Diagnosis and grading of carpal tunnel syndrome with quantitative ultrasound: Is it possible?

Publication date: Available online 28 March 2020Source: Journal of Clinical NeuroscienceAuthor(s): Tugba Ozsoy-Unubol, Yeliz Bahar-Ozdemir, Ilker Yagci
Source: Journal of Clinical Neuroscience - Category: Neuroscience Source Type: research

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Publication date: Available online 13 May 2020Source: Joint Bone SpineAuthor(s): Gianluca Smerilli, Jacopo Di Battista, Edoardo Cipolletta, Walter Grassi, Emilio Filippucci
Source: Joint Bone Spine - Category: Orthopaedics Source Type: research
CONCLUSIONS: The tendons of FCR and FCU are easily identifiable landmarks that can be distinguished using simple palpation. Based on our USG findings, the area around FCR should be carefully navigated to avoid iatrogenic injury to the MN during surgical procedures around the carpal tunnel. PMID: 32394419 [PubMed - as supplied by publisher]
Source: Folia Morphologica - Category: Anatomy Tags: Folia Morphol (Warsz) Source Type: research
AbstractUltrasound (US) assessment of the wrist is frequently used for the evaluation of carpal tunnel due to high frequency of local compression of the median nerve (MN), but the ulnar –palmar wrist region (UPWR) has received limited attention in the medical literature. The possibilities of US in the assessment of UPWR are therefore likely underestimated by sonologists. This review article is focused on the US assessment of the normal anatomy and anatomic variations of the UPWR. The anatomy of this region of the wrist is complex and less studied than the radial side. In an effort to simplify it and to present it did...
Source: Journal of Ultrasound - Category: Radiology Source Type: research
AbstractCarpal tunnel release for compression of the median nerve at the wrist is a common procedure, often resulting in good clinical outcomes. There are, however, many anatomical variations in and around the carpal tunnel and it is important to be aware of these during carpal tunnel release. After surgery, recurrent carpal tunnel syndrome is uncommon, but difficult to diagnose and treat. Ultrasonography is often necessary for the evaluation of the anatomical variations before carpal tunnel release and to evaluate the most common complications after carpal tunnel release.
Source: Journal of Ultrasound - Category: Radiology Source Type: research
Rationale: Lipomas are common benign tumors, constituting 16% of soft tissue mesenchymal tumors. They usually occur under the skin or in the large muscles of the thigh, shoulder, or upper arm. There are few reported cases of lipomas located in the forearm and hand muscles, accounting for less than 1% of all lipomas. Patient concerns: A 47-year old man presented with a history of swelling and accompanying pain in the left wrist for 2 years. Diagnoses: The patient was diagnosed with intramuscular lipoma in the pronator quadratus. Interventions: The mass was resected completely with wide-awake technique. Outcomes:...
Source: Medicine - Category: Internal Medicine Tags: Research Article: Clinical Case Report Source Type: research
AbstractCarpal tunnel syndrome (CTS) is the most frequent entrapment neuropathy of peripheral nerves, with an incidence of 1 –3 patients in 1000. CTS typically occurs between 45 and 60 years of age, and it is more frequent in women than in men. The main cause of CTS is chronic compression of the median nerve and ischemic suffering secondary to increased pressure in the carpal tunnel. There are many possible causes of C TS, which can be differentiated into idiopathic causes, which include most cases, and secondary causes. Classical CTS diagnosis is based on the patient’s clinical examination and electrophys...
Source: Journal of Ultrasound - Category: Radiology Source Type: research
Condition:   Carpal Tunnel Syndrome Interventions:   Drug: Triamcinolone Acetonide;   Drug: lidocaine hydrochloride;   Drug: normal saline Sponsor:   Taipei Veterans General Hospital, Taiwan Recruiting
Source: ClinicalTrials.gov - Category: Research Source Type: clinical trials
Carpal tunnel syndrome is a fairly common diagnosis in the United States, affecting approximately three to six percent of adults. Symptoms include pain, numbness, and tingling along the thumb, index, and middle fingers. For severe or refractory cases...
Source: Medgadget - Category: Medical Devices Authors: Tags: Exclusive Neurology Neurosurgery Orthopedic Surgery Plastic Surgery Source Type: blogs
Summary: Carpal tunnel release (CTR) surgery continues to evolve. Carpal tunnel syndrome remains a primarily clinical diagnosis, although ultrasound has supplemented electrodiagnostic testing as a confirmatory tool. Magnetic resonance imaging of the carpal tunnel has also showed some promise as an alternative method for the examination of the median nerve. Open CTR surgery remains the traditional, and most popular, method of CTR. Wide-Awake, with Local Anesthesia only, and No Tourniquet CTR has emerged as a means to decrease cost and improve pain control and convenience for patients. Endoscopic CTR is increasing in popul...
Source: Plastic and Reconstructive Surgery Global Open - Category: Cosmetic Surgery Tags: Review Article Source Type: research
This work discusses challenges we have encountered in acquiring reproducible measurements of shear wave speed (SWS) in the median nerve and suggests methods for improving reproducibility. First, procedural acquisition challenges are described, including nerve echogenicity, transducer pressure and transmit focal depth. Second, we present an iterative, radon sum –based algorithm that was developed specifically for measuring the SWS in median nerves. SWSs were measured using single track location shear wave elasticity imaging (SWEI) in the median nerves of six healthy volunteers and six patients diagnosed with carpal tunnel syndrome.
Source: Ultrasound in Medicine and Biology - Category: Radiology Authors: Tags: Original Contribution Source Type: research
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