scholarly journals Prevalence of Mucopolysaccharidosis Types I, II, and VI in the Pediatric and Adult Population with Carpal Tunnel Syndrome (CTS). Retrospective and Prospective Analysis of Patients Treated for CTS

2017 ◽  
pp. 29-33 ◽  
Author(s):  
Mette Borch Nørmark ◽  
Nanna Kjaer ◽  
Allan Meldgaard Lund
2020 ◽  
Vol 11 (01) ◽  
pp. 63-74
Author(s):  
Abdul Hamid ◽  
Zikri Fathur Rahman ◽  
Suherdin Suherdin ◽  
Sri Widati ◽  
Y. Denny Ardyanto Wahyudiono

Carpal Tunnel Syndrome (CTS) is a disorder that occurs due to carpal tunnel or a gap in the lower hand to the wrist narrowing. The National Health Interview Study (NHIS) estimates that the reported prevalence of CTS among the adult population is 1.55% (2.6 million). This research was conducted at BNI Branch Bank Palu. The research objective is to determine the factors associated with complaints of Carpal Tunnel Syndrome (CTS) on employees at BNI Branch Bank Palu. The type of research used is quantitative using a cross-sectional approach. The number of samples was 109 people. Data were analyzed using the chi-square test at the level of confidence (ρ <0.05). The results showed that there was a relationship between years of service (ρ = 0.005), length of work (ρ = 0,000), repetitive movements (ρ = 0.001) and gender (ρ = 0.006) with complaints of Carpal Tunnel Syndrome (CTS) on employees at the Bank BNI Palu Branch. It is recommended to employees of Bank BNI Branch Palu to do muscle stretches such as moving the fingers, reducing the emphasis on the carpal tunnel, to avoid the danger of disturbances originating from repetitive and monotonous movements in the long term.


2019 ◽  
Vol 8 (10) ◽  
pp. 3383
Author(s):  
YousefMohammed Y. Alyousef ◽  
FahadMohammed Y. Alyousef ◽  
SalehKhalaf M. Almaymoni ◽  
MohammedAbdallah Hazizi ◽  
MohammedKhalaf M. Almaymoni ◽  
...  

2010 ◽  
Vol 68 (1) ◽  
pp. 93-97 ◽  
Author(s):  
Paulo Roland Kaleff ◽  
Marcelo Senna Xavier de Lima ◽  
Yvens Barbosa Fernandes ◽  
Danylo José Palma Honorato ◽  
Antonio Augusto Roth Vargas ◽  
...  

OBJECTIVE: To evaluate the application of a limited transverse incision technique to treat the carpal tunnel syndrome, with concern to its safety and efficacy in the opening of the flexor retinaculum (FR). METHOD: A prospective analysis of thirty FR release procedures performed on twenty-eight patients subjected to the proposed incision technique. Safety and total opening of the FR were evaluated through a questionnaire and an endoscopic inspection respectively. RESULTS: No major complications were observed. Two cases presented small local hematoma. One patient presented with transient neuropraxia of digital branch. In two of the first five cases, incomplete FR opening was identified during endoscopic revision with need of complementary opening. All patients reported relief of paresthesias and nocturnal pain symptoms. CONCLUSION: The technique was safely performed on the prospection group, no major complications were detected and the opening of FR was observed in the majority of the patients.


2003 ◽  
Vol 8 (4) ◽  
pp. 4-5
Author(s):  
Christopher R. Brigham ◽  
James B. Talmage

Abstract Permanent impairment cannot be assessed until the patient is at maximum medical improvement (MMI), but the proper time to test following carpal tunnel release often is not clear. The AMA Guides to the Evaluation of Permanent Impairment (AMA Guides) states: “Factors affecting nerve recovery in compression lesions include nerve fiber pathology, level of injury, duration of injury, and status of end organs,” but age is not prognostic. The AMA Guides clarifies: “High axonotmesis lesions may take 1 to 2 years for maximum recovery, whereas even lesions at the wrist may take 6 to 9 months for maximal recovery of nerve function.” The authors review 3 studies that followed patients’ long-term recovery of hand function after open carpal tunnel release surgery and found that estimates of MMI ranged from 25 weeks to 24 months (for “significant improvement”) to 18 to 24 months. The authors suggest that if the early results of surgery suggest a patient's improvement in the activities of daily living (ADL) and an examination shows few or no symptoms, the result can be assessed early. If major symptoms and ADL problems persist, the examiner should wait at least 6 to 12 months, until symptoms appear to stop improving. A patient with carpal tunnel syndrome who declines a release can be rated for impairment, and, as appropriate, the physician may wish to make a written note of this in the medical evaluation report.


2007 ◽  
Vol 12 (6) ◽  
pp. 5-8 ◽  
Author(s):  
J. Mark Melhorn

Abstract Medical evidence is drawn from observation, is multifactorial, and relies on the laws of probability rather than a single cause, but, in law, finding causation between a wrongful act and harm is essential to the attribution of legal responsibility. These different perspectives often result in dissatisfaction for litigants, uncertainty for judges, and friction between health care and legal professionals. Carpal tunnel syndrome (CTS) provides an example: Popular notions suggest that CTS results from occupational arm or hand use, but medical factors range from congenital or acquired anatomic structure, age, sex, and body mass index, and perhaps also involving hormonal disorders, diabetes, pregnancy, and others. The law separately considers two separate components of causation: cause in fact (a cause-and-effect relationship exists) and proximate or legal cause (two events are so closely related that liability can be attached to the first event). Workers’ compensation systems are a genuine, no-fault form of insurance, and evaluators should be aware of the relevant thresholds and legal definitions for the jurisdiction in which they provide an opinion. The AMA Guides to the Evaluation of Permanent Impairment contains a large number of specific references and outlines the methodology to evaluate CTS, including both occupational and nonoccupational risk factors and assigning one of four levels of evidence that supports the conclusion.


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