Carpal Tunnel SyndromeThis is an RSS file. You can use it to subscribe to this data in your favourite RSS reader, such as GoogleReader, or to display this data on your own website or blog. Subscribe to this data using MyMedWorm.Subscribe to this data using GoogleReader.Subscribe to this data using Bloglines.Subscribe to this data using MyYahoo.

This page shows you your search results in order of date.

Pages: 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15

749 records returned

Gabapentin in carpal tunnel patients: A considerationEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Wiwanitkit VirojNeurology India 2009 57(5):690-690 (Source: Neurology India)
Source: Neurology India - November 20, 2009 Category: Neurology Authors: Wiwanitkit Viroj Source Type: journals

Genes and JobsEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
The Genetic Non-Discrimination Act (GINA) comes into full effect this Saturday, November 21st. Employers need to take note, and employees should be aware of their rights.Congress passed GINA almost unanimously, and President Bush signed it on May 21, 2008. Described by the late Senator Ted Kennedy as "the first civil rights bill of the new century of the life sciences," GINA protects individuals from genetic information discrimination in health insurance and employment. A detailed description can be found here.Even some well-informed commentators seem to have missed this landmark piece of legislation. So ...
Source: Psychology Today Work Center - November 17, 2009 Category: Psychiatry & Psychology Authors: Pete Shanks Tags: Law and Crime Media Politics Social Life Work andrew sullivan commentators criminal background check criminal background check policy daily dish discrimination act dna testing employment employment practice full effect geneti Source Type: consumer

Comparative study of carpal tunnel compliance in the human, dog, rabbit, and ratEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
The purpose of this study was to measure the compliance of the carpal tunnel in candidate animal models of carpal tunnel syndrome (CTS), by measuring the resistance when passing a tapered metal rod through the carpal tunnel. Forepaws from 10 dogs, 10 rabbits, and 10 rats with intact carpal tunnels, and 10 fresh frozen human wrist cadavers were used. The slopes of the linear part of the force-displacement curve (a measure of stiffness), normal force, and increasing area ratio (InAR) were significantly different among the four species (p < 0.05). Post hoc analysis indicated that the mean slopes for the human carpal tunnel we...
Source: Journal of Orthopaedic Research - November 13, 2009 Category: Orthopaedics Authors: Wen-Lin Tung, Chunfeng Zhao, Yuichi Yoshii, Fong-Chin Su, Kin-Nan An, Peter C. Amadio Source Type: journals

The illusion of severe carpal tunnel syndrome (CTS)Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
In this report we present a young woman with mild bilateral CTS, based on electrophysiological studies, in whom marked thenar atrophy was on a congenital basis related to the VATER association (vertebral anomalies, anal atresia, tracheoesophageal fistula, and radial or renal abnormalities). Muscle Nerve, 2010 (Source: Muscle and Nerve)
Source: Muscle and Nerve - November 13, 2009 Category: Internal Medicine Authors: Ludwig Gutmann, Christopher Nance Source Type: journals

Ischaemic sensitivity of axons in carpal tunnel syndromeEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Although carpal tunnel syndrome (CTS) is the most common human entrapment neuropathy characterized by paraesthesiae and numbness with nocturnal exacerbation, the mechanisms underlying the generation of these symptoms remain unclear. Consequently, the aim of the present study was to investigate the relationship between changes in axonal excitability and the development of neurological symptoms in response to an ischaemic insult in CTS patients. Sensory and motor excitability were measured in 10 CTS patients and compared with 10 healthy controls, with participants asked to report symptom generation and intensity during the d...
Source: Journal of the Peripheral Nervous System - November 10, 2009 Category: Neurology Authors: S. Eric Han, Robert A. Boland, Arun V. Krishnan, Steve Vucic, Cindy S.-Y. Lin, Matthew C. Kiernan Tags: RESEARCH REPORTS Source Type: journals

Hand Syndromes Associated with Diabetes: Impairments and Obesity Predict Disability.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
CONCLUSION: In adults with hand syndromes associated with diabetes, disability was related to impaired muscle function and carpal tunnel syndrome. Obesity and overall physical functioning influenced hand disability, particularly in women. PMID: 19884270 [PubMed - as supplied by publisher] (Source: J Rheumatol)
Source: J Rheumatol - November 2, 2009 Category: Rheumatology Authors: Redmond CL, Bain GI, Laslett LL, McNeil JD Tags: J Rheumatol Source Type: journals

