Comment on “Comparing open conventional carpal tunnel release with mini-incision technique in the treatment of carpal tunnel syndrome - a non-randomized clinical trial”
Publication date: Available online 12 August 2020Source: Annals of Medicine and SurgeryAuthor(s): Alex Haiser, Chloe L. Jordan (Source: Annals of Medicine and Surgery)
Source: Annals of Medicine and Surgery - August 13, 2020 Category: General Medicine Source Type: research

Light-emitting diode photobiomodulation therapy for non-specific low back pain in working nurses: A single-center, double-blind, prospective, randomized controlled trial
This study aims to evaluate the effect of LED therapy on NSCLBP. Methods and analysis: We conducted a prospective, double-blind, randomized placebo-controlled trial of 148 patients with NSCLBP. The patients were randomly assigned to 2 groups: intervention group, where patients received LED photobiomodulation therapy 3 times a week for 2 weeks, and the sham group, where patients had sham therapy 3 times a week for 2 weeks. Primary outcome measures included the visual analog scale for pain, lumbar active range of motion assessments, and chair-rising times. Secondary outcome measures included a multidimensional fatigue inv...
Source: Medicine - August 7, 2020 Category: Internal Medicine Tags: Research Article: Study Protocol Clinical Trial Source Type: research

Manual Therapy Versus Surgery for Carpal Tunnel Syndrome: 4-Year Follow-up From a Randomized Controlled Trial.
CONCLUSIONS: In the long term, manual therapy including desensitization maneuvers of the central nervous system resulted in similar outcomes and similar surgery rates compared to surgery in women with CTS. Both interventions were combined with a tendon/nerve gliding exercise program at home. IMPACT: This is the first study to report clinical outcomes and surgical rates during a 4-year follow-up and will inform decisions regarding surgical versus conservative management of CTS. PMID: 32766779 [PubMed - as supplied by publisher] (Source: Physical Therapy)
Source: Physical Therapy - August 6, 2020 Category: Physiotherapy Authors: Fernández-de-Las-Peñas C, Arias-Buría JL, Cleland JA, Pareja JA, Plaza-Manzano G, Ortega-Santiago R Tags: Phys Ther Source Type: research

Nerve ultrasound in hereditary transthyretin amyloidosis: red flags and possible progression biomarkers
AbstractBackgroundDiagnostic delay of hereditary transthyretin amyloidosis (ATTRv, v for variant) prevents timely treatment and, therefore, concurs to the mortality of the disease. The aim of the present study was to explore with nerve ultrasound (US) possible red flags for early diagnosis in ATTRv patients with carpal tunnel syndrome (CTS) and/or polyneuropathy and in pre-symptomatic carriers.MethodsPatients and pre-symptomatic carriers with a TTR gene mutation were enrolled from seven Italian centers. Severity of CTS was assessed with neurophysiology and clinical evaluation. Median nerve cross-section area (CSA) was meas...
Source: Journal of Neurology - August 4, 2020 Category: Neurology Source Type: research

Novel surgical procedure of the half palmaris longus transfer for the opponensplasty of the thumb in patients with carpal tunnel syndrome: A Technical Note.
Abstract Thumb opposition is an essential movement for daily use of the hand, including precise pinch or grasping as well as fine and complicated hand movement. Although previous studies have reported several donor tendons for opponensplasty, opponensplasty using palmaris longus, Camitz opponensplasty, have been utilized in patients who have loss of opposition function due to long-standing carpal tunnel syndrome, because the procedure involves a simple and useful tendon transfer without causing functional deficits. To obtain enough length to transfer the tendon to the metacarpophalangeal joint of the thumb, the PL...
Source: Journal of Nippon Medical School - August 1, 2020 Category: Universities & Medical Training Authors: Tomori Y, Nanno M, Kentrao S, Majima T Tags: J Nippon Med Sch Source Type: research

