scholarly journals A New Palmo-Shoulder Compression Association

2020 ◽  
Vol 13 (2) ◽  
Author(s):  
Hani Sinno ◽  
Teanoosh Zadeh
Keyword(s):  
Surgical Treatment ◽  
Carpal Tunnel Syndrome ◽  
Carpal Tunnel ◽  
Gold Standard ◽  
Diagnostic Tests ◽  
Signs And Symptoms ◽  
Transverse Carpal Ligament ◽  
Mechanical Compression ◽  
Peripheral Compression ◽  
Tunnel Syndrome

Carpal tunnel syndrome is a most common peripheral compression neuropathy (1). It is caused by mechanical compression of the median nerve as it traverses the carpal tunnel of the wrist. Classic signs and symptoms are numbness of the lateral three digits and weakness of the thenar muscles  due to atrophy (2). Important diagnostic tests in- clude electromyography (EMG) and nerve con- duction studies. The gold standard for the surgical  treatment is transection of the transverse carpal ligament.

scholarly journals Experience with Transtrapezium Approach for Transverse Carpal Ligament Release in Patients with Coexisted Trapeziometacarpal Joint Osteoarthritis and Carpal Tunnel Syndrome

Hand ◽  
2007 ◽  
Vol 2 (3) ◽  
pp. 151-154 ◽  
Author(s):  
Yury Sless ◽  
Steven P. Sampson
Keyword(s):  
Surgical Treatment ◽  
Carpal Tunnel Syndrome ◽  
Carpal Tunnel ◽  
Carpal Tunnel Release ◽  
Transverse Carpal Ligament ◽  
Carpometacarpal Joint ◽  
Trapeziometacarpal Joint ◽  
First Carpometacarpal Joint ◽  
Trapeziometacarpal Joint Osteoarthritis ◽  
Tunnel Syndrome

An experience with transtrapezium approach for carpal tunnel release is reported. This technique seems to be successful in cases when carpal tunnel syndrome and first carpometacarpal joint osteoarthritis coexist and surgical treatment is indicated for both conditions. The transtrapezium approach to carpal tunnel release allows for complete carpal tunnel release without increasing the risk of surgical complications.

Palmar Musculature: Does It Affect the Development of Carpal Tunnel Syndrome? A Pilot Study

2021 ◽  
Author(s):  
Trevor Simcox ◽  
Lauren Seo ◽  
Kevin Dunham ◽  
Shengnan Huang ◽  
Catherine Petchprapa ◽  
...  
Keyword(s):  
Carpal Tunnel Syndrome ◽  
Correlation Coefficient ◽  
Carpal Tunnel ◽  
Case Control Study ◽  
Anatomical Variation ◽  
Case Control ◽  
Transverse Carpal Ligament ◽  
Large Variability ◽  
Tunnel Syndrome ◽  
Control Study

Abstract Background The etiology of carpal tunnel syndrome (CTS) is multifactorial. Static mechanical characteristics of CTS have been described, but dynamic (muscular) parameters remain obscure. We believe that musculature overlying the transverse carpal ligament may have an effect on carpal tunnel pressure and may explain the prevalence of CTS in manual workers. Questions/Purposes To utilize magnetic resonance imaging (MRI) imaging to estimate the amount of muscle crossing the area of the carpal tunnel and to compare these MRI measurements in patients with and without documented CTS. Methods A case–control study of wrist MRI scans between January 1, 2018, and December 1, 2019, was performed. Patients with a diagnosis of CTS were matched by age and gender with controls without a diagnosis of CTS. Axial MRI cuts at the level of the hook of the hamate were used to measure the thenar and hypothenar muscle depth overlying the carpal tunnel. Muscle depth was quantified in millimeters at three points: midcapitate, capitate–hamate border, capitate–trapezoid border. Average depth was calculated by dividing the cross-sectional area (CSA) by the transverse carpal ligament width. Statistical analysis included Student's t-test, chi-square test, and Pearson's correlation coefficient calculation. Results A total of 21 cases and 21 controls met the inclusion criteria for the study. There were no significant differences in demographics between case and control groups. The location and depth of the musculature crossing the carpal tunnel were highly variable in all areas evaluated. A significantly positive correlation was found between proximal median nerve CSA and muscle depth in the capitate–hamate area (correlation coefficient = 0.375; p = 0.014). CSA was not significantly associated with chart documented CTS. Conclusions We found large variability in our measurements. This likely reflects true anatomical variation. The significance of our findings depends on the location of the muscles and the line of pull and their effect on the mechanics of the transverse carpal ligament. Future research will focus on refining measurement methodology and understanding the mechanical effect of the muscular structure and insertions on carpal tunnel pressure. Level of Evidence This is a Level 3, case–control study.

