Letter Regarding “Exploring the Role of a Large Language Model on Carpal Tunnel Syndrome Management: An Observation Study of ChatGPT”
I am writing in response to the article by Seth et  al1 on the application of large language models (LLMs), such as ChatGPT for managing carpal tunnel syndrome. Although the authors have diligently explored the potential and limitations of LLMs in clinical settings, their analysis may benefit from a deeper understanding of the workings and evolving capabilities of LLMs. (Source: The Journal of Hand Surgery)
Source: The Journal of Hand Surgery - April 1, 2024 Category: Surgery Authors: Ryan Sugrue Tags: Letter to the Editor Source Type: research

The case for improved transparency of disability insurance and worker's compensation claims data to study work-related injuries among surgeons
Work-related musculoskeletal (MSK) pain and injury affects roughly two-thirds of surgeons during their career and can negatively impact career longevity and workforce sustainability.1,2 Although many surgeons opt to work through MSK pain or injury, a subset of individuals develop work-related musculoskeletal disorders (WMSD) that necessitate days away from work (DAFW), modification of surgical technique, or in the worst case, early retirement.1 Examples of WMSDs include carpal tunnel syndrome, tendinitis, rotator cuff injuries, epicondylitis, trigger finger, neck tension syndrome, and back strain, which are highly prevalen...
Source: American Journal of Surgery - April 1, 2024 Category: Surgery Authors: Andrew T. Gabrielson, Claudia Corwin, Kristin Chrouser Tags: My Thoughts / My Surgical Practice Source Type: research

Comparison of early clinical outcome in carpal tunnel release - mini-open technique with palmar incision vs. endoscopic technique with wrist crease incision-
The purpose of this study was to examine two techniques for Carpal Tunnel Syndrome, mini-Open Carpal Tunnel Release (mini-OCTR) and Endoscopic Carpal Tunnel Release (ECTR), to compare their therapeutic efficacy. (Source: BMC Musculoskeletal Disorders)
Source: BMC Musculoskeletal Disorders - April 1, 2024 Category: Orthopaedics Authors: Ryo Nakamichi, Taichi Saito, Yasunori Shimamura, Masanori Hamada, Keiichiro Nishida and Toshifumi Ozaki Tags: Research Source Type: research

The case for improved transparency of disability insurance and workers' compensation claims data to study work-related injuries among surgeons
Work-related musculoskeletal (MSK) pain and injury affects roughly two-thirds of surgeons during their career and can negatively impact career longevity and workforce sustainability.1,2 Although many surgeons opt to work through MSK pain or injury, a subset of individuals develop work-related musculoskeletal disorders (WMSD) that necessitate days away from work (DAFW), modification of surgical technique, or in the worst case, early retirement.1 Examples of WMSDs include carpal tunnel syndrome, tendinitis, rotator cuff injuries, epicondylitis, trigger finger, neck tension syndrome, and back strain, which are highly prevalen...
Source: American Journal of Surgery - April 1, 2024 Category: Surgery Authors: Andrew T. Gabrielson, Claudia Corwin, Kristin Chrouser Tags: My Thoughts / My Surgical Practice Source Type: research

Systemic Low-grade Inflammatory Markers Are Associated with Proximal Spread of Neuropathic Symptoms
Neuropathic pain is a highly prevalent condition associated with persistent and severe disability. Some patients with neuropathic pain experience symptom spread outside neuroanatomical boundaries; these patients report more severe sensory symptoms and greater disability. However, the mechanisms behind such symptom spread are not fully understood. We used carpal tunnel syndrome (CTS) as a human model system of neuropathic pain to identify differences in the concentration of serologic inflammatory mediators among patients with CTS with territorial symptoms and those with proximal symptom spread to either the elbow or shoulde...
Source: The Journal of Pain - April 1, 2024 Category: Materials Science Authors: Amber Rhee, Karolina Zvonickova, Oliver Sandy-Hindmarch, Dominic Furniss, Akira Wiberg, Annina B. Schmid Source Type: research

