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
Cardiac & Cardiovascular Systems
Oscar Westin, Emil L. Fosbol, Mathew S. Maurer, Birgitte P. Leicht, Philip Hasbak, Anne Kaersgaard Mylin, Sara Rorvig, Thomas Hartvig Lindkaer, Helle Hjorth Johannesen, Finn Gustafsson
Summary: Screening for early-stage transthyretin cardiac amyloidosis in patients with prior surgery for bilateral carpal tunnel syndrome showed a clinical yield of approximately 5%. The yield was higher (>1 in 5) when focusing on nonobese men aged 70 years or older, suggesting the potential for systematic screening.
JOURNAL OF THE AMERICAN COLLEGE OF CARDIOLOGY
(2022)
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)
Article
Cardiac & Cardiovascular Systems
Pier Filippo Vianello, Giovanni La Malfa, Giacomo Tini, Vittoria Mazzola, Alberto Miceli, Emmanuele Santolini, Stefania Briano, Italo Porto, Marco Canepa
Summary: Bilateral carpal tunnel syndrome patients, particularly those with left ventricular hypertrophy, may have a higher risk of transthyretin cardiac amyloidosis. Screening with electrocardiography and echocardiography appeared feasible and effective, especially in patients with LVH. Early detection of the disease may be achieved through this method.
INTERNATIONAL JOURNAL OF CARDIOLOGY
(2021)
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)
Review
Surgery
S. M. Georgeto, G. L. Picharski, R. A. C. Andraus, R. A. da Silva, S. Ngomo, K. B. P. Fernandes
Summary: Carpal tunnel syndrome (CTS) is a common compressive neuropathy worldwide. This study conducted a systematic review to analyze the clinical and surgical outcomes of bilateral CTS treatment. It found that both clinical and surgical treatments can improve symptom severity, functional status, and pain intensity in patients with bilateral CTS during one-and three-month follow-up periods.
JOURNAL OF PLASTIC RECONSTRUCTIVE AND AESTHETIC SURGERY
(2022)
Letter
Orthopedics
Andrzej Zyluk, Aleksandra Kudrymska
JOURNAL OF HAND SURGERY-EUROPEAN VOLUME
(2021)
Article
Surgery
Andrzej Zyluk, Konrad Czernikiewicz, Joanna Antoniak, Urszula Abramczyk
HANDCHIRURGIE MIKROCHIRURGIE PLASTISCHE CHIRURGIE
(2022)
Article
Surgery
Andrzej Zyluk
HANDCHIRURGIE MIKROCHIRURGIE PLASTISCHE CHIRURGIE
(2023)
Editorial Material
Surgery
Andrzej Zyluk, Zbigniew Szlosser
HANDCHIRURGIE MIKROCHIRURGIE PLASTISCHE CHIRURGIE
(2022)
Editorial Material
Surgery
Andrzej Zyluk, Filip Flicinski
HANDCHIRURGIE MIKROCHIRURGIE PLASTISCHE CHIRURGIE
(2023)
Editorial Material
Surgery
Andrzej Zyluk
HANDCHIRURGIE MIKROCHIRURGIE PLASTISCHE CHIRURGIE
(2023)
Article
Surgery
Andrzej Zyluk
Summary: The purpose of this case-series study was to assess the outcomes of surgery for intramuscular haemangiomas in the extremities. The results showed that operative treatment was effective in reducing pain and improving grip strength and hand function. The study concluded that surgical treatment of these rare tumors is safe and effective, although it may be challenging in some cases.
HANDCHIRURGIE MIKROCHIRURGIE PLASTISCHE CHIRURGIE
(2023)
Article
Surgery
Andrzej Zyluk, Filip Flicinski
Summary: This article presents the results of using the kite flap for the reconstruction of soft tissue defects around the thumb. The study showed that all 14 patients who underwent the kite flap procedure had successful healing of the flaps. After a mean follow-up of 3 years, all patients expressed satisfaction with the surgical outcomes. Although some patients experienced slightly limited thumb mobility, it did not significantly affect hand function.
HANDCHIRURGIE MIKROCHIRURGIE PLASTISCHE CHIRURGIE
(2023)
Article
Surgery
Andrzej Zyluk, Ada Owczarska
Summary: Benign tumours of the upper extremity, such as giant-cell tumours of the tendon sheath and lipomas, are common in hand surgeons' practice. This study investigated the distribution of these tumours, their symptoms, and surgical outcomes, particularly recurrence rates. A total of 346 patients who underwent surgery for upper extremity tumours were enrolled, with the most common tumours being giant cell tumour of the tendon sheath and lipoma. Recurrence was noted in 23% of cases, with the highest rates seen in surgeries for rheumatoid nodules and giant-cell tumours of the tendon sheath. Factors associated with increased recurrence risk included histological type of the lesion and incomplete or non-en bloc resection.
HANDCHIRURGIE MIKROCHIRURGIE PLASTISCHE CHIRURGIE
(2023)
Article
Biochemistry & Molecular Biology
Dominika Maciejewska-Markiewicz, Joanna Kochman, Karolina Jakubczyk, Piotr Bargiel, Zbigniew Szlosser, Ewa Stachowska, Marta Markowska, Anna Bucka, Norbert Czapla, Jan Petriczko, Anna Surowka, Sonia Hertman, Piotr Puchalski, Piotr Prowans
Summary: This study aimed to assess the concentration of vitamin D and its metabolites in patients before thyroidectomy. The results showed that patients undergoing thyroidectomy have a marked vitamin D deficiency, which may affect their subsequent convalescence and prognosis. Therefore, determining vitamin D levels prior to thyroidectomy may be useful for considering supplementation in the clinical management of these patients.
INTERNATIONAL JOURNAL OF MOLECULAR SCIENCES
(2023)
Article
Surgery
Andrzej Zyluk, Filip Flicinski
Summary: Metastases of malignant neoplasms to the hand are very rare and usually indicate widespread neoplastic disease. This study presents 4 cases of metastatic tumors to the hands, mainly originating from renal and lung cancer. Surgical excision and amputation were the main treatment modalities, with 3 patients eventually dying.
POLISH JOURNAL OF SURGERY
(2022)
Article
Surgery
Andrzej Zyluk, Filip Flicinski
Summary: The study evaluated the results of surgical treatment of gouty tophi in the extremities, showing beneficial outcomes with no complications.
POLISH JOURNAL OF SURGERY
(2022)
Review
Surgery
Andrzej Zyluk
Summary: This article discusses the epidemiology, classification, bacteriology, and characteristics of bite wounds, and provides detailed treatment guidelines based on current literature. It is valuable for surgeons and emergency department doctors who frequently deal with bite wounds.
POLISH JOURNAL OF SURGERY
(2022)
Article
Surgery
Andrzej Zyluk, Ada Owczarska
Summary: Schwannoma is a nerve tumor originating from Schwann-cells of the nerve sheath. This study aimed to analyze the outcomes of surgery for upper limb Schwannomas in the authors' institution. The results showed generally good outcomes for the rare tumors, but functional deficits should be considered in cases involving motoric nerves.
POLISH JOURNAL OF SURGERY
(2022)
