Prevalence of Cardiac Amyloidosis in Patients with Carpal Tunnel Syndrome
AbstractCarpal tunnel syndrome (CTS) is a common finding among patients with cardiac amyloidosis. We sought to determine the prevalence of cardiac amyloidosis in patients who had undergone CTS surgery. From 2005 to 2014, 308 patients ≥ 60 years underwent CTS surgery. Of these, 233 (76%) agreed to participate in the study and 101 (73 ± 8 years; 68% females) showed left ventricular hypertrophy (LVH) ≥ 12 mm and underwent additional studies to diagnose AL and ATTR amyloidosis. Based on complementary studies, three p atients were diagnosed with cardiac amyloidosis (two wi...
Source: Journal of Cardiovascular Translational Research - June 18, 2019 Category: Cardiology Source Type: research

Anxiety and depression in patients with suspected carpal tunnel syndrome – A case controlled study
ConclusionsPatients suffering with CTS may be at an increased risk of depression. Experiencing pain in CTS may further increase the likelihood of experiencing mental health difficulties. Poor mental health can give rise to functional symptoms, similar to those seen in CTS, demonstrating the need for electrophysiological testing before considering surgical intervention. (Source: Brain and Behavior)
Source: Brain and Behavior - June 17, 2019 Category: Neurology Authors: Lucy Moira McCallum, Nicholas Anthony Damms, Ptolemaios Georgios Sarrigiannis, Panagiotis Zis Tags: ORIGINAL RESEARCH Source Type: research

Hereditary ATTR Amyloidosis with Cardiomyopathy Caused by the Novel Variant Transthyretin Y114S (p.Y134S).
We report the clinical features of a patient with hereditary ATTR amyloidosis associated with a novel mutation (Y114S, p.Y134S). A 65-year-old Japanese man was admitted to our hospital after a 3-year history of progressive dyspnea on exertion. Five years previously, he presented dysesthesia in both hands caused by carpal tunnel syndrome. A genetic analysis revealed a base pair substitution of adenine to cytosine in the second codon of exon 4, residue 114, in the TTR gene (c.401A>C). The clinical characteristics were progressive cardiomyopathy with a poor vital prognosis, late onset, sporadic case, bilateral carpal tunne...
Source: Internal Medicine - June 12, 2019 Category: Internal Medicine Tags: Intern Med Source Type: research

Variability and Costs of Low-Value Preoperative Testing for Carpal Tunnel Release Surgery.
CONCLUSIONS: Counter to guidance from the ASA, we found that almost half of CTRs performed on ASA class I-II VHA patients were preceded by ≥1 LVT. Although the total cost of these tests is relatively modest, CTR is just one of many low-risk procedures (eg, trigger finger release, cataract surgery) that may involve similar preoperative testing practices. These results will inform site selection for qualitative investigation of the drivers of low-value testing and the development of interventions to improve preoperative testing practice, especially in locations where rates of LVT are high. PMID: 31206428 [PubMed - as...
Source: Anesthesia and Analgesia - June 12, 2019 Category: Anesthesiology Authors: Harris AHS, Meerwijk EL, Kamal RN, Sears ED, Hawn M, Eisenberg D, Finlay AK, Hagedorn H, Mudumbai S Tags: Anesth Analg Source Type: research

Ultrasonography Provides a Diagnosis Similar to That of Nerve Conduction Studies for Carpal Tunnel Syndrome.
In this study, the authors compared ultrasonography with neurophysiological findings for the diagnosis of CTS in 96 patients/hands with clinical symptoms of CTS. The latency, amplitude, distance, and velocity of the median and ulnar nerves were measured. Needle electromyography was performed in the abductor pollicis brevis, in addition to muscles of the arm and forearm, to exclude proximal median nerve, brachial plexus, or radicular abnormalities. Ultrasonography was based on the morphologic/anatomic changes of the median nerve cross-sectional area in the sagittal plane of the wrist at the level of the pisiform bone, the c...
Source: Orthopedics - June 11, 2019 Category: Orthopaedics Authors: Drakopoulos D, Mitsiokapa E, Karamanis E, Kontogeorgakos V, Mavrogenis AF Tags: Orthopedics Source Type: research