Median Nerve Injury in Ultrasound-Guided Hydrodissection and  Corticosteroid Injections for Carpal Tunnel Syndrome.
Median Nerve Injury in Ultrasound-Guided Hydrodissection and Corticosteroid Injections for Carpal Tunnel Syndrome. Ultraschall Med. 2020 Jul 31;: Authors: Hsu YC, Yang FC, Hsu HH, Huang GS PMID: 32736397 [PubMed - as supplied by publisher] (Source: Ultraschall in der Medizin)
Source: Ultraschall in der Medizin - July 31, 2020 Category: Radiology Authors: Hsu YC, Yang FC, Hsu HH, Huang GS Tags: Ultraschall Med Source Type: research

The Influence of Transverse Carpal Ligament Thickness on Treatment Decisions for Idiopathic Mild to Moderate Carpal Tunnel Syndrome
Conclusions Transverse carpal ligament thickness affects disease progression and may affect treatment efficacy, depending on the treatment method. Transverse carpal ligament thickness may be a criterion for deciding between surgical and conservative treatments based on a thickness threshold of 1.5 mm. (Source: Annals of Plastic Surgery)
Source: Annals of Plastic Surgery - July 30, 2020 Category: Cosmetic Surgery Tags: Hand Surgery Source Type: research

The Palmaris Longus and Its Association with Carpal Tunnel Syndrome
Conclusion The palmaris tendon was more prevalent in a population of patients undergoing carpal tunnel release. These findings can be used to provide further insight into the pathophysiology of CTS. While Schaeffer's test was accurate in detecting the palmaris longus tendon, a negative test was frequently incorrect. Further imaging is recommended in patients with a negative Schaeffer's test when the palmaris longus is desired for surgical utilization. Level of Evidence This is a Level III, prognostic study. [...] Thieme Medical Publishers 333 Seventh Avenue, New York, NY 10001, USA.Article in Thieme eJournals:...
Source: Journal of Wrist Surgery - July 30, 2020 Category: Orthopaedics Authors: Boltuch, Andrew D. Marcotte, Michael A. Treat, Christopher M. Marcotte, Anthony L. Tags: Scientific Article Source Type: research

Electrophysiological and Clinical Improvement in Non-Invasive Treatment of Carpal Tunnel Syndrome.
CONCLUSIONS: In the early CTS, with sensory fibers damage, use of dietary integrator, such as Micronil Dol®, composed composed of acetyl-L-carnitine, α-lipoic acid,quercetin, bromelain, pantothenic acid, C and B1 and B2 and B6 and B12 vitamins can be effective in quick recovery of median nerve sensory. PMID: 32723265 [PubMed - as supplied by publisher] (Source: Endocrine, Metabolic and Immune Disorders Drug Targets)
Source: Endocrine, Metabolic and Immune Disorders Drug Targets - July 28, 2020 Category: Endocrinology Authors: Marvulli R, Ianieri G, Devenuto G, Falcicchio M, Gallo GA, Mennuni C, Gallone MF, Fiore P, Maurizio R, Megna M Tags: Endocr Metab Immune Disord Drug Targets Source Type: research

Correction
This study compares two surgical procedures for carpal tunnel syndrome, the aforementioned double tunnels technique and a standa rd open decompression of the median nerve. (Source: Archives of Physical Medicine and Rehabilitation)
Source: Archives of Physical Medicine and Rehabilitation - July 26, 2020 Category: Rehabilitation Tags: Departments Source Type: research

The Influence of Cost Information on Treatment Choice: A Mixed-Methods Study
To test the null hypothesis that exposure to societal cost information does not affect choice of treatment for carpal tunnel syndrome (CTS). (Source: The Journal of Hand Surgery)
Source: The Journal of Hand Surgery - July 25, 2020 Category: Surgery Authors: Thompson Zhuang, Joost T.P. Kortlever, Lauren M. Shapiro, Laurence Baker, Alex H.S. Harris, Robin N. Kamal Tags: Editor ’s Choice Source Type: research