Visual Quantitative Sensory Testing Provides Transdiagnostic Window into Behavioral and Functional Neural Correlates of Nociplastic Pain
Multisensory hypersensitivity to painful and non-painful stimuli, including light, is common among individuals with nociplastic pain. However, as nociplastic pain is often superimposed upon nociceptive and neuropathic pain, we hypothesized that the degree of nociplastic pain would predict the amount of sensory hypersensitivity in many chronic pain states. To assess this hypothesis, the present study investigated associations between evoked visual sensitivity, brain activation patterns, and clinical outcomes in participants with fibromyalgia (FM,n=45) - the prototypical nociplastic pain condition - and osteoarthritis (OA,n=...
Source: The Journal of Pain - April 1, 2024 Category: Materials Science Authors: Noah Waller, Chelsea Kaplan, Andrew Schrepf, Eric Ichesco, Richard Harris, Daniel Clauw, Steven Harte Source Type: research

The effects of virtual reality-mediated tendon and nerve gliding exercises in the conservative management of carpal tunnel syndrome: a double-blind randomized placebo controlled trial
CONCLUSIONS: An eight-week VR-mediated exercise program may enhance tendon and nerve gliding exercise effectiveness, particularly for nighttime symptoms in CTS patients.CLINICAL REHABILITATION IMPACT: In the future, challenging exercises requiring time and supervision could be effectively performed through VR, offering an alternative to traditional methods.PMID:38551521 | DOI:10.23736/S1973-9087.24.08432-6 (Source: European Journal of Physical and Rehabilitation Medicine)
Source: European Journal of Physical and Rehabilitation Medicine - March 29, 2024 Category: Rehabilitation Authors: Sina Arman Ahmet K Menekseoglu Baran Sezgin Burhan Ozgur Nalan Capan Aydan Oral Source Type: research

The effects of virtual reality-mediated tendon and nerve gliding exercises in the conservative management of carpal tunnel syndrome: a double-blind randomized placebo controlled trial
CONCLUSIONS: An eight-week VR-mediated exercise program may enhance tendon and nerve gliding exercise effectiveness, particularly for nighttime symptoms in CTS patients.CLINICAL REHABILITATION IMPACT: In the future, challenging exercises requiring time and supervision could be effectively performed through VR, offering an alternative to traditional methods.PMID:38551521 | DOI:10.23736/S1973-9087.24.08432-6 (Source: European Journal of Physical and Rehabilitation Medicine)
Source: European Journal of Physical and Rehabilitation Medicine - March 29, 2024 Category: Rehabilitation Authors: Sina Arman Ahmet K Menekseoglu Baran Sezgin Burhan Ozgur Nalan Capan Aydan Oral Source Type: research

The effects of virtual reality-mediated tendon and nerve gliding exercises in the conservative management of carpal tunnel syndrome: a double-blind randomized placebo controlled trial
CONCLUSIONS: An eight-week VR-mediated exercise program may enhance tendon and nerve gliding exercise effectiveness, particularly for nighttime symptoms in CTS patients.CLINICAL REHABILITATION IMPACT: In the future, challenging exercises requiring time and supervision could be effectively performed through VR, offering an alternative to traditional methods.PMID:38551521 | DOI:10.23736/S1973-9087.24.08432-6 (Source: European Journal of Physical and Rehabilitation Medicine)
Source: European Journal of Physical and Rehabilitation Medicine - March 29, 2024 Category: Rehabilitation Authors: Sina Arman Ahmet K Menekseoglu Baran Sezgin Burhan Ozgur Nalan Capan Aydan Oral Source Type: research

The effects of virtual reality-mediated tendon and nerve gliding exercises in the conservative management of carpal tunnel syndrome: a double-blind randomized placebo controlled trial
CONCLUSIONS: An eight-week VR-mediated exercise program may enhance tendon and nerve gliding exercise effectiveness, particularly for nighttime symptoms in CTS patients.CLINICAL REHABILITATION IMPACT: In the future, challenging exercises requiring time and supervision could be effectively performed through VR, offering an alternative to traditional methods.PMID:38551521 | DOI:10.23736/S1973-9087.24.08432-6 (Source: European Journal of Physical and Rehabilitation Medicine)
Source: European Journal of Physical and Rehabilitation Medicine - March 29, 2024 Category: Rehabilitation Authors: Sina Arman Ahmet K Menekseoglu Baran Sezgin Burhan Ozgur Nalan Capan Aydan Oral Source Type: research

