Carpal tunnel syndrome

Middleton, Scott; Anakwe, Raymond

doi:10.1136/bmj.g6437

Cited by 127 publications

(147 citation statements)

References 28 publications

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“…2 Surgical treatment is often one of the solutions proposed after a partial or complete failure of noninvasive treatment (physiotherapy, corticosteroid injection, stretching programs, wrist splinting). 1 In a Swedish study including 14,264 patients with a diagnosis of CTS, a surgical decompression was performed in 50% of the population, with an annual incidence of decompression increasing with age. 2 Our results on drug prescribing during the year after surgery provided new insight in the area of surgical treatment of CTS.…”

Section: Discussionmentioning

confidence: 99%

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Analgesic Drug Prescription After Carpal Tunnel Surgery

Fuzier

Serres

Bourrel

et al. 2018

Regional Anesthesia and Pain Medicine

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This study revealed that approximately 3% to 5% of patients undergoing carpal tunnel surgery had persistent and even increased use of opioid or antineuropathic drugs more than 2 months after surgery, in relation with possible chronic postoperative pain. Considering the incidence of carpal tunnel syndrome, the risks associated with persistent opioid use in this population should be further monitored.

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Section: Discussionmentioning

confidence: 99%

“…The compression of the median nerve at the wrist causes pain, numbness, paresthesia, and other symptoms. 1 The annual incidence of CTS was established at approximately 300 to 400 per 100,000 adults, with a 3-fold higher incidence in women compared with men. [2][3][4] The peak incidence rate generally occurs in the 45-to 64-year-old age group.…”

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confidence: 99%

Analgesic Drug Prescription After Carpal Tunnel Surgery

Fuzier

Serres

Bourrel

et al. 2018

Regional Anesthesia and Pain Medicine

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“…The flexor retinaculum, or transverse carpal ligament, is a fibrous band that attaches the medial and lateral eminences of this bone arch, forming the palmar roof of a narrow opening called the carpal tunnel 1 . This tunnel encloses the median nerve and nine tendons of the flexor finger muscles.…”

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confidence: 99%

“…Physical examination frequently reveals positive provocative test results, such as Tinel' s sign, Phalen' s test and the carpal compression test. Sensory loss and, less frequently, motor deficit and thenar atrophy, can be observed in neurologic examination 1 …”

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confidence: 99%

Conservative therapeutic management of carpal tunnel syndrome

Martins

Siqueira

2017

Arq. Neuro-Psiquiatr.

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Carpal tunnel syndrome is the most prevalent nerve compression and can be clinically or surgically treated. In most cases, the first therapeutic alternative is conservative treatment but there is still much controversy regarding the most effective modality of this treatment. In this study, we critically evaluated the options of conservative treatment for carpal tunnel syndrome, aiming to guide the reader through the conventional options used in this therapy.

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“…KTS patolojisi, el bileğinde dorsal olarak karpal kemikler ve volar olarak fibroz fleksor retinakulumdan oluşan anatomik bir bölge olan Karpal tünelde median sinirin kompresyonu, sıkışması ya da irritasyonu ile ilgilidir. Dolayısıyla bu kompartımanda hacim azalmasına ya da basıncı artışına yol açan her durum KTS semptomlarına yol açabilir (11). Tamamı ev hanımı olan vakalarımız değerlendirildiğinde haftalık temizlik ortalaması-nın haftada 4 gün gibi bir değerle yüksek olması dikkat çekiciydi.…”

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Evaluation of 45 patients with Carpal tunnel syndrome

Biçer¹,

Yanmaz²,

Çabalar³

2015

Bakirkoy

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ÖZET Karpal tünel sendromu olan 45 vakanın değerlendirilmesiAmaç: Karpal tünel sendromu (KTS), median sinirin el bileğinde karpal tünelde kompresyonu ile oluşan en sık görülen periferik mononöropatidir. Tanısı anamnez ve fizik muayene ile konur ve el bileğinde median sinir disfonksiyonunu değerlendiren objektif bir metod olan elektrodiagnostik test ile doğrulanır. Tedavi edilmezse el fonksiyonlarında kalıcı hasara neden olabilir. Bu çalışmada daha önce tanı konup tedavi edilmemiş ve sekonder neden saptanmayan KTS vakalarını değerlendirdik. Gereç ve Yöntem: Ardı ardına ellerde uyuşma, karıncalanma, ağrı ve güç kaybı ile başvuran hastaların Etik Kurul onayı alınarak demografik özellikleri, Phalen-Tinel provokasyon testleri, pamuk ve iğne ucu ile duyu testleri değerlendirildi. Kas kuvveti 1 ile 5. parmak oppozisyon gücü ile değerlendirildi ve tenar atrofi varlığı araştırıldı. İlk değerlendirmeden sonra elektromiyografi (EMG) uygulanarak tanı doğrulandı. Ayrıca vakalar KTS'ye yol açabilecek herhangi bir hastalığı olup olmadığı (metabolik, romatizmal, travma öyküsü vb.) açısından da değerlendirildiler. Vakaların ağrı, uyuşma ve güçsüzlüğü fonksiyonel durum skalası (FDS), semptom şiddet skalası (SŞS), görsel değerlendirme skalası (VAS) ile değerlendirildi. Verilerin karşılaştırılmasında Mann Whitney U testi, independent t testi; parametreler arası ilişkilerin değerlendirmesinde Spearman korelasyon analizi kullanıldı (anlamlılık p<0.05). ABSTRACT Evaluation of 45 patients with Carpal tunnel syndromeObjective: Carpal tunnel syndrome (CTS) is the most common peripheral mononeuropathy developed by compression of the median nerve within the Carpal tunnel at the wrist. Diagnosis is made by history and physical examination, and confirmed objectively by electrodiagnostic study evaluating median nerve dysfunction. If untreated CTS can cause permanent damage. In this study, we have reviewed the patients diagnosed CTS without any secondary causes and untreated. Material and Methods: The patients who presented to the outpatient clinic consecutively with complaints of numbness, tingling, pain and weakness in their hands were evaluated for their demographic features and done Phalen-Tinel provocation tests, sensory testing with cotton and needle tip after obtaining the Ethics Committee approval. Muscle strength was assessed by first and fifth finger opposition, and presence of thenar atrophy was investigated. After the initial evaluation, the diagnosis of CTS was confirmed by electromyography (EMG). Cases were evaluated for the presence of any disease that may lead to for CTS (metabolic, rheumatic, trauma, etc.). The severity of pain, numbness and weakness were evaluated by functional status scale (FSS), symptom severity score (SSS), and by visual assessment scale (VAS). Mann-Whitney U test, independent t test were used to compare the data; Spearman correlation analysis was used for the relationship between parameters (significance p<0.05). Results: All 45 cases with mild-to-moderate CTS by EMG were women; The mean age was 47.86±9....

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Carpal tunnel syndrome

Cited by 127 publications

References 28 publications

Analgesic Drug Prescription After Carpal Tunnel Surgery

Analgesic Drug Prescription After Carpal Tunnel Surgery

Conservative therapeutic management of carpal tunnel syndrome

Evaluation of 45 patients with Carpal tunnel syndrome

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