Role of diffusion tensor imaging in carpal tunnel syndrome: A case control comparative study to electrophysiological tests and clinical assessment 

Publication date: Available online 15 September 2018Source: The Egyptian Journal of Radiology and Nuclear MedicineAuthor(s): Ahmad Mohamed Wafaie, Lamia Medhat Afifi, Kareem Mohsen Moussa, Ayman Mahmoud Mansour, Hoda Magdy AbbasAbstractPurposeTo study the efficacy of diffusion tensor imaging (DTI) in the diagnosis of carpal tunnel syndrome (CTS).Materials and MethodsTwenty-three wrists of healthy subjects (age between 29 and 71 with mean of 44 years) and 47 wrists of CTS patients (age between 19 and 84 with mean of 46 years) were evaluated with DTI and electrophysiological studies (EPS). The DTI was performed on a 1.5T scanner. Fraction anisotropy (FA) and apparent diffusion coefficient (ADC) of the median nerve were calculated. Electrophysiological tests were also performed. Paired student’s t-test, ANOVA, Mann-Whitney, Wilcoxon, Post Hoc, Kruskal-Wallis, Chi-Square, Spearman’s Rho and Pearson statistical tests were used.ResultsThere was a significant difference between healthy individuals and patients with CTS (P 
Source: The Egyptian Journal of Radiology and Nuclear Medicine - Category: Nuclear Medicine Source Type: research

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Source: MDDI - Category: Medical Devices Authors: Tags: 3-D Printing Source Type: news
Anyone who has ever had to wear a cast can attest to the inconveniences they experience, such as difficulty in showering because the casts are not waterproof, not being able to swim, the heaviness of the cast, and not being able to scratch the inevitable itches. But now, with a new Red Dot Award-winning technology that uses 3D-printing, plaster casts may become a thing of the past, at least when it comes to treating sprains or light fractures. Xkelet casts are 3D-printed using a SLS 3D printer with the waterproof and hypoallergenic PA2200 plastic material, which is compatible with ISO 10993-1. The casts are lightweight, we...
Source: MDDI - Category: Medical Devices Authors: Tags: 3-D Printing Source Type: news
Authors: Sun PO, Schyns MVP, Walbeehm ET Abstract Carpal tunnel syndrome (CTS) is the most frequently operated neurological disorder of the hand. Incidence of patients remaining symptomatic has been reported up to 30% after primary release. Revision surgery remains challenging although multiple surgical options have been described. In this case series a simple novel technique, the palmaris longus interposition, is described for the treatment of recurrent and persistent CTS. Patients who underwent PLI between October 2013 and 2018 and without underlying neurological or hand disorders severely affecting the operated ...
Source: Journal of Plastic Surgery and Hand Surgery - Category: Surgery Tags: J Plast Surg Hand Surg Source Type: research
Conclusions JEM can be applied cross nationally and there is potential to combine complementary exposure methods to improve estimation of workplace physical exposures in the prediction of CTS. More investigations are needed to explore exposure-disease associations in other samples and combinations of exposure data from different methods.byYung M, Evanoff BA, Buckner-Petty S, Roquelaure Y, Descatha A, Dale AM. doi:10.5271/sjweh.3856
Source: Scandinavian Journal of Work, Environment and Health - Category: Occupational Health Tags: Original article Source Type: research
Conclusions JEM can be applied cross nationally and there is potential to combine complementary exposure methods to improve estimation of workplace physical exposures in the prediction of CTS. More investigations are needed to explore exposure-disease associations in other samples and combinations of exposure data from different methods. PMID: 31638705 [PubMed - as supplied by publisher]
Source: Scandinavian Journal of Work, Environment and Health - Category: Occupational Health Authors: Tags: Scand J Work Environ Health Source Type: research
Conclusions Excess body mass and occupational physical factors increase the risk of hospitalization for CTS. Excess body mass potentiates the adverse effects of strenuous work on CTS.byHulkkonen S, Shiri R, Auvinen J, Miettunen J, Karppinen J, Ryh änen J. doi:10.5271/sjweh.3836
Source: Scandinavian Journal of Work, Environment and Health - Category: Occupational Health Tags: Original article Source Type: research
Conclusions Excess body mass and occupational physical factors increase the risk of hospitalization for CTS. Excess body mass potentiates the adverse effects of strenuous work on CTS. PMID: 31168633 [PubMed - as supplied by publisher]
Source: Scandinavian Journal of Work, Environment and Health - Category: Occupational Health Authors: Tags: Scand J Work Environ Health Source Type: research
Summary: An unusual complication of percutaneous fixation of a schapoid fracture in a 36-year-old man is described. After this surgery, the patient complained of numbness and tingling within the median nerve distribution and thenar weakness. An Electromyography showing moderate CTS had led to carpal tunnel decompression, which resulted unsuccessful. When the patient presented to us, both sensory and motor median nerve impairment were present, interfering with his professional activity. A computed tomography scan performed to assess the scaphoid screw position, showed that the screw had been placed volar to the scaphoid, ...
Source: Plastic and Reconstructive Surgery Global Open - Category: Cosmetic Surgery Tags: Case Report Source Type: research
New fast MRI and CT scanning techniques allow researchers to study live wrist bones in motion for the first time. This National Science Foundation-funded work at UC Davis could potentially help people suffering from wrist pain and disorders like osteoarthritis and carpal-tunnel syndrome.This is an NSF Multimedia Gallery item.
Source: NSF Multimedia Gallery - Category: Science Source Type: video
We describe 2 cases of acute carpal tunnel syndrome due to thrombosed persistent median artery, including a case of thromboangiitis obliterans. These thrombosis might also be due to traumatic causes. No guidelines are currently available to help physicians for the management of carpal tunnel syndrome from thrombosed persistent median artery. Antiplatelet therapy, statin, anticoagulant might be helpful, and surgery has sometimes be reported as effective. PMID: 31040049 [PubMed - as supplied by publisher]
Source: Revue de Medecine Interne - Category: Internal Medicine Tags: Rev Med Interne Source Type: research
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