Original paper Comparison of the diagnostic value of ultrasonography and neurography in carpal tunnel syndromeEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Conclusions: Ultrasonographic findings correlate well with electrophysiological tests in CTS patients. Cross-sectional area equal to 0.1 cm2 is important in CTS diagnostics. Median nerve oedema, revealed in the early stage of CTS without any electrophysiological changes, might be an important factor in occurrence of subjective complaints. Radial slide of median nerve phenomenon is a common ultrasonographic finding in CTS. (Source: Articles of Polish Journal of Neurology and Neurosurgery - TERMEDIA publishing house)
Source: Articles of Polish Journal of Neurology and Neurosurgery - TERMEDIA publishing house - October 30, 2009 Category: Neurosurgery Source Type: journals

Unusual Charcot-Marie-Tooth phenotype due to a mutation within the intracellular domain of myelin protein zeroEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
We report a family with a missense mutation, c.700G>T p.Asp234Tyr (deviant nomenclature: c.670G>T, p.Asp224Tyr), within the intracellular domain of myelin protein zero, who has distal sensorimotor symptoms, cramps, restless legs syndrome, neuropathic pain, and carpal tunnel syndrome. The index patient responded to intravenous immunoglobulin and immunosuppression, so there may be a possible secondary autoimmune process, probably triggered by altered antigen presentation due to mutated MPZ protein. Muscle Nerve, 2009 (Source: Muscle and Nerve)
Source: Muscle and Nerve - October 30, 2009 Category: Internal Medicine Authors: Christiane Schneider-Gold, Judith Kötting, Jörg T. Epplen, Ralf Gold, Wanda M. Gerding Source Type: journals

[Carpal tunnel release: avoiding complications.]Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
PMID: 19859882 [PubMed - in process] (Source: Revista de Neurologia)
Source: Revista de Neurologia - October 29, 2009 Category: Neurology Authors: Arrotegui I Tags: Rev Neurol Source Type: journals

Weight Loss Improves Carpal Tunnel Syndrome in Obese PatientsEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Obesity has been linked to an increased prevalence of carpal tunnel syndrome, and now new findings indicate that massive weight loss can improve symptoms in affected patients. Reuters Health Information (Source: Medscape Medical News Headlines)
Source: Medscape Medical News Headlines - October 29, 2009 Category: Consumer Health News Tags: Plastic Surgery & Aesthetic Medicine Source Type: news

Work-related carpal tunnel syndrome in Washington State workers' compensation: Utilization of surgery and the duration of lost workEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Work-related carpal tunnel syndrome (CTS) is a leading cause of lengthy disability.This population-based retrospective cohort study used Washington State workers' compensation claims for CTS to characterize associations between utilization of CTS surgery and duration of lost work. The sample included all claims (n = 8,224) filed during 1990-1994 (followed through 2000) and receiving lost-work compensation.Sixty-four percent of studied workers had CTS surgery. Among workers with >1 month of lost work, the total duration was much shorter when workers had surgery, versus those who did not (median 4.3 and 6.2 months, respectiv...
Source: American Journal of Industrial Medicine - October 28, 2009 Category: Occupational Health Authors: William E. Daniell, Deborah Fulton-Kehoe, Gary M. Franklin Source Type: journals

Weight Loss Can Shed Pounds And Carpal TunnelEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
A new study investigating the relationship between obesity and carpal tunnel suggests that massive weight loss alone may provide a cure for the syndrome. (Source: ScienceDaily Headlines)
Source: ScienceDaily Headlines - October 27, 2009 Category: Science Source Type: news

