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Median Neuropathy

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Comparison of microwave ablation treatments in patients with renal secondary and primary hyperparathyroidism.

Haoyang Ma, Chun Ouyang, Yaoyu Huang, Changying Xing, Chen Cheng, Wei Liu, Donglan Yuan, Ming Zeng, Xiangbao Yu, Haibin Ren, Yanggang Yuan, Lina Zhang, Fangyan Xu, Ying Cui, Wenkai Ren, Hui Huang, Hanyang Qian, Boqiang Fan, Ningning Wang,

Purpose: Microwave ablation (MWA) is feasible for severe renal secondary hyperparathyroidism (SHPT) and primary hyperparathyroidism (PHPT) patients ineligible for parathyroidectomy (PTX). Here we compared the clinical manifestations and characteristics of parathyroid glands in these two groups, and summarized the techniques, safety and efficacy of MWA.Methods: Baseline clinical characteristics, ablation-related techniques, ... Read more >>

Ren Fail (Renal Failure)
[2020, 42(1):66-76]

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The Neurophysiological Severity of Carpal Tunnel Syndrome Cannot Be Predicted by Median Nerve Cross-Sectional Area and Wrist-To-Forearm Ratio.

Lauri Martikkala, Sari-Leena Himanen, Katja Virtanen, Katri Mäkelä,

PURPOSE:The median nerve cross-sectional area at the wrist (CSA) and the wrist-to-forearm ratio of the CSAs (WFR) are ultrasound parameters used in the diagnosis and grading of carpal tunnel syndrome. This study aimed to determine the diagnostic accuracy of the CSA and WFR as well as to compare their diagnostic ... Read more >>

J Clin Neurophysiol (Journal of clinical neurophysiology : official publication of the American Electroencephalographic Society)
[2020, :]

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Shear Wave Velocity Measurements of the Median Nerve in Patients on Chronic Hemodialysis.

Kadihan Yalçın, Bilge Çakar Demir,

OBJECTIVES:Chronic dialysis causes changes in the structure of median nerve. This is a risk for the development of carpal tunnel syndrome in patients on dialysis. The aim of the present study was to evaluate the diagnostic capacity of shear wave velocity (SWV) and the cross-sectional area (CSA) to detect the ... Read more >>

J Ultrasound Med (Journal of ultrasound in medicine : official journal of the American Institute of Ultrasound in Medicine)
[2020, :]

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Diagnosis and grading of carpal tunnel syndrome with quantitative ultrasound: Is it possible?

Tugba Ozsoy-Unubol, Yeliz Bahar-Ozdemir, Ilker Yagci,

The recent diagnostic tools for carpal tunnel syndrome (CTS) include nerve conduction studies (NCS) and ultrasound (US). Quantitative US (QUS) can be used for demonstrating muscle changes according to denervation. The aim of this study was to evaluate if QUS can diagnose and grade the severity of CTS. In this ... Read more >>

J Clin Neurosci (Journal of clinical neuroscience : official journal of the Neurosurgical Society of Australasia)
[2020, :]

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Disturbance of somatotopic spatial cognition and extra-territorial pain in carpal tunnel syndrome.

Akihito Yoshida, Katsuyuki Iwatsuki, Minoru Hoshiyama, Hitoshi Hirata,

BACKGROUND:Several studies on carpal tunnel syndrome have reported pain that exists beyond the median nerve territory of the affected hand. However, the mechanism is unknown. PURPOSE:We investigated the cause of extra-territorial pain by the analysis of clinical assessments and cortical activity using magnetoencephalography. METHODS:To compare patients with and without extra-territorial ... Read more >>

NeuroRehabilitation (NeuroRehabilitation)
[2020, :]

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Carpal Tunnel Syndrome and Associated Nail Changes: Review and Examples from the Author's Practice.

Andjela Egger, Antonella Tosti,

Carpal tunnel syndrome (CTS) is commonly seen by general practitioners and often presents with neurologic symptoms of nocturnal pain and paresthesia along the median nerve distribution. Around 20% of cases also present with cutaneous findings (ulcerations, blistering, sclerodactyly, nail dystrophy) characterizing a severe form called necrotic CTS. Necrotic CTS can ... Read more >>

J. Am. Acad. Dermatol. (Journal of the American Academy of Dermatology)
[2020, :]

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Screening for Carpal Tunnel Syndrome in Patients With Mucopolysaccharidosis.

