽  
Tunnel Syndrome ◽  
Entrapment Syndromes

Nerve entrapment syndromes are, by definition, states of disproportion between the volume of the peripheral nerve and the space through which a nerve in extremities passes. In the Institute of Neurosurgery, Clinical Center of Serbia carpal tunnel syndrome and cubital tunnel syndrome are the most frequent compressive neuropathies, and their frequency in our series is 91%. This study represents comparative analysis of parameters which can influence on surgical treatment of carpal and cubital tunnel syndrome. Analysis was performed on 169 patients operated on because of carpal tunnel syndrome, and 83 patients operated on because of cubital tunnel syndrome by microsurgical procedures such as decompression, transposition, epineurectomy or interfascicular neurolysis, during the period from 1979. up to 2000. Through the comparative and descriptive analysis it was investigated corelation between clinical and electrodiagnostical findings, as well as between results of the surgical treatment with intention of checking of indication for surgical treatment.

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