Digital ulcers as the first manifestation of carpal tunnel syndromeEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
We report of a case of severe bilateral medial nerve palsy, presented to us for diagnosis of chronic digital ulcers which had been suspected to be rheumatologic in origin. Careful examination revealed an unusual case of CTS in an advanced stage, which presented itself with skin changes only, lacking all the typical neurologic symptoms or rheumatologic background. Our case stresses the importance for rheumatologists to be aware of the ulcerative form of CTS as one of the etiologic differential diagnostic options of digital ulcers. Content Type Journal ArticleCategory Case ReportDOI 10.1007/s00296-009-1229-4Authors ...
Source: Rheumatology International - October 23, 2009 Category: Rheumatology Tags: Rheumatology International Source Type: journals

Limited economic evaluation to assess the effectiveness of a university-wide office ergonomics program.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
The objective of this research was to evaluate the effectiveness and provide a limited economic evaluation of an office ergonomics program at a major university from 1995 to 2007. The relationship between office-related recordable injuries, reported lost time, severity of these injuries, and the Workers' Compensation (WC) paid was analyzed and the corresponding incident cost was calculated. Two major datasets analyzed were OSHA 200/300 logs (1991-2007) and WC claims paid (1999-2007). Since the beginning of the office ergonomics program in 1995 and through 2007 (13-year period), the number of office cumulative trauma disord...
Source: Applied Ergonomics - October 23, 2009 Category: Occupational Health Authors: Bidassie B, McGlothlin JD, Goh A, Feyen RG, Barany JW Tags: Appl Ergon Source Type: journals

Joint contractures in the absence of inflammation may indicate mucopolysaccharidosisEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Background: Undiagnosed patients with the attenuated form of mucopolysaccharidosis (MPS) type I often have joint symptoms in childhood that prompt referral to a rheumatologist. A survey conducted by Genzyme Corporation of 60 European and Canadian rheumatologists and pediatric rheumatologists demonstrated that < 20% recognized signs and symptoms of MPS I or could identify appropriate diagnosis tests. These results prompted formation of an international working group of rheumatologists, pediatric rheumatologists, and experts on MPS I to formulate a rheumatology-based diagnostic algorithm. The resulting algorithm applies to a...
Source: Pediatric Rheumatology - October 22, 2009 Category: Rheumatology Authors: Rolando CimazGiovanni Valentino CoppaIsabelle Kone-PautBianca LinkGregory PastoresMaria Rua ElorduyCharles SpencerCarter ThorneNico WulffraatBernhard Manger Source Type: journals

Koilonychia in carpal-tunnel syndromeEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
(Source: Clinical And Experimental Dermatology)
Source: Clinical And Experimental Dermatology - October 22, 2009 Category: Dermatology Authors: S. B. Cho, S. H. Lee, J. Kim Source Type: journals

Inter- and Intraobserver Reliability of Predefined Diagnostic Levels in High-Resolution Sonography of the Carpal Tunnel Syndrome - a Validation Study on Healthy Volunteers.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
CONCLUSION: To use high-resolution ultrasound for the diagnosis of carpal tunnel syndrome, the reproducibility of this method has to be evaluated. Our study confirms examiner-independent reproducibility of two predefined diagnostic cross-sectional areas resulting in good alpha values. PMID: 19847740 [PubMed - as supplied by publisher] (Source: Ultraschall in der Medizin)
Source: Ultraschall in der Medizin - October 20, 2009 Category: Radiology Authors: Kluge S, Kreutziger J, Hennecke B, Vögelin E Tags: Ultraschall Med Source Type: journals

Neurological symptoms in patients with biopsy proven celiac diseaseEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
In celiac disease (CD), the gut is the typical manifestation site but atypical neurological presentations are thought to occur in 6 to 10% with cerebellar ataxia being the most frequent symptom. Most studies in this field are focused on patients under primary neurological care. To exclude such an observation bias, patients with biopsy proven celiac disease were screened for neurological disease. A total of 72 patients with biopsy proven celiac disease (CD) (mean age 51 ± 15 years, mean disease duration 8 ± 11 years) were recruited through advertisements. All participants adhered to a gluten-free diet. Patients were inter...
Source: Movement Disorders - October 19, 2009 Category: Neurology Authors: Katrin Bürk, Marie-Louise Farecki, Georg Lamprecht, Guenter Roth, Patrice Decker, Michael Weller, Hans-Georg Rammensee, Wolfang Oertel Source Type: journals