scholarly journals Carpal Tunnel Syndrome: A National Survey to Monitor Knowledge and Operating Methods

2021 ◽  
Vol 18 (4) ◽  
pp. 1995
Author(s):  
Valentina Scalise ◽  
Fabrizio Brindisino ◽  
Leonardo Pellicciari ◽  
Silvia Minnucci ◽  
Francesca Bonetti
Keyword(s):  
Carpal Tunnel Syndrome ◽  
Manual Therapy ◽  
Carpal Tunnel ◽  
Signs And Symptoms ◽  
Current Evidence ◽  
Cross Sectional Survey ◽  
Cross Sectional ◽  
Therapeutic Exercises ◽  
Chi Squared ◽  
Tunnel Syndrome

The aim of this article was to investigate the knowledge, management, and clinical practice of Italian physiotherapists concerning patients with carpal tunnel syndrome (CTS). A national cross-sectional survey consisted of 24 questions was administered from December 2019 until February 2020. A Chi-squared independence test was run to study any difference between subgroups of the sample and responses to the questionnaire. Five hundred and eight respondents completed the survey. Most respondents (n = 225/508; 44.3%) are under 29 years old, female (n = 256/508; 50.4%) and have been working as physiotherapists for less than 5 years (n = 213/508; 41.9%). Most of respondents correctly knows about the cause (n = 455/508, 89.6%), main signs and symptoms of CTS (n = 415/508, 81.70%) and administer education, manual therapy, myofascial techniques and therapeutic exercises (n = 457/508, 89.88%). Three hundred and sixty-four (71.68%) respondents were aware of the influence of psychosocial factors on the patient’s outcomes. The survey showed greater adherence to evidences by physiotherapists holding a master’s degree. The results are mostly comparable with other surveys structured all over the world on the same topic. Italian physiotherapists management of the CTS was not always in line with current evidence. Interventions such as education, manual therapy, therapeutic exercise, nerve and tendon glide techniques are widely used, while the orthotic is only offered by half of the sample.

scholarly journals Clinical Study of Surgical Treatment of Carpal Tunnel Syndrome: Open versus Endoscopic Technique

2000 ◽  
Vol 8 (2) ◽  
pp. 19-25 ◽  
Author(s):  
Masato Okada ◽  
Osamu Tsubata ◽  
Sadayuki Yasumoto ◽  
Norihiko Toda ◽  
Tadami Matsumoto
Keyword(s):  
Clinical Study ◽  
Surgical Treatment ◽  
Carpal Tunnel Syndrome ◽  
Carpal Tunnel ◽  
Endoscopic Technique ◽  
Tunnel Syndrome ◽  
Open Versus

scholarly journals Digital Ulcers as Presentation of Carpal Tunnel Syndrome

2020 ◽  
Vol 77 (4) ◽  
pp. 353-356
Author(s):  
T. F. Gomes ◽  
K Kieselova ◽  
F. Santiago ◽  
A. Daniel ◽  
M. Henrique
Keyword(s):  
Systemic Sclerosis ◽  
Carpal Tunnel Syndrome ◽  
Carpal Tunnel ◽  
Clinical Assessment ◽  
Gold Standard ◽  
Digital Ulcers ◽  
Tunnel Syndrome ◽  
Sensory Changes ◽  
Hand Radiography

Ulcerating and mutilating variant of carpal tunnel syndrome occurs in longstanding cases of untreated disease. Pa- tients present with painless ulcers of the second and third fingers, accompanied with other cutaneous and sensory changes. These patients are often misdiagnosed as having a Raynaud disease or systemic sclerosis. Clinical assessment is the gold standard for the diagnosis of carpal tunnel syndrome, but hand radiography and electromyography help supporting the diagnosis. The authors present two cases of this ulcerating variant of carpal tunnel syndrome.

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