Feasibility of Quality Measures for the Diagnosis and Treatment of Carpal Tunnel Syndrome
The American Academy of Orthopaedic Surgeons and the American Society for Surgery of the Hand developed candidate quality measures for potential inclusion in the Merit-Based Incentive Program and National Quality Forum in the hope that hand surgeons could report specialty-specific data. The following measures regarding the management of carpal tunnel syndrome (CTS) were developed using a Delphi consensus process: (1) use of magnetic resonance imaging (MRI) for diagnosis of CTS, (2) use of adjunctive surgical procedures during carpal tunnel release (CTR), and (3) use of formal occupational and/or physical therapy after CTR....
Source: The Journal of Hand Surgery - July 25, 2020 Category: Surgery Authors: Tom J. Crijns, David Ring, Nina Leung, Robin N. Kamal, AAOS and ASSH Carpal Tunnel Quality Measures Workgroup Tags: Editor's Choice Source Type: research

Clinical, Radiological, and Electrodiagnostic Diagnosis of Pronator Syndrome Concurrent With Carpal Tunnel Syndrome
This is a retrospective observational study that assessed the prevalence of positive diagnostic imaging and electrodiagnostic (EDX) findings in patients diagnosed with pronator syndrome (PS), who previously had a carpal tunnel syndrome (CTS) surgery. The other purpose of our study was to determine how often PS occurred and was missed in patients treated surgically for CTS. (Source: The Journal of Hand Surgery)
Source: The Journal of Hand Surgery - July 22, 2020 Category: Surgery Authors: Ali Özdemir, Mehmet Ali Acar, Ali Güleç, Fatih Durgut, Hakan Cebeci Tags: Scientific Article Source Type: research

Steri-Strips ™ vs. intracuticular skin suture in endoscopic release of carpal tunnel: a retrospective study and review of the literature
ConclusionsSkin closure with Steri-Strips is a safe, secure and cheap method that leads to excellent aesthetic results. It is both a first choice and a valid alternative to intradermal suture for wound closure after endoscopic carpal tunnel release.Level of evidence: Level IV, therapeutic study. (Source: European Journal of Plastic Surgery)
Source: European Journal of Plastic Surgery - July 18, 2020 Category: Cosmetic Surgery Source Type: research

Sensors, Vol. 20, Pages 3998: Device Development for Detecting Thumb Opposition Impairment Using Carbon Nanotube-Based Strain Sensors
Koji Fujita Research into hand-sensing is the focus of various fields, such as medical engineering and ergonomics. The thumb is essential in these studies, as there is great value in assessing its opposition function. However, evaluation methods in the medical field, such as physical examination and computed tomography, and existing sensing methods in the ergonomics field have various shortcomings. Therefore, we conducted a comparative study using a carbon nanotube-based strain sensor to assess whether opposition movement and opposition impairment can be detected in 20 hands of volunteers and 14 hands of patients wit...
Source: Sensors - July 18, 2020 Category: Biotechnology Authors: Tomoyuki Kuroiwa Akimoto Nimura Yu Takahashi Toru Sasaki Takafumi Koyama Atsushi Okawa Koji Fujita Tags: Letter Source Type: research

Clinical characteristics and natural history of wild ‐type transthyretin amyloid cardiomyopathy in Japan
ConclusionsClinical characteristics and prognosis of ATTRwt ‐CM patients in Japan were examined. Carpal tunnel syndrome can be considered an indication for diagnosis of ATTRwt‐CM. Age and low serum sodium level were significant predictive factors of all survival outcomes. The clinical features of ATTRwt‐CM should be recognized to provide appropriate tr eatment. (Source: ESC Heart Failure)
Source: ESC Heart Failure - July 16, 2020 Category: Cardiology Authors: Toshihiro Yamada, Seiji Takashio, Yuichiro Arima, Masato Nishi, Mami Morioka, Kyoko Hirakawa, Shinsuke Hanatani, Koichiro Fujisue, Kenshi Yamanaga, Hisanori Kanazawa, Daisuke Sueta, Satoshi Araki, Hiroki Usuku, Taishi Nakamura, Satoru Suzuki Tags: Original Research Article Source Type: research

