Carpal Tunnel Syndrome in Long-Term Dialyzed Patients

2015 ◽  
pp. 82-96 ◽  
Author(s):  
C. Pagani ◽  
C. Zoerle ◽  
M. C. Guaita ◽  
C. Bazzi ◽  
G. Sorgato ◽  
...  
Keyword(s):  
Carpal Tunnel Syndrome ◽  
Carpal Tunnel ◽  
Tunnel Syndrome

Long-term outcome of carpal tunnel syndrome after conservative treatment

2004 ◽  
Vol 58 (4) ◽  
pp. 337-339 ◽  
Author(s):  
A.C.F. Hui ◽  
S.M. Wong ◽  
A. Tang ◽  
V. Mok ◽  
L.K. Hung ◽  
...  
Keyword(s):  
Carpal Tunnel Syndrome ◽  
Conservative Treatment ◽  
Carpal Tunnel ◽  
Term Outcome ◽  
Long Term Outcome ◽  
Tunnel Syndrome

scholarly journals Carpal tunnel syndrome: long-term nerve conduction studies in 261 hands

2009 ◽  
Vol 67 (1) ◽  
pp. 69-73 ◽  
Author(s):  
Dante Guilherme Velasco Hardoim ◽  
Guilherme Bueno de Oliveira ◽  
João Aris Kouyoumdjian
Keyword(s):  
Carpal Tunnel Syndrome ◽  
Carpal Tunnel ◽  
Nerve Conduction ◽  
Sensory Nerve ◽  
Nerve Conduction Studies ◽  
Sensory Nerve Action ◽  
Tunnel Syndrome ◽  
The Mean ◽  
Compound Action

OBJECTIVE: To compare a long-term carpal tunnel syndrome (CTS) on nerve conduction studies (NCS) in hands treated non-surgically. METHOD: We retrospectively selected 261 symptomatic CTS hands (166 patients), all of them confirmed by NCS. In all cases, at least 2 NCS were performed in an interval greater than 12 months. Cases with associated polyneuropathy were excluded. NCS parameters for CTS electrodiagnosis included a sensory conduction velocity (SCV) <46.6 m/s (wrist to index finger, 14 cm) and distal motor latency (DML) >4.25 ms (wrist to APB, 8 cm). RESULTS: 92.8% were women; mean age was 49 years (20-76); the mean interval between NCS was 47 months (12-150). In the first exam, the median sensory nerve action potential (SNAP) and the compound action muscular potential were absent in 9.8% and 1.9%, respectively. In the second/last exam, SCV worsened in 54.2%, remained unchanged in 11.6% and improved in 34.2%. SNAP amplitude worsened in 57.7%, remained unchanged in 13.1% and improved in 29.2%. DML worsened in 52.9%, remained unchanged in 7.6% and improved in 39.5%. Overall, NCS parameters worsened in 54.9%, improved in 34.3% and remained unchanged in 10.8%. CONCLUSION: Long-term changing in NCS of CTS hands apparently were not related to clinical symptomatology and could lead to some difficulty in clinical correlation and prognosis. Aging, male gender and absent SNAP were more related to NCS worsening, regardless the mean interval time between the NCS.

scholarly journals Early operations have good effect on carpal tunnel syndrome in patients on long-term hemodialysis.

1990 ◽  
Vol 39 (2) ◽  
pp. 777-781
Author(s):  
Yoshiki Yoshihara ◽  
Kohtarou Imamura ◽  
Yoshifumi Nagatani ◽  
Eiji Hirano ◽  
Hiroyuki Takagi
Keyword(s):  
Carpal Tunnel Syndrome ◽  
Carpal Tunnel ◽  
Good Effect ◽  
Tunnel Syndrome ◽  
Early Operations

scholarly journals A Case of Carpal Tunnel Syndrome due to Dialysis-Related Amyloidosis in a Patient Undergoing Long-Term Hemodialysis

1997 ◽  
Vol 12 (1) ◽  
pp. 75-79 ◽  
Author(s):  
You Jeong Chung ◽  
Ki Chul Choi ◽  
Jeong Hoon Ha ◽  
Ki Young Kim ◽  
Seong Cheol Lee ◽  
...  
Keyword(s):  
Carpal Tunnel Syndrome ◽  
Carpal Tunnel ◽  
Tunnel Syndrome

