Analysis of surgical options for patients with bilateral carpal tunnel syndrome
Publication date: Available online 31 March 2020Source: Journal of OrthopaedicsAuthor(s): Jordan Kaplan, Cameron Roth, Eden Koko, Atlee Melillo, David Fuller, Adam Perry
Condition: Carpal Tunnel Syndrome Interventions: Device: splint and home exercise; Device: RESWT; Device: physical therapy Sponsor: Erzurum Regional Training & Research Hospital Recruiting
Carpal tunnel is the most common peripheral compressive neuropathy. Nonoperative management may provide temporary alleviation of symptoms, but in most cases surgical decompression is warranted. There are a multitude of approaches ranging from open release under general anesthesia to wide awake in-office endoscopic carpal tunnel release. The present article describes the technical considerations for the single incision, antegrade approach to endoscopic carpal tunnel release using the SEGWay system and technique.
Conclusions: Our study suggests that a knowledge test focused on drawing and labeling structures given to surgical residents is a valid, nontraditional method for assessing resident knowledge. Such a quiz would offer programs an alternative method for regularly evaluating residents aside from in-service questions, in order to identify residents who may need targeted training for the in-service exam and to inform teaching plans. Additionally, residents could use quiz feedback to guide study efforts and prime conference-related learning.
An 81-year-old man presented to the clinic for an annual general medical examination with insomnia and pruritus. His insomnia was associated with nocturnal leg restlessness, foot cramping, and pruritus of his feet. His cramping was not associated with activity and occurred mostly at night. He reported no fevers, weight loss, night sweats, numbness, skin lesions, or purulence. His medical history included obstructive sleep apnea (OSA) treated with continuous positive airway pressure therapy, hypertension, hyperlipidemia, gastroesophageal reflux disease, bilateral chronic onychomycosis of the toenails (recently completed tre...
Gabapentinoids are commonly prescribed for the treatment of neuropathic pain but are not recommended for the primary treatment of carpal tunnel syndrome (CTS). We sought (1) to investigate the preoperative use of gabapentinoids for the treatment of CTS and (2) to determine whether preoperative exposure is associated with persistent gabapentinoid and opioid use after carpal tunnel release.
Conclusion: Watching an educational surgical video to prepare for a cadaveric procedure significantly reduced operative errors and improved confidence among junior trainees performing a carpal tunnel release.
CONCLUSION: The form of SHJCM described in pediatric populations may occur in rare cases in adults. Should the name of juvenile mucinosis still be used in this event? PMID: 32466850 [PubMed - as supplied by publisher]
Journal of Women's Health, Ahead of Print.
Conditions: Carpal Tunnel Syndrome; Osteoarthritis Thumb Interventions: Procedure: Carpal tunnel release and basal joint arthroplasty through single incision; Procedure: Carpal tunnel release and basal joint arthroplasty through double incision Sponsor: Hospital Universitari Vall d'Hebron Research Institute Active, not recruiting
Publication date: Available online 16 May 2020Source: Annals of Medicine and SurgeryAuthor(s): Jalaluddin Khoshnevis, Hojjat Layegh, Negin Yavari, Gita Eslami, Abolfazl Afsharfard, Seyed Mohammad Reza Kalantar-Motamedi, Sina Zarrintan