Clinical Practice Patterns for Carpal Tunnel Syndrome in Korean Medicine: An Online Survey

2021 ◽  
Vol 16 (1) ◽  
pp. 73-89
Author(s):  
Sang-Hyun Lee ◽  
Hye-Jin Park ◽  
Hyun-Tae Kim ◽  
Sun-Young Park ◽  
In Heo ◽  
...  
Keyword(s):  
Clinical Practice ◽  
Carpal Tunnel Syndrome ◽  
Carpal Tunnel ◽  
Online Survey ◽  
Practice Patterns ◽  
Korean Medicine ◽  
Clinical Practice Patterns ◽  
Tunnel Syndrome

scholarly journals Clinical practice patterns in indirect peroral cholangiopancreatoscopy: outcome of a European survey

2021 ◽  
Vol 09 (11) ◽  
pp. E1704-E1711
Author(s):  
Pauline M.C. Stassen ◽  
Pieter Jan F. de Jonge ◽  
George J.M. Webster ◽  
Mark Ellrichmann ◽  
Arno J. Dormann ◽  
...  
Keyword(s):  
Clinical Practice ◽  
Bile Duct ◽  
Online Survey ◽  
Practice Patterns ◽  
International Consensus ◽  
Clinical Practice Patterns ◽  
European Survey ◽  
Standardized Protocol ◽  
Pancreatic Duct Stones

Abstract Background and aims Indirect peroral cholangiopancreatoscopy (IPOC) is a relatively new diagnostic and therapeutic tool for biliopancreatic diseases. This international survey aimed to evaluate clinical practice patterns in IPOC among endoscopists in Europe. Methods An online survey was developed comprising 66 questions on the use of IPOC. Questions were grouped into four domains. The survey was sent to 369 endoscopists who perform IPOC. Results 86 respondents (23.3 %) from 21 different countries across Europe completed the survey. The main indications for cholangioscopy were determination of biliary strictures (85 [98.8 %]) and removal of common bile duct or intrahepatic duct stones (79 [91.9 %]), accounting for an estimated use of 40 % (interquartile range [IQR] 25–50) and 40 % (IQR 30–60), respectively, of all cases undergoing cholangioscopy. Pancreatoscopy was mainly used for removal of pancreatic duct stones (68/76 [89.5 %]), accounting for an estimated use of 76.5 % (IQR 50–95) of all cases undergoing pancreatoscopy. Only 13/85 respondents (15.3 %) had an institutional standardized protocol for targeted cholangioscopy-guided biopsy sampling. IPOC with lithotripsy was used as first-line treatment in selected patients with bile duct stones or pancreatic stones by 24/79 (30.4 %) and 53/68 (77.9 %) respondents, respectively. Conclusions This first European survey on the clinical practice of IPOC demonstrated wide variation in experience, indications, and techniques. These results emphasize the need for prospective studies and development of an international consensus guideline to standardize the practice and quality of IPOC.

scholarly journals Case Report: Presentation of an unusual cause of carpal tunnel syndrome with accompanying literature review

F1000Research ◽  
2019 ◽  
Vol 8 ◽  
pp. 319
Author(s):  
Paul Patiniott ◽  
Matheesha Herath ◽  
Peter Riddell
Keyword(s):  
Case Report ◽  
Clinical Practice ◽  
Carpal Tunnel Syndrome ◽  
Literature Review ◽  
Carpal Tunnel ◽  
Arteriovenous Malformations ◽  
High Flow ◽  
Complex Issue ◽  
Tunnel Syndrome ◽  
Report Presentation

Background: Carpal tunnel syndrome (CTS) is a condition seen commonly in clinical practice; high-flow arteriovenous malformations (AVM) can be a rare but important cause. Case Report: We discuss a case of a patient who had developed left CTS in the fifth decade of life as the result of a progressively enlarging congenital peripheral AVM affecting his left upper limb. This case illustrates the clinical challenges encountered in the surgical and interventional management of this complex issue. Discussion:High-flow AVMs affecting the extremities may be comprised of a convoluted network of vessels in high-flow, low-resistance systems that often recur despite intervention. Conclusion: Peripheral AVM affecting the hand can be a rare and therapeutically challenging cause of carpal tunnel syndrome that warrants multidisciplinary team discussion.

Case 14

2018 ◽  
Author(s):  
Bashar Katirji
Keyword(s):  
Clinical Practice ◽  
Carpal Tunnel Syndrome ◽  
Median Nerve ◽  
Carpal Tunnel ◽  
Nerve Conduction ◽  
Nerve Conduction Studies ◽  
Case Presentation ◽  
Peripheral Polyneuropathy ◽  
Tunnel Syndrome ◽  
Internal Comparison

Carpal tunnel syndrome is the most common entrapment neuropathy encountered in clinical practice. It is also the most common reason for referral to the electromyography laboratory. The anatomy of the median nerve and the carpal tunnel are outlined in details in this case presentation. The recommended nerve conduction studies needed to make a diagnosis are outlined. This includes internal comparison nerve conduction studies in which the median nerve is compared to a neighboring nerve such as ulnar or radial nerves, as well as the inching studies across the carpal tunnel. Finally, special situations are emphasized including severe carpal tunnel syndrome, carpal tunnel syndrome associated with peripheral polyneuropathy, carpal tunnel syndrome in the presence of Martin–Gruber anastomosis, and carpal tunnel syndrome during pregnancy.

scholarly journals A Web-based Survey on Clinical Practice Patterns of Korean Medicine Treatment for Traffic Injuries

2017 ◽  
Vol 27 (4) ◽  
pp. 131-145 ◽  
Author(s):  
In-Hwa Park ◽  
Eui-Hyoung Hwang ◽  
Man-suk Hwang ◽  
In Heo ◽  
Byung-Jun Kim ◽  
...  
Keyword(s):  
Clinical Practice ◽  
Practice Patterns ◽  
Web Based ◽  
Korean Medicine ◽  
Clinical Practice Patterns
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