Sonographic and Electrodiagnostic Evaluations in Patients With Aromatase Inhibitor-Related Arthralgia [Breast Cancer]Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Conclusion Patients with AI-related arthralgia often show tenosynovial changes suggesting tenosynovitis, exerting local problems but lacking a systemic inflammatory component. Our finding of increased CTS frequency also supports this hypothesis. (Source: Journal of Clinical Oncology)
Source: Journal of Clinical Oncology - October 16, 2009 Category: Cancer & Oncology Authors: Dizdar, Ozcakar, Malas, Harputluoglu, Bulut, Aksoy, Ozisik, Altundag Tags: Hormonal Therapy Breast Cancer Source Type: journals

Aromatase Inhibitor-Induced Carpal Tunnel Syndrome: Results From the ATAC Trial [Breast Cancer]Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Conclusion Although the use of anastrozole is associated with a greater incidence of CTS, it is rare, and most cases were of mild to moderate intensity and short duration. CTS has little impact on the overall risk-to-benefit ratio for the use of anastrozole in postmenopausal women with early breast cancer. (Source: Journal of Clinical Oncology)
Source: Journal of Clinical Oncology - October 16, 2009 Category: Cancer & Oncology Authors: Sestak, Sapunar, Cuzick Tags: Epidemiology, Chemoprevention studies Breast Cancer Source Type: journals

Management of Neuropathic Pain in Dialysis Patients: An Effective Approach with GabapentinEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
In this study, we administered gabapentin, a novel antiepileptic drug which is excreted at 98% unaltered by the kidneys, to 7 hemodialysis patients (4 female, 3 male) from 65 to 75 years of age and at 65 to 70 kg of body weight who suffered from restless legs syndrome (4 patients), pruritus (1 patient), neuralgia (1 patient), and carpal tunnel syndrome (1 patient). Recommended dosing with adjustments for the degree of kidney failure provoked severe somnolence and dizziness affecting all patients. On an "observe and treat" basis, we determined the optimum dose was 50% lower than the suggested dose. Patients responded rapidl...
Source: Dialysis and Transplantation - October 15, 2009 Category: Urology & Nephrology Authors: Sofia Spaia, Maria Tersi, Maria Sidiropoulou, Nikolaos Askepidis, Michalis Pazarloglou, Vasiliki Iliadi Tags: Clinical Perspectives Source Type: journals

[Median nerve compression neuropathies: Struthers ligament and carpal tunnel.]Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
PMID: 19836320 [PubMed - as supplied by publisher] (Source: Anales de Pediatria)
Source: Anales de Pediatria - October 13, 2009 Category: Pediatrics Authors: Escámez Pérez A, Salcedo Cánovas C, Alarcón Zamora A, Martínez Herrada J Tags: An Pediatr (Barc) Source Type: journals

Upper limb musculoskeletal abnormalities and poor metabolic control in diabetes.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
CONCLUSION: Upper limb locomotor abnormalities are very common in diabetes and are associated with worse glycaemic control and more diabetic complications. Assessment of upper limb locomotor disease in diabetes should include an estimate of glycaemic control and a search for other complications. PMID: 19818294 [PubMed - as supplied by publisher] (Source: European Journal of Internal Medicine)
Source: European Journal of Internal Medicine - October 13, 2009 Category: Internal Medicine Authors: Ramchurn N, Mashamba C, Leitch E, Arutchelvam V, Narayanan K, Weaver J, Hamilton J, Heycock C, Saravanan V, Kelly C Tags: Eur J Intern Med Source Type: journals

Surgery for Carpal Tunnel Syndrome Modestly Better Than Nonsurgical ManagementEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
(Source: AccessMedicine Updates)
Source: AccessMedicine Updates - October 9, 2009 Category: Internal Medicine Source Type: info

Are You At Risk For Carpal Tunnel Syndrome?Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
If you are experiencing pain in your arms, based on individual risk factors, there may be an increased likelihood you are suffering from carpal tunnel syndrome. According to researchers, certain factors can play a role in your prevalence to developing this painful syndrome. (Source: ScienceDaily Headlines)
Source: ScienceDaily Headlines - October 7, 2009 Category: Science Source Type: news