The effects of virtual reality-mediated tendon and nerve gliding exercises in the conservative management of carpal tunnel syndrome: a double-blind randomized placebo controlled trial
CONCLUSIONS: An eight-week VR-mediated exercise program may enhance tendon and nerve gliding exercise effectiveness, particularly for nighttime symptoms in CTS patients.CLINICAL REHABILITATION IMPACT: In the future, challenging exercises requiring time and supervision could be effectively performed through VR, offering an alternative to traditional methods.PMID:38551521 | DOI:10.23736/S1973-9087.24.08432-6 (Source: European Journal of Physical and Rehabilitation Medicine)
Source: European Journal of Physical and Rehabilitation Medicine - March 29, 2024 Category: Rehabilitation Authors: Sina Arman Ahmet K Menekseoglu Baran Sezgin Burhan Ozgur Nalan Capan Aydan Oral Source Type: research

The effects of virtual reality-mediated tendon and nerve gliding exercises in the conservative management of carpal tunnel syndrome: a double-blind randomized placebo controlled trial
CONCLUSIONS: An eight-week VR-mediated exercise program may enhance tendon and nerve gliding exercise effectiveness, particularly for nighttime symptoms in CTS patients.CLINICAL REHABILITATION IMPACT: In the future, challenging exercises requiring time and supervision could be effectively performed through VR, offering an alternative to traditional methods.PMID:38551521 | DOI:10.23736/S1973-9087.24.08432-6 (Source: European Journal of Physical and Rehabilitation Medicine)
Source: European Journal of Physical and Rehabilitation Medicine - March 29, 2024 Category: Rehabilitation Authors: Sina Arman Ahmet K Menekseoglu Baran Sezgin Burhan Ozgur Nalan Capan Aydan Oral Source Type: research

Steroid versus placebo injections and wrist splints in patients with carpal tunnel syndrome: a systematic review and network meta-analysis
J Hand Surg Eur Vol. 2024 Mar 28:17531934241240380. doi: 10.1177/17531934241240380. Online ahead of print.ABSTRACTA network meta-analysis of randomized controlled trials compared the effectiveness of corticosteroid injections with placebo injections and wrist splints for carpal tunnel syndrome, focusing on symptom relief and median nerve conduction velocity. Within 3 months of the corticosteroid injection, there was a modest statistically significant difference in symptom relief compared to placebo injections and wrist splints, as measured by the Symptom Severity Subscore of the Boston Carpal Tunnel Questionnaire; however,...
Source: Hand Surgery - March 28, 2024 Category: Surgery Authors: Ebubechi Adindu Sina Ramtin Ali Azarpay David Ring Teun Teunis Source Type: research

Modified Extensor Indicis Proprius Opponensplasty
Tech Hand Up Extrem Surg. 2024 Mar 25. doi: 10.1097/BTH.0000000000000478. Online ahead of print.ABSTRACTExtensor indicis proprius (EIP) opponensplasty is one of the commonly used techniques to restore thumb abduction and opposition in patients with thenar muscle dysfunction from various causes of median nerve palsy. However, its subcutaneous route around the distal ulna may not represent a straight line of pull, and part of the extensor hood sometimes has to be harvested along with the EIP tendon to gain adequate length to reach the insertion. The purpose of the study is to present the alternative method of EIP opponenspla...
Source: Hand Surgery - March 25, 2024 Category: Surgery Authors: Nuttara Wiboonthanasarn Kanon Limudomporn Chairoj Uerpairojkit Piyabuth Kittithamvongs Sopinun Siripoonyothai Navapong Anantavorasakul Kanchai Malungpaishrope Source Type: research

Modified Extensor Indicis Proprius Opponensplasty
Tech Hand Up Extrem Surg. 2024 Mar 27. doi: 10.1097/BTH.0000000000000478. Online ahead of print.ABSTRACTExtensor indicis proprius (EIP) opponensplasty is one of the commonly used techniques to restore thumb abduction and opposition in patients with thenar muscle dysfunction from various causes of median nerve palsy. However, its subcutaneous route around the distal ulna may not represent a straight line of pull, and part of the extensor hood sometimes has to be harvested along with the EIP tendon to gain adequate length to reach the insertion. The purpose of the study is to present the alternative method of EIP opponenspla...
Source: Hand Surgery - March 25, 2024 Category: Surgery Authors: Nuttara Wiboonthanasarn Kanon Limudomporn Chairoj Uerpairojkit Piyabuth Kittithamvongs Sopinun Siripoonyothai Navapong Anantavorasakul Kanchai Malungpaishrope Source Type: research