Comparison of corticosteroid injection dosages in mild to moderate idiopathic carpal tunnel syndrome: A randomized controlled trial
To evaluate whether the therapeutic effect of ultrasound-guided injections with 10 mg or 40 mg triamcinolone acetonide (TA) was dose-dependent in patients with idiopathic mild to moderate carpal tunnel syndrome (CTS). (Source: Archives of Physical Medicine and Rehabilitation)
Source: Archives of Physical Medicine and Rehabilitation - July 16, 2020 Category: Rehabilitation Authors: Po-Cheng Hsu, Kwong-Kum Liao, Kon-Ping Lin, Jan-Wei Chiu, Pin-Yi Wu, Chen-Liang Chou, Nin-Yi Wang, Jia-Chi Wang Source Type: research

A rare cause of median neuropathy at the carpal tunnel: Thrombosis of the persistent median artery
We report a case of persistent median artery thrombosis in a young female patient who presented with symptoms of carpal tunnel syndrome diagnosed on the ultrasonography and confirmed on the MRI with subsequent improvement post anticoagulation therapy. (Source: Indian Journal of Radiology and Imaging)
Source: Indian Journal of Radiology and Imaging - July 13, 2020 Category: Radiology Authors: Richa D Jain Lokesh Bathala HK Anuradha Sudhir K Kale Guruprasad S Pujar Man M Mehndiratta Leo H Visser Source Type: research

The superficial anatomical landmarks are not reliable for predicting the recurrent branch of the median nerve
ConclusionIt was inferred that palmar creases and other superficial anatomical landmarks listed in the text could not be used to predict the variability of the RB and the choice of mini-invasive approach should not be based on their course. (Source: Surgical and Radiologic Anatomy)
Source: Surgical and Radiologic Anatomy - July 9, 2020 Category: Anatomy Source Type: research

What Came First —the Chicken or the Egg? Carpal Tunnel Syndrome and Pregnancy
Journal of Women's Health,Volume 29, Issue 7, Page 896-898, July 2020. (Source: Journal of Women)
Source: Journal of Women - July 9, 2020 Category: OBGYN Authors: Lacey R. Pflibsen Brittney A. McCormick Shelley S. Noland Pelagia E. Kouloumberis Source Type: research

Tubercular compound palmar ganglion presenting as a severe carpal tunnel syndrome- A case report
Publication date: Available online 4 July 2020Source: Journal of Clinical Orthopaedics and TraumaAuthor(s): Warid Altaf, Dheeraj Attarde, Parag Sancheti (Source: Journal of Clinical Orthopaedics and Trauma)
Source: Journal of Clinical Orthopaedics and Trauma - July 6, 2020 Category: Orthopaedics Source Type: research

Assessment of grip-motion characteristics in carpal tunnel syndrome patients using a novel finger grip dynamometer system
Grip strength measurement is widely used in daily medical practice, and it has been reported that the grip strength decreases in patients with carpal tunnel syndrome (CTS). However, conventional grip dynamomet... (Source: Journal of Orthopaedic Surgery and Research)
Source: Journal of Orthopaedic Surgery and Research - July 6, 2020 Category: Orthopaedics Authors: Toru Sasaki, Koji Makino, Akimoto Nimura, Shiro Suzuki, Tomoyuki Kuroiwa, Takafumi Koyama, Atsushi Okawa, Hidetsugu Terada and Koji Fujita Tags: Research article Source Type: research

Peripheral Nerve Compression Syndromes in Children
Nontraumatic neuropathies of the upper limb are rare in children. In this paper, we present the latest updates in this field and also critically review the diagnosis and treatment of nerve compression syndromes in children. This review describes the most common manifestations including idiopathic carpal tunnel syndrome (CTS), CTS occurring as a component of lysosomal storage diseases (mucopolysaccharidosis) and hereditary neuropathies, ulnar nerve neuropathy, and atraumatic radial nerve neuropathies. (Source: The Journal of Hand Surgery)
Source: The Journal of Hand Surgery - July 6, 2020 Category: Surgery Authors: Giovanni Gallone, Giovanni Luigi Di Gennaro, Sebastian Farr Tags: Current Concepts Source Type: research