Novel, bilateral, two-bellied muscles span the extensor forearm, thenar eminence to insert on the proximal phalanx of the thumb: clinical and embryological significance.
This report details the variation, compares it with other reported variations, presents the related embryology, and reviews the significance of this variation as it relates to inflammatory conditions and surgical procedures. PMID: 31169299 [PubMed - as supplied by publisher] (Source: Folia Morphologica)
Source: Folia Morphologica - June 8, 2019 Category: Anatomy Tags: Folia Morphol (Warsz) Source Type: research

[Macrodactyly of the thumb in connection to a lipofibromatous hamartoma of the median nerve in the carpal tunnel].
Authors: Latten S, Andreisek G, Ganser J PMID: 31167283 [PubMed - in process] (Source: Handchirurgie Mikrochirurgie Plastische Chirurgie)
Source: Handchirurgie Mikrochirurgie Plastische Chirurgie - June 7, 2019 Category: Cosmetic Surgery Tags: Handchir Mikrochir Plast Chir Source Type: research

Item reduction of the Boston Carpal Tunnel Questionnaire using decision tree modelling
To produce an electronic decision tree (DT) version of the Boston Carpal Tunnel Questionnaire (DT-BCTQ) using the Chi-squared automatic interaction detection (CHAID) algorithm to reduce questionnaire length of the Boston carpal tunnel questionnaire (BCTQ) while minimizing the loss of measurement properties. (Source: Archives of Physical Medicine and Rehabilitation)
Source: Archives of Physical Medicine and Rehabilitation - June 7, 2019 Category: Rehabilitation Authors: M.C. Jansen, M.J.W. van der Oest, H.P. Slijper, J.T. Porsius, R.W. Selles Source Type: research

Risk factors of hospitalization for carpal tunnel syndrome among the general working population
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)
Source: Scandinavian Journal of Work, Environment and Health - June 6, 2019 Category: Occupational Health Tags: Original article Source Type: research

Risk factors of hospitalization for carpal tunnel syndrome among the general working population.
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)
Source: Scandinavian Journal of Work, Environment and Health - June 6, 2019 Category: Occupational Health Authors: Hulkkonen S, Shiri R, Auvinen J, Miettunen J, Karppinen J, Ryhänen J Tags: Scand J Work Environ Health Source Type: research

Imaging of Peripheral Nerves of the Upper Extremity
Peripheral neuropathy (often defined as weakness of sensory loss in one limb) of the upper extremity is a common clinical musculoskeletal scenario. The most common include carpal tunnel syndrome, cubital tunnel syndrome, and cervical radiculopathy. A combination of clinical examination, electrodiagnostic testing, and imaging studies, chiefly MR imaging and ultrasonography, is often needed to identify a specific diagnosis for an individual patient. In many cases, ultrasonography is preferred because of ease of access, the possibility of quick contralateral extremity imaging for comparison, and lower cost profile. MR imaging...
Source: Radiologic Clinics of North America - June 5, 2019 Category: Radiology Authors: Vivek Kalia, Jon A. Jacobson Source Type: research

Comparison of Wrist Arthroscopy, Small Incision Surgery, and Conventional Surgery for the Treatment of Carpal Tunnel Syndrome: A Retrospective Study at a Single Center.
This study aimed to compare the efficacy and safety of wrist arthroscopy, small incision surgery, and conventional open carpal tunnel release surgery for the treatment of carpal tunnel syndrome. MATERIAL AND METHODS Patients with carpal tunnel syndrome (n=111) were treated with wrist arthroscopy (n=33), small incision surgery (n=40), and conventional open carpal tunnel release surgery (n=38). Incision length, duration of surgery, degree of intraoperative bleeding, recovery time, and findings at postoperative follow-up at one month, three months, and six months after surgery were recorded. Assessment included the two-point ...
Source: Medical Science Monitor - June 4, 2019 Category: Research Tags: Med Sci Monit Source Type: research

