Review
Medicine, General & Internal
Teemu Karjalanen, Saara Raatikainen, Kati Jaatinen, Vieda Lusa
Summary: Non-operative interventions are usually the first-line treatments for carpal tunnel syndrome (CTS), with surgery reserved for those who do not achieve satisfactory symptom state by non-operative means. While many trials suggest small short-term benefits, rigorous evidence of long-term patient-important benefits is limited.
JOURNAL OF CLINICAL MEDICINE
(2022)
Article
Rehabilitation
Leyla Eraslan, Gul Baltaci
Summary: The aim of this study was to compare the effects of Kinesio taping and night splinting, along with physical therapy, on symptoms in patients with moderate carpal tunnel syndrome undergoing rehabilitation. The results showed that the Kinesio taping group had better outcomes in all measures compared to the night splinting group and control group. Therefore, Kinesio taping in combination with physical therapy intervention is an effective treatment option.
AMERICAN JOURNAL OF PHYSICAL MEDICINE & REHABILITATION
(2023)
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)
Article
Clinical Neurology
I-Ning Lo, Po-Cheng Hsu, Yi-Chao Huang, Chih-Kuang Yeh, Yi-Chiang Yang, Jia-Chi Wang
Summary: The study found decreased median nerve mobility in CTS patients, but interventions did not significantly improve it. Surgery showed greater improvements in BCTQ-Functional Status Scale scores compared to injections.
FRONTIERS IN NEUROLOGY
(2021)
Article
Orthopedics
Juhani Multanen, Mikko M. Uimonen, Jussi P. Repo, Arja Hakkinen, Jari Ylinen
Summary: Many patients opt for conservative therapies before and after carpal tunnel release surgery, especially prior to the surgery. Patients receiving conservative therapies are typically younger, report high satisfaction with the treatment postoperatively, and experience improvements in pain symptoms.
BMC MUSCULOSKELETAL DISORDERS
(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)
Review
Orthopedics
Armaghan Dabbagh, Christina Ziebart, Joy C. MacDermid, Tara Packham, Ruby Grewal
Summary: The objective of this study was to evaluate the effectiveness of biophysical agents compared to other conservative treatments in managing carpal tunnel syndrome (CTS). 17 systematic reviews addressing 12 different biophysical agents were found, but the overall quality of the reviews was low. The evidence was inconclusive for some biophysical agents and favorable for others, but more high-quality studies are needed to make long-term recommendations.
BMC MUSCULOSKELETAL DISORDERS
(2023)
Article
Clinical Neurology
Jianjun Sun, Xiaodi Zou, Qinyun Fu, Jianhua Wu, Shuaishuai Yuan, Ahmad Alhaskawi, Yanzhao Dong, Haiying Zhou, Sahar Ahmed Abdalbary, Hui Lu
Summary: Carpal tunnel syndrome is a common peripheral neuropathy characterized by sensory disturbances, motor dysfunctions, and pain in the fingers and hand. This article presents a case study demonstrating the use of an ultrasound-guided needle knife technique to treat CTS, which proves to be a safe and effective minimally invasive therapeutic method, improving the patient's symptoms significantly.
FRONTIERS IN NEUROLOGY
(2023)
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
Biophysics
Yoichi Toyoshima, Boran Zhou, Kazutoshi Kubo, Kai-Nan An, Steven L. Moran, Xiaoming Zhang, Peter C. Amadio, Chunfeng Zhao
Summary: The study investigated the feasibility of using noninvasive ultrasound vibro-elastography to predict carpal tunnel pressure in patients with carpal tunnel syndrome. Results showed that measuring the shear wave speed ratio could indirectly estimate the carpal tunnel pressure, making it potentially useful for the early diagnosis and assessment of CTS.
JOURNAL OF BIOMECHANICS
(2021)
Article
Rheumatology
Claire Burton, Trishna Rathod-Mistry, Steven Blackburn, Milica Blagojevic-Bucknall, Linda Chesterton, Graham Davenport, Krysia Dziedzic, Adele Higginbottom, Sue Jowett, Helen Myers, Raymond Oppong, Danielle van der Windt, Elaine Hay, Edward Roddy
Summary: This study compared the effects and cost-effectiveness of corticosteroid injection and night splinting in the initial treatment of mild-to-moderate carpal tunnel syndrome. The results showed that there were more patients who underwent carpal tunnel surgery in the corticosteroid injection group compared to the night splinting group over 24 months, but there were no differences in clinical effectiveness between the two treatments. However, corticosteroid injection was found to be less cost-effective in the long term.
Article
Medicine, General & Internal
Kyle R. Eberlin, Christopher J. Dy, Mark D. Fischer, James L. Gluck, F. Thomas D. Kaplan, Thomas J. McDonald, Larry E. Miller, Alexander Palmer, Marc E. Walker, James F. Watt
Summary: This randomized controlled trial aims to compare the safety and effectiveness of ultrasound-guided CTR with mini-open CTR in patients with symptomatic CTS. The primary endpoint is the percentage of patients who return to normal daily activities within 3 days of the procedure. The results of this trial will have important clinical and economic implications for the treatment of CTS.
Article
Acoustics
Korbinianh Olzapfel, Anupriyag Hosh, Stefank Rischak, Markusn Aumann
Summary: High-resolution ultrasound was used to detect changes in nerve echogenicity before and after surgery in CTS patients. Nerve echogenicity was significantly lower before surgery compared to controls, and increased but did not reach control levels 3 months post-surgery. Semi-automated evaluation can be a marker of successful carpal tunnel release.
ULTRASOUND IN MEDICINE AND BIOLOGY
(2022)
Article
Orthopedics
Sun Woong Kim, Sunwoo Kim, Dongik Shin, Jae Hyeong Choi, Jung Sub Sim, Seungjun Baek, Joon Shik Yoon
Summary: This study aimed to verify the utility of AI assisted quantitative analysis of muscle ultrasound in CTS diagnosis. The results showed a significant increase in diagnostic accuracy when AI was used for quantitative analysis of muscle ultrasonography. If an analysis protocol using machine learning can be established and mounted on an ultrasound machine, a noninvasive and non-time-consuming muscle ultrasound examination can be conducted as an ancillary tool for diagnosis.
BMC MUSCULOSKELETAL DISORDERS
(2023)
Review
Medicine, General & Internal
King Hei Stanley Lam, Yung-Tsan Wu, Kenneth Dean Reeves, Felice Galluccio, Abdallah El-Sayed Allam, Philip W. H. Peng
Summary: This review evaluated the effectiveness and safety of ultrasound-guided intervention for carpal tunnel syndrome. The findings suggest that both ultrasound-guided perineural injection and percutaneous flexor retinaculum release may provide clinically important benefits and appear safe. Further research is needed to assess the efficacy of other intervention methods.