This study investigated the effectiveness of nerve gliding exercises used in combination with conservative treatment approaches in patients with carpal tunnel syndrome. A total of 35 hands of 26 patients with carpal tunnel syndrome were divided into 2 groups. Static volar wrist splints were applied to 16 hands in the control group, and these patients were trained to modify their functional activities in accordance with conservative treatment. In the experimental group, nerve gliding exercises were applied to 19 hands that were also treated conservatively. A day-and-night splint, together with the conservative training program, was applied for 6 weeks to both groups. Subsequently, a night splint only was used in both groups, and nerve gliding exercises were continued in the experimental group for the remaining 4 weeks. Pretreatment and posttreatment assessments of pain, sensation, muscle strength, and grip and pinch strength, along with Tinel and Phalen tests, were performed in all cases; electrophysiologic measurements were recorded. Significant progress was detected in both control and experimental groups during the posttreatment phase compared with the initial phase (P < .05). However, when the 2 groups were compared, the experimental group in which nerve gliding exercises were added to conservative therapy approaches demonstrated more rapid pain reduction; these patients also showed greater functional improvement, especially in grip strength (P < .05).
Thirty-two patients with radiographic evidence of scaphoid nonunion were preoperatively evaluated by magnetic resonance imaging (MRI), then observed intraoperatively for punctate bleeding of the fragments. Although MRI and intraoperative findings matched in 19 patients, there was no correlation in 13 patients. While 7 of these latter patients showed normal MRI but no punctate bleeding during the operation, the remaining 6 had preoperative MRI of avascularity but punctate bleeding during the operation. After internal fixation and bone grafting, all but 1 of these 13 patients achieved union. We conclude that the diagnosis of avascular necrosis should only be made when both MRI and intraoperative findings indicate avascularity.
Ulnar neuropathy is a common complication after medial collateral ligament injury and prophylactic release will facilitate overall results and postoperative patient satisfaction.
scite is a Brooklyn-based organization that helps researchers better discover and understand research articles through Smart Citations–citations that display the context of the citation and describe whether the article provides supporting or contrasting evidence. scite is used by students and researchers from around the world and is funded in part by the National Science Foundation and the National Institute on Drug Abuse of the National Institutes of Health.