[Endoscopic Carpal Tunnel Release Via a Monoportal Approach].
Abstract Carpal tunnel syndrome is a very common condition in hand surgery. The gold standard in therapy is the surgical release of the flexor retinaculum. Endoscopic carpal tunnel release provides superior convalescence and patient safety. In this video paper, we demonstrate endoscopic carpal tunnel release via a monoportal approach and report our experience in treating over 800 cases. PMID: 31167264 [PubMed - in process] (Source: Zentralblatt fur Chirurgie)
Source: Zentralblatt fur Chirurgie - June 1, 2019 Category: Surgery Authors: Hessenauer MET, Horch RE Tags: Zentralbl Chir Source Type: research

Better Patient-Reported Experiences with Health Care Are Associated with Improved Clinical Outcome after Carpal Tunnel Release Surgery
Background: In hand surgery, and specifically carpal tunnel syndrome, it is currently unknown whether experiences with health care influence surgical outcome. To investigate whether there is an association between patient-reported experience measures and symptom relief, data were gathered using a cohort of patients undergoing surgical treatment for carpal tunnel syndrome. Methods: Patient-reported experience measures and patient-reported outcome measures were registered in a national database of 16 hand surgery practices. The experience measure data were gathered at 3 months after surgery and included six subscales on...
Source: Plastic and Reconstructive Surgery - May 30, 2019 Category: Cosmetic Surgery Tags: Hand/Peripheral Nerve: Original Articles Source Type: research

Discussion: Better Patient-Reported Experiences with Health Care Are Associated with Improved Clinical Outcome after Carpal Tunnel Release Surgery
No abstract available (Source: Plastic and Reconstructive Surgery)
Source: Plastic and Reconstructive Surgery - May 30, 2019 Category: Cosmetic Surgery Tags: Hand/Peripheral Nerve: Original Articles Source Type: research

Acute Carpal Tunnel Syndrome in Inpatients With Operative Distal Radius Fracture.
Abstract Acute carpal tunnel syndrome (CTS) may occur concomitantly with distal radius fracture (DRF) and is often managed with carpal tunnel release (CTR). Carpal tunnel syndrome may also develop postoperatively after DRF fixation. The authors sought to determine the rate of CTS with DRF, prophylactic CTR, and postoperative development of CTS. Furthermore, they also sought to identify predictors of these. The Nationwide Inpatient Sample database was queried (2002 to 2014) to identify adult inpatients undergoing surgical fixation of DRFs. They were segregated by the presence of CTS and further stratified by the ti...
Source: Orthopedics - May 28, 2019 Category: Orthopaedics Authors: Shah KN, Goodman AD, Durand W, Daniels AH, Weiss AC Tags: Orthopedics Source Type: research

Endoscopic carpal tunnel release surgery: a case study in Vietnam
This study aims at investigating the outcome and electrophysiologic recovery of 150 carpal tunnel syndrome hands after single-portal endoscopic surgery. (Source: Journal of Orthopaedic Surgery and Research)
Source: Journal of Orthopaedic Surgery and Research - May 24, 2019 Category: Orthopaedics Authors: Dung Tran Trung, Thanh Ma Ngoc, Du Hoang Gia, Son Dinh Ngoc, Son Le Manh, Toan Duong Dinh, Thanh Dao Xuan, Minh Do Van and Long Nguyen Hoang Tags: Research article Source Type: research

Return to work after carpal tunnel release surgery: a qualitative interview study
Carpal tunnel syndrome is a common nerve compression disorder which affects hand sensation and function. Carpal tunnel release surgery (CTR) is frequently performed to alleviate these symptoms. For many CTR pa... (Source: BMC Musculoskeletal Disorders)
Source: BMC Musculoskeletal Disorders - May 22, 2019 Category: Orthopaedics Authors: Lisa Newington, Charlotte Brooks, David Warwick, Jo Adams and Karen Walker-Bone Tags: Research article Source Type: research

'WALANT Carpal Tunnel Release: Technical Considerations and Pain Outcomes'
Carpal tunnel release (CTR) was historically performed in the operating theatre under regional or even general anaesthetic. The majority are now completed with local anaesthetic (LA) as a day case procedure . Performing CTR as simply as possible (i.e. in an outpatient setting) streamlines provision in-line with a global need to better utilise healthcare resources to match demand. Tourniquet use for CTR facilitates dissection; however, not only is this uncomfortable, it requires an assistant and equipment not necessarily available in minor operation rooms. (Source: Journal of Plastic, Reconstructive and Aesthetic Surgery)
Source: Journal of Plastic, Reconstructive and Aesthetic Surgery - May 21, 2019 Category: Cosmetic Surgery Authors: Dariush Nikkhah, Julia Ruston, Robert Pearl, James Blair Tags: Correspondence and Communications Source Type: research