Prevalence of carpal tunnel syndrome and wrist osteoarthritis in long-term paraplegic patients compared with controls

2013 ◽  
Vol 39 (2) ◽  
pp. 132-138 ◽  
Author(s):  
M. Akbar ◽  
S. Penzkofer ◽  
M. A. Weber ◽  
T. Bruckner ◽  
M. Winterstein ◽  
...  
Keyword(s):  
Carpal Tunnel Syndrome ◽  
Carpal Tunnel ◽  
Structural Changes ◽  
Hand Function ◽  
Trapeziometacarpal Osteoarthritis ◽  
Gender And Age ◽  
Tunnel Syndrome ◽  
The Right ◽  
Matching Criteria

We compared functional and structural changes in the hands, in particular the prevalence of carpal tunnel syndrome, in 56 paraplegic patients who had been wheelchair dependent for over 25 years with a group of able-bodied volunteers (with matching criteria for gender and age). The hands were assessed by clinical examination, electrophysiology, disabilities of the arm shoulder and hand score and magnetic resonance imaging. Hand function was worse and wrist pain was experienced more often in the paraplegic patients, and they also had a significantly higher prevalence of carpal tunnel syndrome both clinically and electrophysiologically. The prevalence of wrist and trapeziometacarpal osteoarthritis was significantly higher in the right hand.

Hand Problems in 100 Vibration-Exposed Symptomatic Male Workers

1996 ◽  
Vol 21 (3) ◽  
pp. 315-319 ◽  
Author(s):  
T. Strömberg ◽  
L. B. Dahlin ◽  
G. Lundborg
Keyword(s):  
Carpal Tunnel Syndrome ◽  
Special Reference ◽  
Carpal Tunnel ◽  
Vibration Exposure ◽  
Cold Intolerance ◽  
Exposure To Cold ◽  
Tunnel Syndrome ◽  
Male Workers

Long-term use of hand-held vibrating tools may induce various types of hand problems. One hundred symptomatic men exposed to vibration from such tools were interviewed and examined with special reference to neurosensory and vasospastic problems. Three distinct symptomatic groups were identified: isolated neurosensory symptoms (48%), isolated vasospastic problems (20%), and combined neurosensory and vasospastic problems (32%). Abnormal cold intolerance (pain and coldness without blanching of the fingers on exposure to cold) occurred in 27% of the patients. Neurosensory problems were more predominant than vasospastic ones, especially during the first 20 years of vibration exposure. Of 80 patients with neurosensory symptoms, only 22 had signs of a carpal tunnel syndrome (CTS). It is concluded that vibration-induced neurosensory and vasospastic symptoms can occur separately or together, and that the neurosensory symptoms are often not due to a CTS.

The long-term follow-up of treatment with corticosteroid injections in patients with carpal tunnel syndrome. When are multiple injections indicated?

2012 ◽  
Vol 38 (6) ◽  
pp. 634-639 ◽  
Author(s):  
M. Berger ◽  
M. Vermeulen ◽  
J. H. T. M. Koelman ◽  
I. N. van Schaik ◽  
Y. B. W. E. M. Roos
Keyword(s):  
Carpal Tunnel Syndrome ◽  
Carpal Tunnel ◽  
Corticosteroid Injection ◽  
Initial Response ◽  
Response To Treatment ◽  
Good Outcome ◽  
Tunnel Syndrome ◽  
Corticosteroid Injections

The objective of this prospective study was to investigate the long-term effect of one or more local corticosteroid injections in patients with carpal tunnel syndrome and whether a good response can be predicted. Follow-up visits took place at 3 weeks, 6 months, and 1 year after the first corticosteroid injection. Thirty of the 120 patients (25%) had a good outcome with a single injection, 11 additional patients (9%) needed a second injection, and five patients (4%) needed a third injection to reach a good outcome after 1 year. Of patients with an initial good treatment response, 28 (52%) had a good outcome after 1 year compared with 18 (27 %) who had an initially moderate or no response to treatment. One-third of patients with carpal tunnel syndrome had a long-term beneficial effect from corticosteroid injection, especially when they had a good initial response.

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