Depression Prevalence in Neuropathic Pain and Its Impact on the Quality of Life.
Conclusion: Given the depressive comorbidity impact on the neuropathic pain components as well as the quality of life, screening for this comorbidity should be part of the baseline ND assessment. PMID: 32617124 [PubMed - in process] (Source: Pain Research and Management)
Source: Pain Research and Management - July 4, 2020 Category: Anesthesiology Authors: Cherif F, Zouari HG, Cherif W, Hadded M, Cheour M, Damak R Tags: Pain Res Manag Source Type: research

The Effect of Hamatum Curvature Angle on Carpal Tunnel Volumetry: A Mathematical Simulation Model.
Authors: Alp NB, Kaleli T, Kalay OC, Karpat F, Akdag G, Macunluoglu AC, Oral GS Abstract In carpal tunnel volume measurements, the angle of the hamatum curvature is not considered a variable, and its effect on carpal tunnel volume has not been investigated. We hypothesize that a change in the anatomical angle of the hamatum curvature changes the carpal tunnel volume. To prove our hypothesis, we used a mathematical simulation model considering the carpal tunnel as a truncated cone. We reviewed the wrist CT scans of 91 adults (>18 years of age), including 51 men and 40 women. We measured the angle of the hamatum c...
Source: Computational and Mathematical Methods in Medicine - July 4, 2020 Category: Statistics Tags: Comput Math Methods Med Source Type: research

Carpal Tunnel Syndrome in Military Aviators.
CONCLUSION: Analysis of the database indicates that fixed-wing pilot status is a protective factor against development of CTS among U.S. military officers. In contrast, helicopter pilots were found to be at an increased rate of CTS than their fixed-wing counterparts. Their incidence is comparable to their nonpilot officer peers early in their career, but is significantly increased at the senior level. Increasing age and female gender are risk factors in the military officer population as expected. Non-white race was found to increase risk in the military population, in contrast to reports of the civilian population. PM...
Source: Military Medicine - July 2, 2020 Category: International Medicine & Public Health Tags: Mil Med Source Type: research

Carpal Tunnel Syndrome Caused by Lipofibromatous Hamartoma of the Median Nerve.
Authors: Roh YT, Song SW, Jeong C, Kang Y, Park IJ Abstract Lipofibromatous hamartoma (LFH) is a rare tumor of the peripheral nerves, which usually involves the median nerve. The authors reported on two rare cases of carpal tunnel syndrome due to LFH of the median nerve. A 49-year-old female patient complained of the mass and symptoms consistent with LFH. Magnetic resonance imaging (MRI) showed typical LFH findings. The symptoms were successfully ameliorated with carpal tunnel release and external neurolysis. A 37-year-old female patient complained of weakening thumb abduction and the mass where the MRI showed atyp...
Source: Journal of Korean Neurosurgical Society - July 1, 2020 Category: Neurosurgery Tags: J Korean Neurosurg Soc Source Type: research

Electrodiagnostic Testing of Entrapment Neuropathies: A Review of Existing Guidelines
This study reviews the existing, more or less, detailed EDX criteria or practice parameters that are suggested by consensus groups in peer-reviewed journals for the most common entrapment neuropathies: carpal tunnel syndrome, ulnar neuropathy at the elbow, common peroneal (fibular) neuropathy at the fibular head, and tibial neuropathy at the tarsal tunnel. It is concluded that future research is needed to develop and refine EDX guidelines in entrapment neuropathies. (Source: Journal of Clinical Neurophysiology)
Source: Journal of Clinical Neurophysiology - July 1, 2020 Category: Neurology Tags: Invited Review Source Type: research

Median Nerve Injury in Ultrasound-Guided Hydrodissection and  Corticosteroid Injections for Carpal Tunnel Syndrome.
CONCLUSION:  MNI during hydrodissection may be reversible. MNI is indicated by an increase in MN-CSA-inlet immediately after hydrodissection. PMID: 32604424 [PubMed - as supplied by publisher] (Source: Ultraschall in der Medizin)
Source: Ultraschall in der Medizin - June 30, 2020 Category: Radiology Authors: Hsu YC, Yang FC, Hsu HH, Huang GS Tags: Ultraschall Med Source Type: research