Minimal Clinically Important Differences for PROMIS Physical Function, Upper Extremity, and Pain Interference in Carpal Tunnel Release Using Region- and Condition-Specific PROM Tools
Uncertainty exists about what change in Patient-Reported Outcomes Measurement Information System (PROMIS) scores represents a clinically relevant improvement (minimal clinically important difference [MCID]) in hand surgery care. Using a region-specific patient-reported outcome measure (PROM) (Michigan Hand Question [MHQ]) and a condition-specific PROM (Boston Carpal Tunnel Questionnaire [BCTQ]), MCID values were determined for PROMIS Physical Function (PF), Upper Extremity (UE), and Pain Interference (PI) computerized adaptive testing among patients undergoing carpal tunnel release (CTR). (Source: The Journal of Hand Surgery)
Source: The Journal of Hand Surgery - May 21, 2019 Category: Surgery Authors: David N. Bernstein, Jeff R. Houck, Bilal Mahmood, Warren C. Hammert Tags: Editor's choice Source Type: research

ʻWALANT carpal tunnel release: Technical considerations and pain outcomesʼ
Carpal tunnel release (CTR) was historically performed in the operating theatre under regional or even general anaesthetic. The majority are now completed with local anaesthetic (LA) as a day case procedure. Performing CTR as simply as possible (i.e., in an outpatient setting) streamlines provision in-line with a global need to better utilise healthcare resources to match demand. Tourniquet use for CTR facilitates dissection; however, not only is this uncomfortable, it requires an assistant and equipment not necessarily available in minor operation rooms. (Source: Journal of Plastic, Reconstructive and Aesthetic Surgery)
Source: Journal of Plastic, Reconstructive and Aesthetic Surgery - May 21, 2019 Category: Cosmetic Surgery Authors: Dariush Nikkhah, Julia Ruston, Robert Pearl, James Blair Tags: Correspondence and Communications Source Type: research

Trifid Median Nerve: A Rare Variant in a Patient With Carpal Tunnel Syndrome
No abstract available (Source: American Journal of Physical Medicine and Rehabilitation)
Source: American Journal of Physical Medicine and Rehabilitation - May 17, 2019 Category: Rehabilitation Tags: Visual Vignettes Source Type: research

Prospective evaluation of finger two-point discrimination and carpal tunnel syndrome among women with breast cancer receiving adjuvant aromatase inhibitor therapy
AbstractPurposeAromatase inhibitors (AIs) are associated with musculoskeletal symptoms and risk of developing carpal tunnel syndrome (CTS), which can impair quality of life and prompt treatment discontinuation. The incidence of CTS and clinical utility of diagnostic tests such as 2-point discrimination (2-PD) have not been prospectively examined among women receiving AIs.MethodsPostmenopausal women with stage 0-III hormone receptor-positive breast cancer who were enrolled in a randomized clinical trial investigating adjuvant AIs (Exemestane and Letrozole Pharmacogenetics, ELPh) underwent prospective evaluation of 2-PD with...
Source: Breast Cancer Research and Treatment - May 11, 2019 Category: Cancer & Oncology Source Type: research

Outcomes of Endoscopic Carpal Tunnel Release With Ring Finger Flexor Digitorum Superficialis Opponensplasty in Severe Carpal Tunnel Syndrome
To evaluate the outcomes of endoscopic CTR with ring finger flexor digitorum superficialis (FDS) opponensplasty for the treatment of patients with severe carpal tunnel syndrome (CTS). (Source: The Journal of Hand Surgery)
Source: The Journal of Hand Surgery - May 6, 2019 Category: Surgery Authors: Thanapong Waitayawinyu, Wuthidetch Numnate, Chinnakart Boonyasirikool, Sunyarn Niempoog Tags: Scientific article Source Type: research