Prajay Patel, Georgia Antoniou, Damian Clark, David Ketteridge, Nicole Williams,

Mucopolysaccharidoses (MPSs) are a group of rare lysosomal storage diseases with multisystem manifestations, including carpal tunnel syndrome (CTS). This study comprised a systematic review of literature and hospital guidelines addressing the method and frequency of screening for carpal tunnel syndrome in mucopolysaccharidosis patients and a review of carpal tunnel syndrome ... Read more >>

J. Child Neurol. (Journal of child neurology)
[2020, :883073820904481]

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Shear wave elastography of the median nerve: A mechanical study.

Verena J M M Schrier, Jason Lin, Adriana Gregory, Andrew R Thoreson, Azra Alizad, Peter C Amadio, Mostafa Fatemi,

BACKGROUND:Shear wave elastography (SWE) shows promise in peripheral neuropathy evaluation but has potential limitations due to tissue size and heterogeneity. We tested SWE sensitivity to elasticity change and the effect of probe position in a median nerve cadaver model. METHODS:Ten specimens were used to measure median nerve elasticity under increasing ... Read more >>

Muscle Nerve (Muscle & nerve)
[2020, :]

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Comparison of amniotic membrane transplantation and carpal tunnel syndrome release surgery (CTRS) and CTRS alone: Clinical outcomes at 1-year follow-up.

Beatriz Buentello-Volante, Martin Molina-Medinilla, Eduardo Aguayo-Flores, Fátima Sofía Magaña-Guerrero, Yonathan Garfias,

Carpal tunnel syndrome (CTS) is the most common focal entrapment mononeuropathy, comprising medium nerve chronic inflammation and fibrosis. Although carpal tunnel release surgery (CTRS) has demonstrated to be effective, around 3% to 25% of CTRS show recurrence. Amniotic membrane transplantation (AMT) has been used in different pathologies inhibiting inflammation and ... Read more >>

J Tissue Eng Regen Med (Journal of tissue engineering and regenerative medicine)
[2020, :]

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Regenerative Injections Including 5% Dextrose and Platelet-Rich Plasma for the Treatment of Carpal Tunnel Syndrome: A Systematic Review and Network Meta-Analysis.

Chih-Peng Lin, Ke-Vin Chang, Yi-Kai Huang, Wei-Ting Wu, Levent Özçakar,

This network meta-analysis aimed to integrate the available direct and indirect evidence on regenerative injections-including 5% dextrose (D5W) and platelet-rich plasma (PRP)-for the treatment of carpal tunnel syndrome (CTS). Literature reports comparing D5W and PRP injections with non-surgical managements of CTS were systematically reviewed. The main outcome was the standardized ... Read more >>

Pharmaceuticals (Basel) (Pharmaceuticals (Basel, Switzerland))
[2020, 13(3):]

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Serum levels of inflammatory cytokines in patients with idiopathic carpal tunnel syndrome.

Narges Karimi, Saeid AbedianKenari, Fateme Darvari,

Objectives: Carpal tunnel syndrome (CTS) is a disorder caused by median nerve pressure inside the carpal tunnel in the wrist area. Recent evidences have demonstrated a role of cytokines in CTS. It is still controversial whether idiopathic CTS is an inflammatory or non-inflammatory disorder. Accordingly, the purpose of the current ... Read more >>

Int. J. Neurosci. (The International journal of neuroscience)
[2020, :1-5]

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Borderline Nerve Conduction Velocities for Median Neuropathy at the Carpal Tunnel.

Joost T P Kortlever, Stéphanie J E Becker, Meijuan Zhao, David Ring,

PURPOSE:Patient knowledge of the frequency with which electrodiagnostic testing (EDx) for suspected median neuropathy at the carpal tunnel addresses nuance in the distinction between normal and abnormal neurophysiology might help them make an informed decision about whether or not to have this test. We reviewed a large set of consecutive ... Read more >>

J Hand Surg Am (The Journal of hand surgery)
[2020, :]

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Personal, biomechanical, psychosocial, and organizational risk factors for carpal tunnel syndrome: a structural equation modeling approach.

Yves Roquelaure, Ronan Garlantézec, Bradley A Evanoff, Alexis Descatha, Jean-Baptiste Fassier, Julie Bodin,

This longitudinal study aimed at exploring the direct and indirect relationships between organizational, psychosocial, biomechanical, and personal factors and carpal tunnel syndrome (CTS) in French workers. Between 2002 and 2005, 3710 workers were included in the Cosali cohort. Between 2007 and 2010, 1611 workers were re-examined using the same standardized ... Read more >>

Pain (Pain)
[2020, 161(4):749-757]

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The optimum hand temperature to study nerve conduction in patients with carpal tunnel syndrome.