Ultrasound-Guided Corticosteroid Injection in Carpal Tunnel Syndrome: Comparison Between Radial and Ulnar Approaches
(Source: Journal of Pain Research)
Source: Journal of Pain Research - June 26, 2020 Category: Anesthesiology Tags: Journal of Pain Research Source Type: research

Relative Motion of the Connective Tissue in Carpal Tunnel Syndrome: The Relation with Disease Severity and Clinical Outcome
This study sought to determine if SSCT excursion could be utilized to predict surgical outcome. Idiopathic CTS patients were reviewed with ultrasound and electrodiagnostic tests at baseline. A speckle tracking algorithm was used to determine SSCT relative to tendon motion (shear index). Analysis of variance tests were used to compare SSCT motion with disease severity at baseline. (Source: Ultrasound in Medicine and Biology)
Source: Ultrasound in Medicine and Biology - June 26, 2020 Category: Radiology Authors: Verena J.M.M. Schrier, Stefanie Evers, Jennifer R. Geske, Walter K. Kremers, Hector R. Villarraga, Ruud W. Selles, Steven E.R. Hovius, Russell Gelfman, Peter C. Amadio Tags: Original Contribution Source Type: research

Neuro ‐Sjögren: Uncommon or underestimated problem?
ConclusionsPeripheral neuropathies are frequent in SS patients. Neurologists should be aware of possible autoimmune causes of neuropathies because clinical manifestations of neuropathy may precede the development of other symptoms of the autoimmune disease. (Source: Brain and Behavior)
Source: Brain and Behavior - June 25, 2020 Category: Neurology Authors: Marta Jask ólska, Magdalena Chylińska, Anna Masiak, Mariusz Siemiński, Marcin Ziętkiewicz, Zenobia Czuszyńska, Żaneta Smoleńska, Zbigniew Zdrojewski Tags: ORIGINAL RESEARCH Source Type: research

Notable Variability in Opioid-prescribing Practices After Common Orthopaedic Procedures.
DISCUSSION: Notable regional variability exisits in opioid prescribing patterns for many common orthopaedic procedures. Furthermore, prescriptions were smallest in the region most affected by the opioid epidemic. This information can be used to re-evaluate recommendations, serve as a benchmark for surgeons, and develop institutional and quality improvement guidelines to reduce excess postoperative opioid prescriptions. LEVEL OF EVIDENCE: Level III observational cohort study. PMID: 32568996 [PubMed - as supplied by publisher] (Source: The Journal of the American Academy of Orthopaedic Surgeons)
Source: The Journal of the American Academy of Orthopaedic Surgeons - June 24, 2020 Category: Orthopaedics Tags: J Am Acad Orthop Surg Source Type: research

Prior Carpal Tunnel Syndrome and Early Concomitant Echocardiographic Findings Among Patients with Cardiac Amyloidosis
We aimed to characterize patients with systemic amyloidosis stratified by a prior diagnosis of carpal tunnel syndrome (CTS) and to describe early echocardiographic parameters concomitant with CTS. Patients with suspected amyloidosis during CTS diagnosis were excluded. Our cohort included 108 patients with systemic amyloidosis of which 36% had a prior CTS at a median of 4 (IQR 2.8, 6.7) years before disease diagnosis. Patients with prior CTS were more likely to present subsequently with cardiac amyloidosis (78% versus 53%, p =0.013), yet overall survival was comparable between groups (53% versus 61%, p=0.825). (Source: Jour...
Source: Journal of Cardiac Failure - June 23, 2020 Category: Cardiology Authors: Osnat Itzhaki Ben Zadok, Aryeh Abelow, Iuliana Vaxman, Alon Eisen, Zaza Iakobishvili, Alik Sagie, Ran Kornowski, Mordehay Vaturi Source Type: research

[Carpal tunnel syndrome: correlation between median nerve relative constriction in the carpal tunnel and distal motor latency].
CONCLUSION: The grade of nerve constriction cannot be estimated based on the severity of prolongation of distal motor latency. There is a positive correlation between the age of patients with a carpal tunnel syndrome and distal motor latency. PMID: 32531786 [PubMed - as supplied by publisher] (Source: Handchirurgie Mikrochirurgie Plastische Chirurgie)
Source: Handchirurgie Mikrochirurgie Plastische Chirurgie - June 14, 2020 Category: Cosmetic Surgery Tags: Handchir Mikrochir Plast Chir Source Type: research

