Effect of estradiol on fibroblasts from postmenopausal idiopathic carpal tunnel syndrome patients
Journal of Cellular Physiology, EarlyView.
The goal of hand therapy after carpal tunnel release (CTR) is restoration of function. Outcome assessment tools that cover the concepts contained in the International Classification of Functioning, Disability and Health (ICF), a framework for describing functioning and disability, are appropriate for hand therapy treatment of this diagnosis.
Condition: Carpal Tunnel Syndrome Intervention: Other: Nerve gliding exercise Sponsor: Centre for Interdisciplinary Research in Rehabilitation of Greater Montreal Recruiting
ConclusionAge and depression level were preoperative predictors influencing satisfaction after CTR.Levels of evidenceIV
ConclusionIn addition to electrophysiological study, ultrasound and ultrasound elastography are valuable tools for the diagnosis and classification of CTS.
ConclusionThe ergonomic rubber tapping knife was associated with a decrease in all CTS symptoms and improved wrist posture among the CTS participants, and reduced CTS symptom occurrence among non-CTS tappers.Relevance to industryThe results of this study suggest the ergonomic rubber tapping knife can be used to decrease the severity of CTS symptoms among CTS tappers and prevention to CTS symptom development among non-CTS tappers.
ConclusionsThere was an insignificant difference between nerve conduction study and high resolution ultrasound in diagnosis of idiopathic CTS. However, high resolution ultrasound had a superior diagnostic utility in CTS, and is valuable for exclusion of secondary CTS and anatomical variants of the median nerve.
ConclusionUltrasound-guided injection of the carpal tunnel provides precision, maximizes the effectiveness and reduces complications.
ConclusionEndoscopic carpal tunnel release can be accepted as the treatment of choice for the surgical decompression of carpal tunnel owing to decreased postoperative complications. One of the major limitations of the ECTR is the slow learning curve of a surgeon. Difficulty to visualise the distal edge of TCL was most common cause for conversion. With increasing experience of a surgeon in endoscopic release, the conversion rates would decrease.Level of study: level 4, decision analysis