Evangelia Gavanozi, Dimitra Veltsista, Panagiotis Polychronopoulos, Elisabeth Chroni,

To define the skin temperature at which diseased nerves are better differentiated from the healthy. Motor and sensory conduction of median and ulnar nerve were evaluated in 52 patients with carpal tunnel syndrome (CTS) and 52 matched healthy controls at environmental skin temperature (mean 32-33 °C), after warming by an average ... Read more >>

J Electromyogr Kinesiol (Journal of electromyography and kinesiology : official journal of the International Society of Electrophysiological Kinesiology)
[2020, 51:102410]

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Non-operative Treatment of Carpal Tunnel Syndrome.

Peter J Ostergaard, Maximilian A Meyer, Brandon E Earp,

PURPOSE OF REVIEW:To determine the current evidence for various non-operative therapies in the treatment of carpal tunnel syndrome RECENT FINDINGS: Multiple non-operative treatment modalities exist in the treatment of mild to moderate carpal tunnel syndrome. While certain modalities such as splinting and corticosteroid injections have moderate- to high-quality evidence to ... Read more >>

Curr Rev Musculoskelet Med (Current reviews in musculoskeletal medicine)
[2020, :]

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Efficacy of Hyalase Hydrodissection in the Treatment of Carpal Tunnel Syndrome: A Randomized, Double-Blind, Controlled, Clinical Trial.

Abdelraheem Elawamy, Manal Hassanien, Ahmed Hamed, Al Shimaa Ismael Roushdy, Nisreen Adel Abass, Ghada Mohammed, Mohamed Raouf Abdel Razek Hasan, Emad Zarief Kamel,

BACKGROUND:Carpal tunnel syndrome (CTS) is the most common entrapment neuropathy, which results from median nerve compression. A lot of nonsurgical modalities are available for the management of mild to moderate situations. Local Hyalase hydrodissection (HD) of the entrapped median nerve could offer a desirable sustained symptom alleviation. OBJECTIVES:To evaluate the ... Read more >>

Pain Physician (Pain physician)
[2020, 23(2):E175-E183]

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The Quality of Electrodiagnostic Testing for Carpal Tunnel Syndrome: Adherence to Quality Measures.

Dixie Aragaki, Aashna Basu, Craig Conlon, Kanaka D Shetty, Michael Robbins, Douglas Benner, Teryl K Nuckols,

INTRODUCTION:Research has shown that the quality of healthcare services is often suboptimal. Little is known about the quality of electrodiagnostic testing. METHODS:We prospectively recruited 477 adults with workers' compensation claims for carpal tunnel syndrome (CTS) from 30 occupational health clinics and evaluated whether electrodiagnostic testing adhered to five process-oriented quality ... Read more >>

Muscle Nerve (Muscle & nerve)
[2020, :]

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Effects of a preoperative neuromobilization program offered to individuals with carpal tunnel syndrome awaiting carpal tunnel decompression surgery: A pilot randomized controlled study.

Philippe Paquette, Johanne Higgins, Michel Alain Danino, Patrick Harris, Martin Lamontagne, Dany H Gagnon,

STUDY DESIGN:Pilot randomized controlled trial with parallel groups. INTRODUCTION:Engaging individuals with carpal tunnel syndrome (CTS) awaiting carpal tunnel decompression surgery in a preoperative rehabilitation program may mitigate pain and sensorimotor impairments, enhance functional abilities before surgery, and improve postoperative outcomes. PURPOSE OF THE STUDY:To assess the feasibility and the efficacy ... Read more >>

J Hand Ther (Journal of hand therapy : official journal of the American Society of Hand Therapists)
[2020, :]

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Aromatase Inhibitors and Risk of Arthritis and Carpal Tunnel Syndrome among Taiwanese Women with Breast Cancer: A Nationwide Claims Data Analysis.

Hsu-Chih Chien, Yea-Huei Kao Yang, C Kent Kwoh, Pavani Chalasani, Debbie L Wilson, Wei-Hsuan Lo-Ciganic,

Tamoxifen or aromatase inhibitor (AI) therapy may prevent breast cancer recurrence, however, adverse effects may lead to treatment discontinuation. Evidence regarding the occurrence of AI-associated musculoskeletal problems among Asians is scarce. We identified women with breast cancer-initiating tamoxifen or AIs from the Taiwan National Health Insurance Research Database (2007-2012). Using ... Read more >>

J Clin Med (Journal of clinical medicine)
[2020, 9(2):]

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Carpal Tunnel Syndrome as Sentinel for Harmful Hand Activities at Work: A Nationwide Danish Cohort Study.

