The Role of Splinting and Rehabilitation in the Treatment of Carpal and Cubital Tunnel Syndromes

Sailer, Shelly M.

doi:10.1016/s0749-0712(21)00306-1

Cited by 41 publications

(2 citation statements)

References 28 publications

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“…If work caused or exacerbated carpal tunnel syndrome, modification of work should cure or decrease symptoms. Much has been written about modification of the work place for different upper limb disorders (Armstrong, 1986, Health and Safety Executive, 2002, Rothfleisch and Sherman, 1978, Sailer 1996, but there is little, if any, evidence that this significantly alters the development or severity of carpal tunnel symptoms (Hadler, 1997). The association between work and carpal tunnel syndrome is confounded by recognized risk factors for carpal tunnel syndrome, such as obesity (Nathan and Keniston, 1993), age, wrist size, dominance and diseases such as hypothyroidism and diabetes.…”

Section: Introductionmentioning

confidence: 99%

Carpal Tunnel Syndrome and Work

Dias

Burke

Wildin

et al. 2004

Journal of Hand Surgery

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The incidence, age at presentation, disability and outcome after surgery were investigated in 327 consecutive women of working age presenting to a hand unit with carpal tunnel syndrome. Two hundred and seventeen were working, 55 of these in repetitive occupations. One hundred and ten were not in employment. All three groups had similar mean ages (around 46 years). On a population basis more women in non-repetitive occupations presented with carpal tunnel syndrome (220/100,000/year) than those in repetitive work (122/100,000/year) or those not working (129/100,000/year), and more were offered surgery (82% versus 67% for those in repetitive work and 58% for those not working). However, symptoms and disability; as assessed with the Michigan Hand Questionnaire and the SF-12, were less severe in working women. This study suggests that working in repetitive or non-repetitive occupations does not cause, aggravate or accelerate carpal tunnel syndrome. Working women may struggle to accommodate their symptoms compared to women who are not in employment causing more to seek help.

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Section: Introductionmentioning

confidence: 99%

Carpal Tunnel Syndrome and Work

Dias

Burke

Wildin

et al. 2004

Journal of Hand Surgery

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“…In severe cases, patients were advised to wear a night splint such as elbow brace. Additionally, they were instructed to perform ulnar nerve gliding exercises or similar nerve stretching exercises at least three times daily [ 9 ].…”

Section: Methodsmentioning

confidence: 99%

Double entrapment neuropathy of the ulnar nerve at the elbow and the wrist : double crush syndrome?

Kim,

Shin,

Park

et al. 2024

BMC Musculoskelet Disord

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Background Double crush syndrome refers to a nerve in the proximal region being compressed, affecting its proximal segment. Instances of this syndrome involving ulnar and cubital canals during ulnar neuropathy are rare. Diagnosis solely through clinical examination is challenging. Although electromyography (EMG) and nerve conduction studies (NCS) can confirm neuropathy, they do not incorporate inching tests at the wrist, hindering diagnosis confirmation. We recently encountered eight cases of suspected double compression of ulnar nerve, reporting these cases along with a literature review. Methods The study included 5 males and 2 females, averaging 45.6 years old. Among them, 4 had trauma history, and preoperative McGowan stages varied. Ulnar neuropathy was confirmed in 7 cases at both cubital and ulnar canal locations. Surgery was performed for 4 cases, while conservative treatment continued for 3 cases. Results In 4 cases with wrist involvement, 2 showed ulnar nerve compression by a fibrous band, and 1 had nodular hyperplasia. Another case displayed ulnar nerve swelling with muscle covering. Among the 4 surgery cases, 2 improved from preoperative McGowan stage IIB to postoperative stage 0, with significant improvement in subjective satisfaction. The remaining 2 cases improved from stage IIB to IIA, respectively, with moderate improvement in subjective satisfaction. In the 3 cases receiving conservative treatment, satisfaction was significant in 1 case and moderate in 2 cases. Overall, there was improvement in hand function across all 7 cases. Conclusion Typical outpatient examinations make it difficult to clearly differentiate the two sites, and EMG tests may not confirm diagnosis. Therefore, if a surgeon lacks suspicion of this condition, diagnosis becomes even more challenging. In cases with less than expected postoperative improvement in clinical symptoms of cubital tunnel syndrome, consideration of double crush syndrome is warranted. Additional tests and detailed EMG tests, including inching tests at the wrist, may be necessary. We aim to raise awareness double crush syndrome with ulnar nerve, reporting a total of 7 cases to support this concept.

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Evaluation and management of chronic work-related musculoskeletal disorders of the distal upper extremity

et al. 2000

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This clinical review will describe the epidemiology, clinical presentation, and management of the following work‐related musculoskeletal disorders (WMSDs) of the distal upper extremity: deQuervain's disease, extensor and flexor forearm tendinitis/tendinosis, lateral and medial epicondylitis, cubital tunnel syndrome, and hand‐arm vibration syndrome (HAVS). These conditions were selected for review either because they were among the most common WMSDs among patients attending the New York State Occupational Health Clinics (NYSOHC) network, or because there is strong evidence for work‐relatedness in the clinical literature. Work‐related carpal tunnel syndrome is discussed in an accompanying paper. In an attempt to provide evidence‐based treatment recommendations, literature searches on the treatment of each condition were conducted via Medline for the years 1985–1999. There was a dearth of studies evaluating the efficacy of specific clinical treatments and ergonomic interventions for WMSDs. Therefore, many of the treatment recommendations presented here are based on a consensus of experienced public health‐oriented occupational medicine physicians from the NYSOHC network after review of the pertinent literature. A summary table of the clinical features of the disorders is presented as a reference resource. Am. J. Ind. Med. 37:75–93, 2000. © 2000 Wiley‐Liss, Inc.

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The Role of Splinting and Rehabilitation in the Treatment of Carpal and Cubital Tunnel Syndromes

Cited by 41 publications

References 28 publications

Carpal Tunnel Syndrome and Work

Carpal Tunnel Syndrome and Work

Double entrapment neuropathy of the ulnar nerve at the elbow and the wrist : double crush syndrome?

Evaluation and management of chronic work-related musculoskeletal disorders of the distal upper extremity

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