Editorial Material
Clinical Neurology
Vasudeva G. Iyer
Summary: This article presents a rare case of a common neurological disorder, diagnosed through clinical reasoning and additional investigations.
Article
Medicine, General & Internal
Stahs Pripotnev, Susan E. Mackinnon
Summary: Carpal tunnel release is a commonly performed procedure, with most patients experiencing improvement in their symptoms. However, there is a small subset of patients who may experience failure of the initial surgery. The management of these patients involves thorough clinical examination, electrodiagnostic studies, and step-wise surgical approaches for revision surgery.
JOURNAL OF CLINICAL MEDICINE
(2022)
Review
Medicine, General & Internal
Katarzyna Osiak, Agata Mazurek, Mateusz Koziej, Jerzy A. Walocha, Artur Pasternak
Summary: Electrodiagnostic testing plays a crucial role in the diagnosis and surgical treatment of CTS, providing a quantitative assessment of nerve physiological function. It can detect other pathologies and assist in determining reasons for surgical failure.
JOURNAL OF CLINICAL MEDICINE
(2021)
Article
Health Care Sciences & Services
Jui-Chien Wang, Chung-Yi Li, Po-Yen Ko, Tung-Tai Wu, Kuo-Chen Wu, Fong-Chin Su, I-Ming Jou, Po-Ting Wu
Summary: This study aimed to evaluate the correlation between carpal tunnel pressure (CTP) and the clinical presentations in patients with carpal tunnel syndrome (CTS), as well as explore the possible predictors for the postoperative recovery pattern. The results showed that preoperative CTP was well correlated with the clinical presentations and could be a useful predictor for the postoperative clinical recovery pattern.
JOURNAL OF PERSONALIZED MEDICINE
(2022)
Review
Biology
Luise Schaefer, Nicola Maffulli, Alice Baroncini, Joerg Eschweiler, Frank Hildebrand, Filippo Migliorini
Summary: This study compared the efficacy of local steroid injections (LSIs) and carpal tunnel release (CTR) for the treatment of carpal tunnel syndrome (CTS). The results showed that both methods were effective and feasible, with LSIs providing better pain relief. However, this superiority was not permanent, so LSIs may be considered in patients with CTS, but CTR should be recommended.
Article
Clinical Neurology
Fei Zhang, Hong Jiang, Zhenfeng Lu, Haoyu Yang, Qian Zhang, Jingyi Mi, Yongjun Rui, Gang Zhao
Summary: This study compared the effects of wrist immobilization and immediate wrist mobilization on the outcomes of endoscopic carpal tunnel release surgery. The results showed that wrist immobilization can alleviate pain and improve grip and pinch strength, but no significant difference was observed at the final follow-up.
FRONTIERS IN NEUROLOGY
(2023)
Article
Radiology, Nuclear Medicine & Medical Imaging
Alex Wing Hung Ng, James Francis Griffith, Carita Tsoi, Raymond Chun Wing Fong, Michael Chu Kay Mak, Wing Lim Tse, Pak Cheong Ho
Summary: This study investigated changes in the median nerve, retinaculum, and carpal tunnel on ultrasound after successful endoscopic carpal tunnel release. Despite clinical improvement after ECTR, nearly all ultrasound parameters remained abnormal at one year post-ECTR, indicating they should not be relied upon to diagnose persistent CTS.
KOREAN JOURNAL OF RADIOLOGY
(2021)
Article
Radiology, Nuclear Medicine & Medical Imaging
Alex Wing Hung Ng, James Francis Griffith, Chris Siu Chun Tsai, Wing Lim Tse, Michael Mak, Pak Cheong Ho
Summary: The study analyzed 35 wrists of 32 patients with primary carpal tunnel syndrome, showing that after ECTR, the median nerve continues to swell and flatten, but patients' clinical symptoms improve.
AMERICAN JOURNAL OF ROENTGENOLOGY
(2021)
Review
Medicine, General & Internal
Kathryn R. Segal, Alexandria Debasitis, Steven M. Koehler
Summary: Research has shown that performing carpal tunnel release (CTR) using the wide-awake, local-anesthesia, no-tourniquet (WALANT) technique is a cost-effective, safe, and straightforward option. It offers cost savings and workflow efficiencies, can be performed in an outpatient clinic with minimal resource use and waste production, and consistently provides standard or better post-operative pain control and patient satisfaction.
JOURNAL OF CLINICAL MEDICINE
(2022)
Article
Medicine, General & Internal
Malin Zimmerman, Anders Gottsater, Lars B. Dahlin
Summary: This review discusses the pathophysiological aspects of carpal tunnel syndrome (CTS) in relation to diabetes, the increased risk of CTS in individuals with diabetes, and the diagnostic methods, treatment options, and prognosis of CTS in diabetes.
JOURNAL OF CLINICAL MEDICINE
(2022)
Article
Medicine, General & Internal
Ta-Chung Chao, Kenneth Dean Reeves, King Hei Stanley Lam, Tsung-Ying Li, Yung-Tsan Wu
Summary: For patients with primary surgery failure for carpal tunnel syndrome (CTS), hydrodissection with 5% dextrose may be an effective treatment method for persistent or recurrent CTS after surgery. The treatment has shown positive long-term effectiveness, with a significant improvement in symptoms reported by the majority of patients.
JOURNAL OF CLINICAL MEDICINE
(2022)
Article
Medicine, General & Internal
Michiro Yamamoto, James Curley, Hitoshi Hirata
Summary: Nearly 40,000 carpal tunnel releases (CTRs) are performed annually in Japan, with open CTR being performed almost 4 times more often than endoscopic CTR. The incidence of CTR peaks in the 80-84 age range, and there is a mild correlation between the number of endoscopic CTRs and the number of hand surgery specialists.
JOURNAL OF CLINICAL MEDICINE
(2022)
Article
Rehabilitation
Hayat H. Hamzeh, Nida A. Alworikat
Summary: The purpose of this study was to adapt the Boston Carpal Tunnel Questionnaire into standard Arabic and evaluate the reliability and construct validity of the new tool. The results showed that the Arabic version of the questionnaire had excellent internal consistency, test-retest reliability, and construct validity, with high correlation with the Disabilities of the Arm, Shoulder and Hand Questionnaire. The tool is suitable for use with carpal tunnel syndrome patients in the Middle East and North Africa region.
DISABILITY AND REHABILITATION
(2021)
Article
Acoustics
Peter Hebbard, Peter Thomas, Shaneil V. Fransch, Adam Cichowitz, Stephen Franzi
Summary: The study results showed that patients undergoing microinvasive ultrasound-guided carpal tunnel releases using the MICROi-Blade experienced significant improvements in pain, symptoms, and functional status, with no significant complications reported.
JOURNAL OF ULTRASOUND IN MEDICINE
(2021)
Article
Surgery
Gokce Yildiran, Nusret Seher, Mustafa Sutcu, Alaaddin Nayman, Osman Akdag, Zekeriya Tosun
Summary: This study investigated the application of superb microvascular imaging in the diagnosis of carpal tunnel syndrome and postoperative assessment. The results showed significant changes in vascular index before and after surgery, indicating the potential of this technique in aiding early diagnosis and treatment planning.
PLASTIC AND RECONSTRUCTIVE SURGERY
(2021)