Carpal Tunnel Syndrome

Cranford, C. Sabin; Ho, Jason Y.; Kalainov, David M.; Hartigan, Brian J.

doi:10.5435/00124635-200709000-00004

Cited by 86 publications

(56 citation statements)

References 78 publications

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“…1,25,27) Rheumatoid arthritis and renal failure may lead to increased pressure in the carpal tunnel secondary to pannus formation and amyloid deposition, respectively. 28) Drug toxicity, diabetes, and alcoholism may have direct injurious effects on the median nerve. 1,2,29) Many of these risk factors for CTS coincide with those of stroke or atherosclerosis.…”

Section: Epidemiology and Risk Factors Of Ctsmentioning

confidence: 99%

Importance of Recognizing Carpal Tunnel Syndrome for Neurosurgeons: A Review

Yunoki

Kanda

Suzuki

et al. 2017

Neurol. Med. Chir.(Tokyo)

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Idiopathic carpal tunnel syndrome (CTS) is a common complaint, reflecting entrapment neuropathy of the upper extremity. CTS produces symptoms similar to those of other conditions, such as cervical spondylosis or ischemic or neoplastic intracranial disease. Because of these overlaps, patients with CTS are often referred to a neurosurgeon. Surgical treatment of CTS was started recently in our department. Through this experience, we realized that neurosurgeons should have an increased awareness of this condition so they can knowledgeably assess patients with a differential diagnosis that includes CTS and cervical spinal and cerebral disease. We conducted a literature review to gain the information needed to summarize current knowledge on the clinical, pathogenetic, and therapeutic aspects of CTS. Because the optimal diagnostic criteria for this disease are still undetermined, its diagnosis is based on the patient’s history and physical examination, which should be confirmed by nerve conduction studies and imaging modalities such as magnetic resonance imaging and ultrasonography. Treatment methods include observation, medication, splinting, steroid injections, and surgical intervention. Understanding the clinical features and pathogenesis of CTS, as well as the therapeutic options available to treat it, is important for neurosurgeons if they are to provide the correct management of patients with this disease.

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Section: Epidemiology and Risk Factors Of Ctsmentioning

confidence: 99%

Importance of Recognizing Carpal Tunnel Syndrome for Neurosurgeons: A Review

Yunoki

Kanda

Suzuki

et al. 2017

Neurol. Med. Chir.(Tokyo)

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“…The “gold standard” of CTS diagnosis is therefore based on both examination findings and EP studies [11,12]. Patients with long-term symptoms unresponsive to medical therapy and those with severe symptoms are selected for surgical treatment [13,14]. Although the literature describes several different methods for surgical treatment of CTS, including open and endoscopic methods [15–21], open surgery is preferable due to the low morbidity rate associated with the procedure [22–25].…”

Section: Introductionmentioning

confidence: 99%

Semivertical Incision: An Aesthetically and Electrophysiologically Effective Mini-Incision Technique for Carpal Tunnel Decompression

Keser

Dörtcan²,

Çıkla

et al. 2017

Med Sci Monit

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BackgroundThe purpose of this study was to present the clinical results of our retrospective series of carpal tunnel release (CTR) operations. For these operations we used a unique type of incision, for the first time, for treatment of carpal tunnel syndrome (CTS) consisting of a 1-cm semi-vertical (SV) incision made into the wrist crease for macroscopic open CTR.Material/MethodsThis retrospective study included 114 patients (101 females and 13 males) with CTR who were operated upon in our neurosurgery clinic between December 2010 and June 2015. Patient ages ranged from 35 to 83 years (mean 55.05±12.04 years). In total, 127 hands (73 right and 54 left) were operated upon using the SV skin incision technique. After an average follow-up of 18 months (ranging from 6 to 30 months), clinical and electrophysiological (EP) evaluations were performed.ResultsA review of the English language literature published since 1957, when Phalen first popularised the diagnosis and treatment of this disease, determined that no previous reports of the mini-open incision technique as described in our study have been published. In our retrospective patient case review, we found that after operations using the SV incision technique, statistically significant differences were detected in electromyography (EMG) improvements (p<0.01). In addition, patients who showed improvement in EMG studies (n=90) were satisfied with the result of their surgery.ConclusionsOur study demonstrated that 1-cm skin SV incision was a cosmetically satisfying, fast, and safe approach to CTR that was not only clinically effective but also electrophysiologically effective.

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“…[1][2][3][4][5][6] Other conservative treatment options include local corticosteroid injections, nonsteroid antiinflammatory drugs, diuretics, exercises, and physical therapy modalities. 7,8 Increased canal pressure was demonstrated in patients with CTS, with values 3-to 6-fold higher during extension and flexion of the wrist compared with the values in neutral position. [2][3][4] Therefore, a well-designed splint that keeps the wrist in neutral position is expected to provide relief at least temporarily.…”

mentioning

confidence: 95%