[Surgical treatment of carpal tunnel syndrome: open release of the flexor retinaculum and hypothenar fat flap for revision surgery].
pies CK Abstract OBJECTIVE: Decompression of the median nerve by complete release of the flexor retinaculum and the distal antebrachial fascia. In the case of revision surgery providing of a scar-free covering of the median nerve, if necessary. INDICATIONS: Carpal tunnel release is indicated for symptomatic patients with painful paraesthesia or neurological deficits after adequate diagnostic evaluation. The hypothenar fat flap is indicated in revision surgery if a sufficient nerve bed of the median nerve is needed and to restore nerve gliding. CONTRAINDICATIONS: General operative limitations. The hy...
Source: Operative Orthopadie und Traumatologie - June 10, 2020 Category: Orthopaedics Authors: Ayache A, Unglaub F, Langer MF, Müller LP, Oppermann J, Löw S, Spies CK Tags: Oper Orthop Traumatol Source Type: research

DeepNerve: A New Convolutional Neural Network for the Localization and Segmentation of the Median Nerve in Ultrasound Image Sequences
Carpal tunnel syndrome commonly occurs in individuals working in occupations that involve use of vibrating manual tools or tasks with highly repetitive and forceful manual exertion. In recent years, carpal tunnel syndrome has been evaluated by ultrasound imaging that monitors median nerve movement. Conventional image analysis methods, such as the active contour model, are typically used to expedite automatic segmentation of the median nerve, but these usually suffer from an arduous manual intervention. (Source: Ultrasound in Medicine and Biology)
Source: Ultrasound in Medicine and Biology - June 9, 2020 Category: Radiology Authors: Ming-Huwi Horng, Cheng-Wei Yang, Yung-Nien Sun, Tai-Hua Yang Tags: Original Contribution Source Type: research

Endoscopic Carpal Tunnel Release: Indications, Technique, and Outcomes.
Abstract 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. PMID: 32498954 [PubMed - in process] (Source: The Orthopedic Clinics of North America)
Source: The Orthopedic Clinics of North America - June 6, 2020 Category: Orthopaedics Authors: Karamanos E, Jillian BQ, Person D Tags: Orthop Clin North Am Source Type: research

Diagnosis Accuracy of Carpal Tunnel Syndrome in Diabetic Neuropathy.
Conclusions: Both examinations can be used with confidence in the diagnosis of CTS overlapping with DN, but the EDX examination seems to be more accurate. Furthermore, we found a positive correlation between the US and EDX parameters. PMID: 32517033 [PubMed - in process] (Source: Medicina (Kaunas))
Source: Medicina (Kaunas) - June 5, 2020 Category: Universities & Medical Training Authors: Drăghici NC, Tămaș MM, Leucuța DC, Lupescu TD, Strilciuc Ș, Rednic S, Mureșanu DF Tags: Medicina (Kaunas) Source Type: research

Endoscopic Carpal Tunnel Release
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. (Source: Orthopedic Clinics of North America)
Source: Orthopedic Clinics of North America - June 2, 2020 Category: Orthopaedics Authors: Efstathios Karamanos, Bao-Quynh Jillian, David Person Source Type: research

Searching for an Alternative Method to Evaluate Surgical Knowledge: Does a Drawing and Labeling Quiz Predict In-Service Exam Performance and Enhance Learning?
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. (Source: Journal of Craniofacial Surgery)
Source: Journal of Craniofacial Surgery - June 1, 2020 Category: Surgery Tags: Original Articles Source Type: research

81-Year-Old Man With Insomnia and Pruritus
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...
Source: Mayo Clinic Proceedings - June 1, 2020 Category: Internal Medicine Authors: Jessica A. Slostad, Brody D. Slostad, Animesh Pardanani Tags: Residents ’ Clinic Source Type: research

