Raynaud's syndrome and carpal tunnel syndrome

Waller, Derek G.; Dathan, J. R. E.

doi:10.1136/pgmj.61.712.161

Cited by 21 publications

(7 citation statements)

References 3 publications

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“…This suggests that the improvement in symptoms and conduction velocity after release of the ligament results from an improvement of reversible ischemia 12. The development of acute CTS in patients with ischemic skin lesions, Raynaud's phenomenon, arteriovenous fistula, intraarterial catheterization, and diabetic mononeuropathy also provides supportive evidence that ischemia causes acute CTS 2, 9, 25, 27, 36, 37…”

Section: Discussionmentioning

confidence: 88%

Ultrasound therapy facilitates the recovery of acute pressure‐induced conduction block of the median nerve in rabbits

2002

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Though the use of ultrasound for the treatment of carpal tunnel syndrome (CTS) or compression neuropathy has been described, its effect remains controversial. A test model of acute CTS was developed using rabbits. Acute median nerve compression was induced by the infusion of saline into the carpal tunnel under general anesthesia to elevate the intracarpal pressure. A reduction in the compound muscle action potential (CMAP) amplitude of the abductor pollicis was noted after intracarpal pressure increased. To investigate the efficacy of ultrasound in acute CTS, rabbits with acute median nerve compression were divided into 3 groups (10 each) and ultrasound was applied at different intensities to each group as follows: 1.5 W/cm(2) to group 1; 0.2 W/cm(2) to group 2; 0.0 W/cm(2) (sham) to group 3. A total of 10 treatment sessions were given over a period of 2 weeks. Following ultrasound application, the CMAP amplitudes showed significant improvement in group 1 compared to the other two groups (P < 0.05), indicating facilitated recovery from acute CTS in this pressure-induced median nerve compression rabbit model. The benefits of ultrasound application in a clinical setting must be verified by further clinical trials.

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Section: Discussionmentioning

confidence: 88%

Ultrasound therapy facilitates the recovery of acute pressure‐induced conduction block of the median nerve in rabbits

2002

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“…One relevant disease that occurs in CTS is Raynaud's syndrome (RS) [3,4]. Both idiopathic CTS and RS are common conditions in the general population and may have similar clinical symptoms [5].…”

Section: Introductionmentioning

confidence: 99%

The association of Raynaud’s syndrome with carpal tunnel syndrome: a meta-analysis

Hartmann

Mohokum²

2011

Rheumatol Int

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Carpal tunnel syndrome (CTS) has traditionally been included among the diseases associated with Raynaud's syndrome (RS). The prevalence of RS in patients suffering from CTS is not well defined. The objective of this paper was to assess the prevalence of RS in patients with CTS-a meta-analysis of published data was performed. The PubMed database of the National Library of Medicine and ISI Web of Knowledge was used for studies dealing with RS and CTS. The studies provided sufficient data to estimate the prevalence of RS in patients of CTS. A forest plot was determined by the revealed prevalence. Statistical analysis was based on methods for a random effects meta-analysis and a finite mixture model for proportions. Publication bias was investigated with the linear regression test (Egger's method). A meta-regression was conducted by the year of publication. Eight eligible studies, contributing data on 675 subjects, were included in this meta-analysis. For CTS, a pooled prevalence of 15.5% and 95% CI (95% CI 0.043, 0.318) were obtained. Statistically publication bias was present (P value 0.143). A mixture model analysis found five latent classes. The meta-regression indicated that the estimated prevalence increased when the year of commencement increased, too. Within the decade (1957-1967), the odds ratio increased from 1 (95% CI 1.065, 1.112) to 2.340 (95% CI 1.886, 2.903). Despite some heterogeneity, there is a possible indication of an association between RS and patients with CTS.

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“…They are benign tumors derived from structures known as glomus bodies [ 1 ]. Glomus tumors are reported almost everywhere, and they are reported to be associated with neurologic conditions, like carpal tunnel syndrome [ 2 ].…”

Section: Discussionmentioning

confidence: 99%

Glomus Tumor Presenting as Raynaud's Phenomenon

Abdelrahman

Hammoudeh

2012

Case Reports in Medicine

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Glomus tumors are rare tumors that often include hands and feet; they present characteristically with paroxysmal pain, exquisite point tenderness, and cold sensitivity. Such diagnosis needs to be confirmed by imaging like ultrasound and magnetic resonance imaging (MRI). Surgical excision is the treatment of choice for glomus tumors. There are only few case reports of glomus tumors in association with Raynaud's phenomenon; this is considered to be the 4th case.

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Raynaud's syndrome and carpal tunnel syndrome

Cited by 21 publications

References 3 publications

Ultrasound therapy facilitates the recovery of acute pressure‐induced conduction block of the median nerve in rabbits

Ultrasound therapy facilitates the recovery of acute pressure‐induced conduction block of the median nerve in rabbits

The association of Raynaud’s syndrome with carpal tunnel syndrome: a meta-analysis

Glomus Tumor Presenting as Raynaud's Phenomenon

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