Minimal Clinically Important Difference After Carpal Tunnel Release Using the PROMIS Platform
In light of recently-proposed quality measures for carpal tunnel release (CTR), elucidating the minimal clinically important difference (MCID) for selected outcome measures will be important when interpreting treatment responses. Our purpose was to estimate the MCID of the Patient-Reported Outcomes Measurement Information System (PROMIS) instruments and the short Disabilities of the Arm, Shoulder, and Hand (QuickDASH) following CTR. (Source: The Journal of Hand Surgery)
Source: The Journal of Hand Surgery - May 6, 2019 Category: Surgery Authors: Nikolas H. Kazmers, Man Hung, Jerry Bounsanga, Maren W. Voss, Abby Howenstein, Andrew R. Tyser Tags: Scientific article Source Type: research

[Acute carpal tunnel syndrome caused by a thrombosis of a persistent median artery: 2 case reports].
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)
Source: Revue de Medecine Interne - May 2, 2019 Category: Internal Medicine Tags: Rev Med Interne Source Type: research

The comparison of limited-incision versus standard-incision in treatment of carpal tunnel syndrome: A meta-analysis of randomized controlled trials
Background: Carpal tunnel syndrome is a common compressive neuropathy of the median nerve. Compared with standard release, the efficacy, safety, and postoperative complications of limited carpal tunnel release remain controversial. The purpose of this study was to compare the effects of the 2 treatments. Methods: The English-language literature was searched using MEDLINE, Web of Science, and Embase. Randomized controlled trials that compared standard and limited incision for carpal tunnel release were included in the meta-analysis. Strength, interval to return to activities, the rate of adverse events, effectiveness, ...
Source: Medicine - May 1, 2019 Category: Internal Medicine Tags: Research Article: Systematic Review and Meta-Analysis Source Type: research

Pseudo carpal tunnel syndrome due to incomplete pure sensory stroke
(Source: Neurological Sciences)
Source: Neurological Sciences - May 1, 2019 Category: Neurology Source Type: research

Hand Pain and Sensory Deficits: Carpal Tunnel Syndrome
Journal of Orthopaedic&Sports Physical Therapy,Volume 49, Issue 5, Page CPG1-CPG85, May 2019. (Source: The Journal of Orthopaedic and Sports Physical Therapy)
Source: The Journal of Orthopaedic and Sports Physical Therapy - May 1, 2019 Category: Physiotherapy Authors: Mia Erickson Marsha Lawrence Caroline W. Stegink Jansen Diane Coker Peter Amadio Carla Cleary Source Type: research

Carpal Tunnel Syndrome: A Summary of Clinical Practice Guideline Recommendations —Using the Evidence to Guide Physical Therapist Practice
Journal of Orthopaedic&Sports Physical Therapy,Volume 49, Issue 5, Page 359-360, May 2019. (Source: The Journal of Orthopaedic and Sports Physical Therapy)
Source: The Journal of Orthopaedic and Sports Physical Therapy - May 1, 2019 Category: Physiotherapy Source Type: research

Carpal Tunnel Syndrome: Treating Hand Pain and Numbness
Journal of Orthopaedic&Sports Physical Therapy,Volume 49, Issue 5, Page 361-361, May 2019. (Source: The Journal of Orthopaedic and Sports Physical Therapy)
Source: The Journal of Orthopaedic and Sports Physical Therapy - May 1, 2019 Category: Physiotherapy Source Type: research

Hand Pain and Sensory Deficits: Carpal Tunnel Syndrome
Journal of Orthopaedic&Sports Physical Therapy,Volume 49, Issue 5, Page CPG1-CPG85, May 2019. (Source: The Journal of Orthopaedic and Sports Physical Therapy)
Source: The Journal of Orthopaedic and Sports Physical Therapy - May 1, 2019 Category: Physiotherapy Authors: Mia Erickson Marsha Lawrence Caroline W. Stegink Jansen Diane Coker Peter Amadio Carla Cleary Source Type: research