The Clinical Application of Kaplan’s Cardinal Line as a Surface Marker for the Superficial Palmar ArchEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Abstract We feel the original description of Kaplan’s cardinal line provides a more accurate reference point to the superficial palmar arterial arch. We sought to anatomically correlate the relationship of Kaplan’s cardinal line to the superficial palmar arch. Sixty hands (30 cadavers) were dissected after Kaplan’s original description was drawn on each hand. Measurements we made from Kaplan’s cardinal line to the superficial palmar arch at both the radial and ulnar borders of the ring finger. The superficial palmar arterial arch was an average of 10.4 and 11.8 mm from the radial and ulnar borde...
Source: Hand - October 6, 2009 Category: Surgery Tags: Hand Source Type: journals

Carpal Tunnel Syndrome Shows Improvement Following Bariatric SurgeryEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
As bariatric surgical procedures (BSPs), or weight loss surgeries, have become increasingly common, so have their associated neurological complications. However, for patients with a pre-surgical diagnosis of carpal tunnel syndrome (CTS), the benefits of the bariatric surgery may actually help improve the painful symptoms of CTS. (Source: Health News from Medical News Today)
Source: Health News from Medical News Today - October 6, 2009 Category: Consumer Health News Tags: Pain / Anesthetics Source Type: news

Are You At Risk For Carpal Tunnel Syndrome?Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
If you are experiencing pain in your arms, based on individual risk factors, there may be an increased likelihood you are suffering from carpal tunnel syndrome (CTS). According to a team of researchers, certain factors can play a role in your prevalence to developing this painful syndrome. (Source: Health News from Medical News Today)
Source: Health News from Medical News Today - October 6, 2009 Category: Consumer Health News Tags: Pain / Anesthetics Source Type: news

Clinical Reasoning: A 54-year-old woman with hand dysesthesia: Many dimensions to a common problemEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
(Source: Neurology)
Source: Neurology - October 5, 2009 Category: Neurology Authors: Vijayan, J., Esther S.T., N., Therimadasamy, A. K., Lau, T., Wilder-Smith, E. P. Tags: Ultrasound, All Medical/Systemic disease, Peripheral neuropathy, All clinical neurophysiology, carpal tunnel syndrome RESIDENT AND FELLOW SECTION Source Type: journals

Ulnar nerve paresis secondary to lunate dislocationEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
We present the second reported case of ulnar nerve paresis secondary to lunate dislocation resulting from a wrist hyperextension injury. Early open reduction and screw fixation lead to rapid resolution of symptoms. Content Type Journal ArticleCategory Case ReportDOI 10.1007/s00238-009-0360-5Authors Zakir Shariff, Pinderfield General Hospital Wakefield EnglandChika Edward Uzoigwe, Pinderfield General Hospital Wakefield EnglandFulvio Urso-Baiarda, Pinderfield General Hospital Wakefield EnglandAjit Shetty, Pinderfield General Hospital Wakefield England Journal European Journal of Plastic SurgeryOnline ISSN 1435-...
Source: European Journal of Plastic Surgery - October 3, 2009 Category: Cosmetic Surgery Tags: European Journal of Plastic Surgery Source Type: journals

Surgery Provides Modest Benefit for Carpal Tunnel SyndromeEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
A new trial shows that surgery can be useful for patients with carpal tunnel syndrome and no denervation. Medscape Medical News (Source: Medscape Today Headlines)
Source: Medscape Today Headlines - October 2, 2009 Category: Consumer Health News Tags: Neurology & Neurosurgery Source Type: news

American Academy of Orthopaedic Surgeons Clinical Practice Guideline on. Diagnosis of Carpal Tunnel SyndromeEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
(Source: JBJS [Am])
Source: JBJS [Am] - October 1, 2009 Category: Orthopaedics Authors: Keith, M. W., Masear, V., Chung, K. C., Maupin, K., Andary, M., Amadio, P. C., Watters, W. C., Goldberg, M. J., Haralson, R. H., Turkelson, C. M., Wies, J. L., McGowan, R. Tags: Evidence-Based Orthopaedics, Hand/Wrist Source Type: journals

