Re: Carpal tunnel syndrome
Publication date: Available online 29 September 2020Source: Journal of OrthopaedicsAuthor(s): Amanda Spielman, Sriram Sankaranarayanan, Piotr Skowronski, Anne-Sophie Lessard, Zubin Panthaki
Clinical features of soft tissue amyloid light-chain (AL) amyloidosis include macroglossia, arthropathy, muscle pseudohypertrophy, skin plaques, and carpal tunnel syndrome. Vascular manifestations of AL amyloid include periorbital ecchymosis, jaw or limb claudication, and even myocardial infarction caused by occlusion of small vessel coronary arteries. Some of these features, such as macroglossia, periorbital ecchymosis, and the so-called shoulder-pad sign, are pathognomonic for AL amyloidosis. These findings may be the initial presenting features of the disease, and the recognition of these red flag symptoms is very impor...
Conclusions: This study reviews malpractice claims in hand surgery over the past 30 years. Providing timely diagnoses, managing expectations, and reducing procedural error may decrease the risk of litigation.
Conclusion: Optimising the regression equation for wrist circumference-dependent ULN cross-sectional area of the median nerve at the wrist inlet might improve diagnostic accuracy of ultrasonography in patients with carpal tunnel syndrome and seems to be more accurate than using fixed cut-off values.
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AbstractATTR amyloidosis is caused by systemic deposition of transthyretin (TTR) and comprises ATTRwt (wt for wild-type) amyloidosis, ATTRv (v for variant) amyloidosis, and acquired ATTR amyloidosis after domino liver transplantation. ATTRwt amyloidosis has classically been regarded as cardiomyopathy found in the elderly, whereas carpal tunnel syndrome has also become a major initial manifestation. The phenotypes of ATTRv amyloidosis are diverse and include neuropathy, cardiomyopathy, and oculoleptomeningeal involvement as the predominant features, depending on the mutation and age of onset. In addition to variant TTR, the...
Journal of Orthopaedic&Sports Physical Therapy, Ahead of Print.
Authors: Wyles CC, Thiels CA, Hevesi M, Ubl DS, Gazelka HM, Turner NS, Trousdale RT, Pagnano MW, Mabry TM, Habermann EB Abstract INTRODUCTION: Evidence-based, procedure-specific guidelines for opioid prescribing after orthopaedic surgery are urgently needed to standardize care and minimize excess opioids. METHODS: We developed a prospective, multicenter survey study conducted from March 2017 to January 2018 including 7 common elective orthopaedic surgical procedures (total knee arthroplasty, total hip arthroplasty, lumbar fusion, lumbar laminectomy, rotator cuff repair, arthroscopic meniscectomy, and carpal tun...
Ultrasound imaging shows promise as a painless way to diagnose carpal tunnel...Read more on AuntMinnie.comRelated Reading: Review: CEUS bests CT, MRI for liver disease Lung ultrasound helps physicians manage COVID-19 Blood pressure monitor trades compression for ultrasound IMV: COVID-19 cuts ultrasound exam volume by 50% EAN 2017: Smartphone use can damage median nerve