Carpal Tunnel Syndrome: A Summary of Clinical Practice Guideline Recommendations —Using the Evidence to Guide Physical Therapist Practice
Journal of Orthopaedic&Sports Physical Therapy,Volume 49, Issue 5, Page 359-360, May 2019. (Source: The Journal of Orthopaedic and Sports Physical Therapy)
Source: The Journal of Orthopaedic and Sports Physical Therapy - May 1, 2019 Category: Physiotherapy Source Type: research

Carpal Tunnel Syndrome: Treating Hand Pain and Numbness
Journal of Orthopaedic&Sports Physical Therapy,Volume 49, Issue 5, Page 361-361, May 2019. (Source: The Journal of Orthopaedic and Sports Physical Therapy)
Source: The Journal of Orthopaedic and Sports Physical Therapy - May 1, 2019 Category: Physiotherapy Source Type: research

Hand Pain and Sensory Deficits: Carpal Tunnel Syndrome.
Abstract The Academy of Orthopaedic Physical Therapy and the Academy of Hand and Upper Extremity Physical Therapy have an ongoing effort to create evidence-based clinical practice guidelines (CPGs) for orthopaedic and sports physical therapy management and prevention of musculoskeletal impairments described in the World Health Organization's International Classification of Functioning, Disability and Health (ICF). This particular guideline focuses on hand pain and sensory deficits in carpal tunnel syndrome. J Orthop Sports Phys Ther 2019;49(5):CPG1-CPG85. doi:10.2519/jospt.2019.0301. PMID: 31039690 [PubMed - ...
Source: Physical Therapy - May 1, 2019 Category: Physiotherapy Authors: Erickson M, Lawrence M, Jansen CWS, Coker D, Amadio P, Cleary C Tags: J Orthop Sports Phys Ther Source Type: research

Carpal Tunnel Syndrome: Treating Hand Pain and Numbness.
Authors: Abstract Pain and a loss of feeling in your thumb, index finger, middle finger, and part of your ring finger may be a sign of carpal tunnel syndrome. This syndrome and the pain, numbness, tingling, and weakness in your hand that result from it are caused by pressure on the median nerve as it travels through the carpal tunnel. Guidelines published in the May 2019 issue of JOSPT make recommendations, based on best practices from the published literature, for evaluating, diagnosing, and treating carpal tunnel syndrome. For you as a patient, these guidelines outline the best rehabilitation treatment options ...
Source: Physical Therapy - May 1, 2019 Category: Physiotherapy Tags: J Orthop Sports Phys Ther Source Type: research

Carpal Tunnel Syndrome: A Summary of Clinical Practice Guideline Recommendations-Using the Evidence to Guide Physical Therapist Practice.
Authors: Abstract Carpal tunnel syndrome (CTS) is the most common upper extremity nerve compression syndrome. Patients with CTS experience reduced sensation, dexterity, and function. Irreversible changes in nerve structure and function due to demyelination and axonal damage can occur in long-standing cases. Published in the May 2019 issue of JOSPT, clinical practice guidelines for CTS summarize the best available evidence on incidence and prevalence, pathophysiology, classification, risk factors, examination techniques, and interventions. These guidelines provide practical recommendations for physical therapy exa...
Source: Physical Therapy - May 1, 2019 Category: Physiotherapy Tags: J Orthop Sports Phys Ther Source Type: research

Carpal tunnel decompression in primary care: what is the infection risk and is it safe and effective?
DISCUSSION: We believe that carpal tunnel decompressions performed in a treatment room is both safe, in terms of infection risk, and effective. Surgeons should consider this location as an alternative setting to the main operating theatre. PMID: 31042430 [PubMed - in process] (Source: Annals of the Royal College of Surgeons of England)
Source: Annals of the Royal College of Surgeons of England - May 1, 2019 Category: Surgery Authors: Palial V, Kheiran A, Siddiqui S Tags: Ann R Coll Surg Engl Source Type: research

The Effect of Vitamin D Deficiency Correction on the Outcomes in Women After Carpal Tunnel Release
Studies suggest that vitamin D supplementation improves myelination and recovery after nerve injuries. The purpose of this study was to evaluate whether correction of vitamin D level leads to better surgical outcomes in women with both carpal tunnel syndrome (CTS) and vitamin D deficiency. (Source: The Journal of Hand Surgery)
Source: The Journal of Hand Surgery - April 29, 2019 Category: Surgery Authors: Myung Ho Lee, Hyun Sik Gong, Min Ho Lee, Kwan Jae Cho, Jihyeung Kim, Goo Hyun Baek Tags: Scientific article Source Type: research