Quadrature radio frequency coil for magnetic resonance imaging of the wrist at 4TEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
A magnetic resonance imaging (MRI) quadrature transmit/receive radio frequency (RF) coil for the purpose of imaging the human wrist in high resolution is outlined. The proposed design is used in a nonconventional manner within the bore of the MRI scanner. Due to restrictions of field linearity, space, and patient comfort, it was deemed necessary to design a coil that can be placed above the head with the arm aligned in the transverse plane of the magnet. This configuration allows the placement of the coil to be near the isocenter of the magnet, away from static field impurities. The RF wrist coil was built and a phantom st...
Source: Concepts in Magnetic Resonance Part B: Magnetic Resonance Engineering - October 1, 2009 Category: Radiology Authors: Ali Zailaa, Viktor Vegh, Don Maillet, Mark W. Strudwick Source Type: journals

American Academy of Orthopaedic Surgeons Clinical Practice Guideline on diagnosis of carpal tunnel syndrome.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
PMID: 19797585 [PubMed - in process] (Source: The Journal of Bone and Joint Surgery. American volume)
Source: The Journal of Bone and Joint Surgery. American volume - September 30, 2009 Category: Orthopaedics Authors: Keith MW, Masear V, Chung KC, Maupin K, Andary M, Amadio PC, Watters WC, Goldberg MJ, Haralson RH, Turkelson CM, Wies JL, McGowan R Tags: J Bone Joint Surg Am Source Type: journals

A randomized sham-controlled trial of a neurodynamic technique in the treatment of carpal tunnel syndrome.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
CONCLUSION: The sham intervention was successful in blinding the participants. Immediate changes in pain sensitivity and intensity and 3-week changes in clinical pain intensity and upper extremity disability associated with NDT were equivalent to a sham intervention to which the participants were adequately blinded. Conversely, reduction of temporal summation was only observed in participants receiving the NDT, suggesting the potential of a favorable neurophysiological effect. LEVEL OF EVIDENCE: Therapy, level 1b. J Orthop Sports Phys Ther 2009;39(10):709-723. doi:10.2519/jospt.2009.3117. PMID: 19801812 [PubMed - in pr...
Source: Physical Therapy - September 30, 2009 Category: Physiotherapy Authors: Bialosky JE, Bishop MD, Price DD, Robinson ME, Vincent KR, George SZ Tags: J Orthop Sports Phys Ther Source Type: journals

Unilateral carpal tunnel syndrome caused by an occult palmar lipoma.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
This article presents 2 cases of patients with occult deep palmar lipomas compressing the median nerve and causing unilateral symptoms of carpal tunnel syndrome. We stress the importance of imaging studies in patients with unilateral symptoms that are usually not used in carpal tunnel syndrome. While both patients' symptomatic hands showed severe neurophysiologic impairment, the contralateral hands were totally intact, which is contradictory with a long history. The reported patients were evaluated and magnetic resonance images revealed intra-tunnel lesions. Although lipomas are the most common soft tissue tumor in the bod...
Source: Orthopedics - September 30, 2009 Category: Orthopaedics Authors: Bagatur AE, Yalcinkaya M Tags: Orthopedics Source Type: journals

Surgeon bias in the medical record.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
This study was designed to determine if hand surgeons introduce selective bias into the medical record. Fifty consecutive new patients were referred to a hand surgery practice for presumed carpal tunnel syndrome. Forty-four patients were diagnosed with carpal tunnel syndrome and were eligible for study inclusion. Prior to evaluation, all patients wrote in free-response fashion and diagrammed their symptom quality and location. Surgeon dictations from these visits were then evaluated against the patients' self-reported symptomatology. Statistical analysis was performed to determine if specific symptom types and locations we...
Source: Orthopedics - September 30, 2009 Category: Orthopaedics Authors: Calfee R, Fynn-Thompson E, Stern P Tags: Orthopedics Source Type: journals