Sorosh Tabatabaeifar, Susanne Wulff Svendsen, Poul Frost,

OBJECTIVE:Evaluate incidence rates (IRs) of carpal tunnel syndrome (CTS) as sentinels to identify job groups with high hand-wrist exposures. METHODS:A nationwide register-based cohort study of all born in Denmark. During follow-up 2010-2013, we identified first-time CTS diagnoses. We established job groups, calculated sex-specific age-standardized IRs (SIRs) per job group. We ... Read more >>

J. Occup. Environ. Med. (Journal of occupational and environmental medicine)
[2020, :]

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Comparison of the effectiveness of circumferential versus non-circumferential spread in median and ulnar nerve blocks. A double-blind randomized clinical trial.

Paula Dieguez-Garcia, Servando Lopez-Alvarez, Jorge Juncal, Ana M Lopez, Xavier Sala-Blanch,

BACKGROUND AND OBJECTIVES:Circumferential (C) spread of local anesthetic around the nerve is recommended for a successful nerve block. We tested the hypothesis that C spread produces a more complete block than non-circumferential (NC) spread. METHODS:We randomized 124 patients undergoing open carpal tunnel syndrome surgery to receive C or NC spread ... Read more >>

Reg Anesth Pain Med (Regional anesthesia and pain medicine)
[2020, :]

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Effectiveness of Surgical Treatment in Carpal Tunnel Syndrome Mini-Incision Using MIS-CTS Kits: A Cadaveric Study.

Wongthawat Liawrungrueang, Sunton Wongsiri,

Introduction. Carpal tunnel syndrome (CTS) is caused by the compression of the median nerves in the wrist. Patients have pain and numbness in the hands. According to the records of Songklanagarind Hospital from 2015 to 2018, of 800 patients, 196 or 24.5% were treated with surgery. The novel tool of ... Read more >>

Adv Orthop (Advances in orthopedics)
[2020, 2020:8278054]

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Impact of Non-Cardiac Clinicopathologic Characteristics on Survival in Transthyretin Amyloid Polyneuropathy.

Alejandra González-Duarte, Isabel Conceição, Leslie Amass, Marc F Botteman, John A Carter, Michelle Stewart,

INTRODUCTION:Hereditary (variant) transthyretin amyloidosis (ATTRv) with polyneuropathy (ATTR-PN) is a rare genetic disorder that causes progressive autonomic and sensorimotor neuropathy, severe disability, and death within 10 years of onset. Previous studies have primarily focused on how baseline cardiac characteristics affect mortality, but the impact of non-cardiac baseline characteristics is less defined. ... Read more >>

Neurol Ther (Neurology and therapy)
[2020, :]

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Initial Gamma Knife radiosurgery for nonfunctioning pituitary adenomas: results from a 26-year experience.

Jinxiu Yu, Yanli Li, Tingting Quan, Xi Li, Chao Peng, Jiamin Zeng, Shunyao Liang, Minyi Huang, Yong He, Yinhui Deng,

OBJECTIVE:The aim of this study was to evaluate the long-term outcomes of initial Gamma Knife radiosurgery (GKRS) for patients with nonfunctioning pituitary adenomas (NFPAs). DESIGN AND METHODS:This was a single-center retrospective study. Eighty-one patients with NFPAs undergoing initial GKRS were enrolled. The median age was 44.9 years (range, 7.2-75.5 years). ... Read more >>

Endocrine (Endocrine)
[2020, :]

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Quality measures in electrodiagnosis: Carpal tunnel syndrome-An AANEM Quality Measure Set.

Sasha Zivkovic, Gregory Gruener, Michele Arnold, Carrie Winter, Teryl Nuckols, Pushpa Narayanaswami, ,

Carpal tunnel syndrome (CTS) is a common neuromuscular condition and a major cause of work-related disability. As healthcare in the United States transitions toward a value-based system from fee-for-service, quality measures assume importance in the evaluation of care provided. This report from the American Association of Neuromuscular & Electrodiagnostic Medicine ... Read more >>

Muscle Nerve (Muscle & nerve)
[2020, 61(4):460-465]

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