Melorheostosis in the pediatric hand
It is important to consider the rare case of a melorheostosis in patients presenting with soft tissue swelling, joint contractures, and “dripping candle wax”‐like hyperostoses visible on hand radiographs. Clinical sequelae such as carpal tunnel syndrome or trigger finger have to be ruled out. Symptomatic therapy is usually sufficient. Key Clinical MessageIt is important to consider the rare case of a melorheostosis in patients presenting with soft tissue swelling, joint contractures, and “dripping candle wax”‐like hyperostoses visible on hand radiographs. Clinical sequelae such as carpal tunnel ...
Source: Clinical Case Reports - April 23, 2019 Category: General Medicine Authors: Sebastian Farr Tags: CLINICAL IMAGE Source Type: research

Ultrasound-guided percutaneous compartment release: a novel technique, proof of concept, and clinical relevance
ConclusionsThis adapted technique can successfully be used to divide fascial planes over longer distances than is currently achieved in clinical practice. The improved outcomes associated with USGTR at the carpal tunnel may therefore also be achievable in fasciotomy procedures in larger anatomical compartments. Further study is required to investigate the effects of this modified USGTR technique on intracompartmental pressure. (Source: Skeletal Radiology)
Source: Skeletal Radiology - April 22, 2019 Category: Radiology Source Type: research

Surgical Decision-Making in Median Neuropathy Associated with Distal Radius Fractures
Conclusion A lack of conclusive evidence has led to international differences in surgical practice regarding the treatment of ACTS in the setting of distal radius fractures. Future research should guide surgeons in making appropriate evidence-based decisions when performing CTR in the setting of distal radius fractures. Level of Evidence This is a Level V study. [...] Thieme Medical Publishers 333 Seventh Avenue, New York, NY 10001, USA.Article in Thieme eJournals: Table of contents  |  Abstract  |  Full text (Source: Journal of Wrist Surgery)
Source: Journal of Wrist Surgery - April 22, 2019 Category: Orthopaedics Authors: Özkan, Sezai Mudgal, Chaitanya S. Evans, Brady T. Watkins, Colyn J. Heng, Marilyn M. Bloemers, Frank W. Tags: Scientific Article Source Type: research

Ultrasonographic Assessment of Carpal Tunnel Syndrome Severity: A Systematic Review and Meta-Analysis
Objective The aim of the study was to investigate the overall estimates of cross-sectional areas of the median nerve measured by ultrasonography in accordance with the electrodiagnostic classification of carpal tunnel syndrome severity. Design MEDLINE (PubMed), Embase (Ovid), and Web of Science were searched for studies reporting the median nerve cross-sectional area measured by ultrasonography for mild, moderate, and severe carpal tunnel syndrome based on electrodiagnostic study. Cross-sectional area values measured at the carpal tunnel inlet were included in the analyses. Results Overall, 866 citations were retri...
Source: American Journal of Physical Medicine and Rehabilitation - April 18, 2019 Category: Rehabilitation Tags: Original Research Articles Source Type: research

Nerve Compression in the Upper Limb
Nerve compression occurs in fibro-osseous tunnels as the nerves cross joints. The pathology involves traction and adhesion, aside from compression. This can occur at multiple sites along the course of the nerve. Regardless of level, clinical assessment is standard and a systematic approach to uncover all sites of compression is advised. Evolution of management for carpal tunnel and cubital tunnel syndrome is reviewed with an emphasis on natural history and nonsurgical treatment, which are not commonly discussed. Treatment is multimodal and the systemic factors that contribute to nerve dysfunction should also be addressed. ...
Source: Clinics in Plastic Surgery - April 16, 2019 Category: Cosmetic Surgery Authors: Ellen Y. Lee, Aymeric Y.T. Lim Source Type: research