Double- versus single-incision technique for open carpal tunnel release.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
A prospective, randomized, controlled trial was performed comparing the double incision technique to the conventional open method used in carpal tunnel decompression surgery, with pillar pain, scar sensitivity, and recovery of grip strength each assessed independently. Forty patients (40 hands) were operated on, 21 hands with the standard single-incision technique and 19 hands with the double-incision technique. Patients were assessed throughout 6 months of follow-up. The results showed that the double-incision technique caused less pillar pain and scar sensitivity compared to the single-incision technique. No differen...
Source: Orthopedics - September 30, 2009 Category: Orthopaedics Authors: Hamed AR, Makki D, Chari R, Packer G Tags: Orthopedics Source Type: journals

Scratch Collapse Test for the Evaluation of Carpal and Cubital Tunnel SyndromeEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
In this study, the positive predictive value for all tests was high for CTS, with the SCT having the highest value (99%) followed by wrist flexion/nerve compression (98%) and Tinel's (96%). Negative predictive values were highest for the SCT (73%) followed by wrist flexion/nerve compression (65%) and Tinel's (59%). For CuTS, the SCT had the highest positive predictive value (99%), followed by Tinel's (98%), and elbow flexion/nerve compression (96%). Negative value, however, was highest for Tinel's (98%), followed by the SCT (86%) and elbow flexion/nerve compression (78%).Data analysis showed that the SCT was reproducible,...
Source: Journal of Hand Therapy - September 30, 2009 Category: Rehabilitation Authors: Richard Douglas Tags: Abstracts from the Literature Source Type: journals

A Randomized Sham-Controlled Trial of a Neurodynamic Technique in the Treatment of Carpal Tunnel SyndromeEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
CONCLUSION: The sham intervention was successful in blinding the participants. Immediate changes in pain sensitivity and intensity and 3-week changes in clinical pain intensity and upper extremity disability associated with NDT were equivalent to a sham intervention to which the participants were adequately blinded. Conversely, reduction of temporal summation was only observed in participants receiving the NDT, suggesting the potential of a favorable neurophysiological effect. LEVEL OF EVIDENCE: Therapy, level 1b. J Orthop Sports Phys Ther 2009;39(10):709-723. doi:10.2519/jospt.2009.3117 KEY WORDS: central sensitization, m...
Source: The Journal of Orthopaedic and Sports Physical Therapy - September 30, 2009 Category: Physiotherapy Tags: October 2009 Volume 39, No. 10 Source Type: journals

Brief Post Surgical Electrical Stimulation Accelerates Axon Regeneration and Muscle Reinnervation Without Affecting the Functional Measures in Carpal Tunnel Syndrome Patients.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Electrical stimulation (ES) of injured peripheral nerves accelerates axonal regeneration in laboratory animals. However, clinical applicability of this intervention has never been investigated in human subjects. The aim of this pilot study was to determine the effect of ES on axonal regeneration after surgery in patients with median nerve compression in the carpal tunnel causing marked motor axonal loss. A randomized control trial was conducted to provide proof of principle for ES-induced acceleration of axon regeneration in human patients. Carpel tunnel release surgery (CTRS) was performed and in the stimulation group...
Source: Experimental Neurology - September 29, 2009 Category: Neurology Authors: Gordon T, Amirjani N, Edwards DC, Chan KM Tags: Exp Neurol Source Type: journals

Surgery Modestly Better Than Nonsurgical Treatments for Carpal Tunnel SyndromeEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
(Source: Physician's First Watch current issue)
Source: Physician's First Watch current issue - September 27, 2009 Category: Primary Care Tags: Medical News Source Type: info

WATCH: A Look at Carpel TunnelEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
(Source: ABC News: Health)
Source: ABC News: Health - September 26, 2009 Category: Consumer Health News Source Type: news

Surgery provides modest benefit over non-surgical treatment for patients with carpal tunnel syndromeEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
While surgery for carpal tunnel syndrome in patients without an indication of severe nerve damage (denervation) provides better outcomes than non-surgical treatment, the clinical relevance of this difference is modest. The findings of this comparative effectiveness research are reported in this week's Surgery Special Issue of The Lancet, written by Dr. Jeffrey Jarvik, professor of radiology and neurosurgery at the University of Washington and director of the Comparative Effectiveness, Cost and Outcomes Research Center at UW. (Source: uwnews.org | Health and Medicine)
Source: uwnews.org | Health and Medicine - September 25, 2009 Category: Universities & Medical Training Tags: Health and Medicine Source Type: news