The effects of acupressure on the symptoms severity and function status and electrodiagnostic findings in patients with carpal tunnel syndrome.
This study aimed to evaluate the effects of acupressure on the symptoms severity, function status and electrodiagnostic findings in patients with Carpal tunnel syndrome (CTS). DESIGN: This double blind, randomized, controlled clinical trial study was conducted on 57 patients with CTS that selected through convenience sampling. The patients were randomly assigned to three groups, including (1) acupressure; (2) placebo acupressure; and (3) control. SETTING: The study was conducted in the medical centers affiliated to Semnan University of Medical Sciences, Iran. INTERVENTION: The intervention groups received ac...
Source: Complementary Therapies in Medicine - June 1, 2020 Category: Complementary Medicine Authors: Asgari MR, Mosaviinejad SS, Ebrahimian A, Aminianfar A, Ghorbani R, Babamohamadi H Tags: Complement Ther Med Source Type: research

Inappropriate Preoperative Gabapentinoid Use Among Patients With Carpal Tunnel Syndrome
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. (Source: The Journal of Hand Surgery)
Source: The Journal of Hand Surgery - May 30, 2020 Category: Surgery Authors: Jessica I. Billig, Erika D. Sears, Vidhya Gunaseelan, Katherine B. Santosa, Theodore J. Iwashyna, Michael J. Englesbe, Chad M. Brummett, Jennifer F. Waljee Tags: Editor's Choice Source Type: research

The Effect of Surgical Video on Resident Performance of Carpal Tunnel Release: A Cadaveric Simulation-Based, Prospective, Randomized, Blinded Pilot Study
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. (Source: Plastic and Reconstructive Surgery)
Source: Plastic and Reconstructive Surgery - May 28, 2020 Category: Cosmetic Surgery Tags: Hand/Peripheral Nerve: Original Articles Source Type: research

[A case of "juvenile" self-healing cutaneous mucinosis in an adult].
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] (Source: Annales de Dermatologie et de Cenereologie)
Source: Annales de Dermatologie et de Cenereologie - May 25, 2020 Category: Dermatology Authors: Lecanu P, Haidar D, Lafargue O, Comoz F, Guillemain JL, Fraitag S, Dompmartin A Tags: Ann Dermatol Venereol Source Type: research

What Came First the Chicken or the Egg? Carpal Tunnel Syndrome and Pregnancy
Journal of Women's Health, Ahead of Print. (Source: Journal of Women)
Source: Journal of Women - May 20, 2020 Category: OBGYN Authors: Lacey R. Pflibsen Brittney A. McCormick Shelley S. Noland Pelagia E. Kouloumberis Source Type: research

Comparing open conventional carpal tunnel release with mini-incision technique in the treatment of carpal tunnel syndrome: A non-randomized clinical trial
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 (Source: Annals of Medicine and Surgery)
Source: Annals of Medicine and Surgery - May 18, 2020 Category: General Medicine Source Type: research

Effects of shock wave therapy in patients with carpal tunnel syndrome: a systematic review and meta-analysis.
Abstract Purpose: To determine whether shock wave therapy could improve symptoms and hand function in patients with carpal tunnel syndrome.Materials and methods: Medline, Embase, Physiotherapy Evidence Database, the Cochrane Central Register of Controlled Trials, OpenGrey, CNKI, VIP, Wang Fang databases, and China Biological Medicine were searched, from inception to December 2019.Results: Ten trials involving 433 patients (501 wrists) were included in this systematic review. The shock wave therapy was observed to have a significant effect on pain relief (MD: -0.60, 95% CI: -1.16 to -0.05, p = 0.03), ...
Source: Disability and Rehabilitation - May 18, 2020 Category: Rehabilitation Authors: Xie Y, Zhang C, Liang B, Wang J, Wang L, Wan T, Xu F, Lei L Tags: Disabil Rehabil Source Type: research

Additional value of ultrasound in the assessment of carpal tunnel syndrome in rheumatological daily practice. A case of persistent median artery thrombosis
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)
Source: Joint Bone Spine - May 15, 2020 Category: Orthopaedics Source Type: research