Does insurance coverage affect use of tests and treatments for working age individuals with carpal tunnel syndrome in the United States? Analysis of the National Ambulatory Medical Care Survey (2005-2014)
This study examined the extent to which the use of CTS tests/treatments varied for those on worker ’s compensation (WCI) versus private insurance and Medicaid, controlling for patient and provider characteristics. (Source: Archives of Physical Medicine and Rehabilitation)
Source: Archives of Physical Medicine and Rehabilitation - April 16, 2019 Category: Rehabilitation Authors: Nancy A. Baker, Haley Feller, Janet Freburger Source Type: research

Management of Recalcitrant Carpal Tunnel Syndrome.
Authors: Lauder A, Mithani S, Leversedge FJ Abstract Recalcitrant carpal tunnel syndrome presents a clinical challenge. Potential etiologies of persistent or recurrent symptoms after primary carpal tunnel release include incomplete nerve decompression, secondary sites of nerve compression, unrecognized anatomic variations, irreversible nerve pathology associated with chronic compression neuropathy, perineural adhesions, conditions associated with secondary nerve compression, iatrogenic nerve injury, or inaccurate preoperative diagnosis. Understanding the pertinent surgical anatomy and pathophysiology is essential t...
Source: The Journal of the American Academy of Orthopaedic Surgeons - April 13, 2019 Category: Orthopaedics Tags: J Am Acad Orthop Surg Source Type: research

Response to Letter Comments on “Absorbable Sutures for Carpal Tunnel Decompression: A Cochrane Review Summary”
Thank you for sharing Mr Gokani's letter1 regarding the summary2 of our Cochrane review3. It seems that our analysis of the available data and subsequent speculations of potential fiscal savings have been misconstrued as recommendations for practice. Foremost, we feel it is necessary to reiterate our conclusion3 that “It is uncertain whether absorbable sutures confer better, worse or equivalent outcomes compared to non-absorbable sutures following carpal tunnel decompression, because the quality of evidence is very low” which was summarised into “our Cochrane review recommends further non-inferiority rand...
Source: Journal of Plastic, Reconstructive and Aesthetic Surgery - April 11, 2019 Category: Cosmetic Surgery Authors: Ryckie G. Wade, Justin C.R. Wormald, Andrea Figus Tags: Correspondence and Communications Source Type: research

Deep palmar tumorous conditions of the hand.
CONCLUSION:: In the deep palmar space of the hand, pathologies are closely associated with tendons, muscles, and neurovascular structures. Preoperative magnetic resonance imaging is helpful for the preoperative diagnosis, evaluating tumor extension, and successful surgical planning. Level of Evidence: IV Therapautic. PMID: 30955477 [PubMed - in process] (Source: Journal of Orthopaedic Surgery)
Source: Journal of Orthopaedic Surgery - April 10, 2019 Category: Orthopaedics Authors: Ozcanli H, Ozaksar K, Cavit A, Gurer EI, Cevikol C, Ada S Tags: J Orthop Surg (Hong Kong) Source Type: research

Study of wrist ratio and wrist-to-palm index radio in individuals suffering from carpal tunnel syndrome
Conclusion: The study results confirm selective slowing of sensory and motor conduction within wrist-to-palm segment in patients of CTS. Both WR and WPR have a progressive correlation with the severity of CTS, but statistically significant changes were seen in the groups with moderate and severe CTS. Thus, WR/WPR can act as one of the essential parameters in the diagnosis of CTS with moderate-to-severe CTS. (Source: Annals of Indian Academy of Neurology)
Source: Annals of Indian Academy of Neurology - April 9, 2019 Category: Neurology Authors: Suchitra Sachin Palve Sachin Bhaskar Palve Source Type: research

Terminal latency index, residual latency, and median-ulnar F-wave latency difference in carpal tunnel syndrome
Conclusion: When combined with mMDL, both mTLI and mRL have excellent specificity for the diagnosis of mild and moderate CTS. However, the sensitivities for both parameters were lower. In suspected patients, FdifMU can be an additional tool for the diagnosis of CTS also, but alone it is not valuable. (Source: Annals of Indian Academy of Neurology)
Source: Annals of Indian Academy of Neurology - April 9, 2019 Category: Neurology Authors: Aslihan Uzunkulaoglu Sevgi Ikbali Afsar Betul Tepeli Source Type: research