Carpal Tunnel Syndrome: Modest Benefit Of Surgery Compared To Non-Surgical TreatmentEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
An article in this week's Surgery Special Issue of The Lancet reports that surgery for carpal tunnel syndrome in patients (without an indication of severe nerve damage known as denervation) provides better outcomes than non-surgical treatment. However, the clinical relevance of this difference is modest. (Source: Health News from Medical News Today)
Source: Health News from Medical News Today - September 25, 2009 Category: Consumer Health News Tags: Bones / Orthopaedics Source Type: news

Minimally invasive carpal tunnel release.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
We prospectively compared the safety and effectiveness of mini-incision (group A) and a limited open technique (group B) for carpal tunnel release (CTR) in 185 consecutive patients operated between November 1999 and May 2001, with a 5-year minimum follow-up. Patients in Group A had a minimally invasive approach (<2 cm incision), performed using the KnifeLight (Stryker, Kalamazoo, Michigan) instrument. Patients in Group B had a limited longitudinal incision (3-4 cm). Patient status was evaluated with an Italian modified version of the Boston Carpal Tunnel questionnaire, administered preoperatively and at 19, 30, and ...
Source: The Orthopedic Clinics of North America - September 24, 2009 Category: Orthopaedics Authors: Cellocco P, Rossi C, El Boustany S, Di Tanna GL, Costanzo G Tags: Orthop Clin North Am Source Type: journals

Surgery Best for Carpal Tunnel SyndromeEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Operation has modest advantage over non-surgical therapies, researchers say Source: HealthDay Related MedlinePlus Topic: Carpal Tunnel Syndrome (Source: MedlinePlus Health News)
Source: MedlinePlus Health News - September 24, 2009 Category: Consumer Health News Source Type: consumer

[Editorial] Surgical research: the reality and the IDEALEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
The Lancet today is about surgery, but it is not just for surgeons. The issue addresses quality, innovation, and evaluation. These themes are taken up in a three-part Series from the Balliol Colloquia that introduces a framework for advancing surgical knowledge by translating innovations into practice. The need for standardised definitions and metrics is discussed by The Safe Surgery Saves Lives Measurement and Study Group. Two studies show the value of randomised controlled trials (RCTs) to inform surgical practice. Jeffrey Jarvik and colleagues compare complex non-surgical and surgical interventions for carpal tunnel syn...
Source: LANCET - September 24, 2009 Category: Journals (General) Authors: The Lancet Tags: Editorial Source Type: journals

[Comment] Non-surgical treatment in carpal tunnel syndromeEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Carpal tunnel syndrome is a common cause of disabling hand symptoms. Patients seeking treatment are offered surgery or various non-surgical therapies. In the UK, 31% of patients newly presenting in primary care with carpal tunnel syndrome in 2000 were treated surgically. In a US population, the annual incidence of carpal tunnel syndrome (2001–05) was 424 per 100 000 and, for carpal tunnel release surgery, 134 per 100 000. It is generally accepted that severe carpal tunnel syndrome, manifested by thenar muscle atrophy, severe sensory loss, or both, requires surgery. Similarly, surgeons do not usually encourage surgery i...
Source: LANCET - September 24, 2009 Category: Journals (General) Authors: Isam Atroshi, Christina Gummesson Tags: Comment Source Type: journals

[Articles] Surgery versus non-surgical therapy for carpal tunnel syndrome: a randomised parallel-group trialEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
A previous randomised controlled trial reported greater efficacy of surgery than of splinting for patients with carpal tunnel syndrome. Our aim was to compare surgical versus multi-modality, non-surgical treatment for patients with carpal tunnel syndrome without denervation. We hypothesised that surgery would result in improved functional and symptom outcomes. (Source: LANCET)
Source: LANCET - September 24, 2009 Category: Journals (General) Authors: Jeffrey G Jarvik, Bryan A Comstock, Michel Kliot, Judith A Turner, Leighton Chan, Patrick J Heagerty, William Hollingworth, Carolyn L Kerrigan, Richard A Deyo Tags: Articles Source Type: journals