Palpatory diagnosis and manipulative management of carpal tunnel syndrome: Part 2. 'Double crush' and thoracic outlet syndrome

1995 ◽  
Vol 95 (8) ◽  
pp. 471 ◽  
Keyword(s):  
Carpal Tunnel Syndrome ◽  
Carpal Tunnel ◽  
Thoracic Outlet Syndrome ◽  
Tunnel Syndrome ◽  
Double Crush

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.

The Relationship of the Double Crush to Carpal Tunnel Syndrome (An Analysis of 1,000 Cases of Carpal Tunnel Syndrome)

1985 ◽  
Vol 10 (2) ◽  
pp. 202-204
Author(s):  
LAWRENCE C. HURST ◽  
DAVID WEISSBERG ◽  
ROBERT E. CARROLL
Keyword(s):  
Carpal Tunnel Syndrome ◽  
Carpal Tunnel ◽  
Carpal Tunnel Surgery ◽  
Significant Incidence ◽  
Tunnel Syndrome ◽  
Relationship Of ◽  
The Relationship ◽  
Double Crush ◽  
Double Crush Syndrome ◽  
Bilateral Carpal Tunnel Syndrome

In this series of 1,000 cases of carpal tunnel syndrome (888 patients) there is a statistically significant incidence of bilaterality in patients with cervical arthritis. There is also a statistically significant increase in the incidence of diabetes mellitus over the general population. These findings lend further support to Upton’s Double Crush hypothesis. Further, the double crush syndrome predisposes to bilateral carpal tunnel syndrome and may be an important prognostic factor. It may also be an explanation for some of the failures following carpal tunnel surgery and lead surgeons to look for other associated systemic diseases or mechanical blocks, when attempting to alleviate recalcitrant symptoms.

scholarly journals When the contemporary presence of a cervical radiculopathy and a carpal tunnel syndrome can suggest a "double-crush" syndrome

2018 ◽  
Vol 4 (1) ◽  
Author(s):  
Martiniani M ◽  
Meco L ◽  
Procaccini R ◽  
Carrabs Valleverdina A ◽  
Letizia Senesi ◽  
...  
Keyword(s):  
Carpal Tunnel Syndrome ◽  
Carpal Tunnel ◽  
Cervical Radiculopathy ◽  
Crush Syndrome ◽  
Tunnel Syndrome ◽  
Double Crush ◽  
Double Crush Syndrome

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 The Carpal Tunnel Syndrome and the Double Crush Syndrome Hypothesis: Revisited

2019 ◽  
Vol 87 (12) ◽  
pp. 4193-4198
Author(s):  
HEBA RAAFAT, M.D.; AMIRA A. LABIB, M.D. ◽  
MOHAMED R.A. SALEH, M.D.
Keyword(s):  
Carpal Tunnel Syndrome ◽  
Carpal Tunnel ◽  
Crush Syndrome ◽  
Tunnel Syndrome ◽  
Double Crush ◽  
Double Crush Syndrome
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