The relative roles of pressure deformation and ischaemia in the production of compression nerve lesions remain a controversial issue. This paper concerns the genesis of the structural changes which follow compression of the median nerve in the carpal tunnel. The initial lesion is an intrafunicular anoxia caused by obstruction to the venous return from the funiculi as the result of increased pre...

The patient with compression neuropathies of the median and ulnar nerves at the wrist commonly presents with pain, paresthesias, and weakness in the hand and digits. Diagnosis of these conditions is becoming more widespread with the increased attention given to "cumulative trauma disorders" during the past decade. Successful management requires a thorough understanding of the pathophysiology of...

Carpal tunnel syndrome is diagnosed by clinical symptoms, Tinel's sign, Phalen's test and electromyography. Carpal tunnel pressure measurement can also aid in the precise identification of excessive pressure sites that indicate locations for release. In this study, pressure measurements made during endoscopic carpal tunnel release at 5 points were significantly higher anywhere in the carpal tun...

background:  this study tested the null hypothesis that nonoperatively treated patients would not show disease progression of carpal tunnel syndrome (cts) over time according to median nerve distal motor latency (dml) on two electrodiagnostic tests.   methods:  this retrospective study analyzed sixty-two adult nonoperatively treated patients who were diagnosed with cts confirmed by a minimum of...

BACKGROUND Physical examination is a traditional outcome measure in epidemiological research. Its value as a reliable measure depends, in part, on the prevalence of positive findings. The purpose of this paper is to determine the empirical reliability of physical examination and anthropometry in a field study of upper extremity disorders among keyboard operators. METHODS Two experienced exami...

portant that the physiotherapist should supervise the movements and make sure that the metacarpal is again moved through a full active range at the new joint. This treatment is continued until the patient can return to light work, which is usually a matter of four to six weeks. Some patients complain of pain for longer than this, but others are surprisingly pain free; one started milking cows w...

PAIN and parasthesiae in the arm are common symptoms. Four-fifths of the sufferers are women usually of middle age and the majority experience their discomfort at night. Because of sleep disturbance the morbidity of the condition is considerable. The syndrome of 'acroparaosthesia' has been recognized for many years, and the term was coined by Schultze (I893). After a number of identifiable caus...

OBJECTIVE To determine the prevalence and related characteristics of carpal tunnel syndrome (CTS) in orchardists and to investigate the association between electrodiagnostic severity and physical examinations. METHODS Between July 2013 and September 2014, 377 subjects (174 men and 203 women) visited the Gyeongsang National University Hospital's Center for Farmer's Safety and Health. All the s...