An overview of hand postures and aging on morphological changes of the median nerve
High-resolution ultrasound is being widely used in carpal tunnel examination to understand morphological and biomechanical characteristics of the median nerve and surrounding anatomy structures.
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(American Roentgen Ray Society) According to ARRS' American Journal of Roentgenology (AJR), ultrasound-guided carpal tunnel release quickly improves hand function and reduces hand discomfort; improvement persisted beyond one year. Thus, ultrasound-guided carpal tunnel release may be a safe, effective, and less invasive alternative to traditional surgery.
Publication date: Available online 11 September 2020Source: Academic RadiologyAuthor(s): Kibo Nam, Shawn M. Peterson, Corinne E. Wessner, Priscilla Machado, Flemming Forsberg
CONCLUSION: The current research identified between-group differences in median nerve cross-sectional area and the level of hand dysfunction. Understanding the interaction between the anatomy of the wrist and wrist and hand dysfunction will benefit clinicians when evaluating and treating musicians. PMID: 32870965 [PubMed - in process]
Condition: Pain Syndrome Intervention: Drug: Dexamethasone Sponsors: Minia University; Ministry of health and population Not yet recruiting
Neuromobilization exercises are increasingly advocated in the conservative management of individuals with carpal tunnel syndrome (CTS), as they may mitigate CTS-related signs and symptoms via potential peripheral (ie, musculoskeletal) and central (ie, neurophysiological) adaptations. However, the mechanisms underlying these adaptations have not been studied extensively. Hence, this exploratory and mechanistic study aims to evaluate the potential peripheral and central adaptations that may result in individuals with CTS who have completed a neuromobilization program.
High-intensity ultrasound can be used for many therapeutic purposes. It works by raising the temperature of a targeted area of body tissue to reduce pain and promote healing. In this Mayo Clinic Minute, Dr. Janelle Van Otterloo, a Mayo Clinic physical therapist, explains how some patients may benefit from ultrasound therapy following carpal tunnel surgery. [...]
Conclusion The CSA, SR, and RI seem to have excellent accuracy in the diagnosis of CTS. When the grading of severity is considered, ultrasound seems to be sensitive and specific in differentiating severe CTS cases from mild or moderate CTS cases.