Carpal tunnel syndrome (CTS) is a common focal peripheral neuropathy. Increased pressure in the carpal tunnel results in median nerve compression and impaired nerve perfusion, leading to discomfort and paresthesia in the affected hand. Surgical division of the transverse carpal ligament is preferred in severe cases of CTS and should be considered when conservative measures fail. A through knowl...

Tophaceous gout is a recognized cause of carpal tunnel syndrome. Of 2649 carpal tunnel releases, 15 hands in 13 patients were identified with tophaceous gout in the carpal tunnel. The incidence of tophaceous gout in the carpal tunnel was 0.6%. Twelve of 13 patients were male, and 8 of 10 patients with a history of gout developed carpal tunnel syndrome despite adequate medical treatment. Thus, c...

This study aimed to develop optimum information systems to improve physical function after carpal tunnel release. The t-test was done to compare the differences of physical function after carpal tunnel surgery before and after information system application. As a result, for carpal tunnel syndrome, the carpal status in subjects who have suffered from paresthesia decreased after the system appli...

Dorsiflexion, palmar flexion, ulnar translocation, and dorsal carpal subluxation are four, not uncommon, post-traumatic carpal ligamentous instabilities. Palmar carpal subluxation is a theoretical possibility. Dorsiflexion and palmar flexion instabilities are named for the way the distal lunate articular surface dorsally and palmarly, respectively. Ulnar translocation, and dorsal and ventral ca...

Endoscopic carpal tunnel release is a controversial procedure used in the treatment of carpal tunnel syndrome. Although endoscopic carpal tunnel release is associated with less incisional pain and faster recovery time than the open carpal tunnel release, opponents of endoscopic carpal tunnel release suggest that its benefits are outweighed by its higher complication rates from median nerve tran...

In his treatise on joint injuries Astley Cooper (1832) included only one example of carpal dislocation. Speed (1950) estimated that carpal fractures and dislocations comprised oneeighth of injuries about the wrist. Although they are so common carpal dislocations are often unrecognised or mismanaged (Watson-Jones 1946, Cave 1958, McLaughlin 1959, Wade 1960). There is still disagreement about the...

OBJECTIVE To describe the prevalence of carpal tunnel syndrome in a sample of 200 healthy hospital workers, establishing the respective epidemiological associations. MATERIALS AND METHODS Two hundred individuals were submitted to wrist ultrasonography to measure the median nerve area. They were questioned and examined for epidemiological data, body mass index, carpal tunnel syndrome signs and...

In September 2008, the Board of Directors of the American Academy of Orthopaedic Surgeons approved a clinical practice guideline on the treatment of carpal tunnel syndrome. This guideline was subsequently endorsed by the American Association of Neurological Surgeons and the Congress of Neurological Surgeons. The guideline makes nine specific recommendations: A course of nonsurgical treatment is...

background: carpal tunnel syndrome is the most common neuropathy in the general population. nerve conduction studies are among the standard methods for diagnosing carpal tunnel syndrome. electromyography is painful and unpleasant, and if nerve conduction studies can be used to diagnose axonal injury in carpal tunnel syndrome, electromyography might be replaced. objectives: this study aimed to e...

Carpal tunnel syndrome is a hand disease which requires multidisciplinary treatment approach. Conservative methods are effective in early stages of the disease. The article provides an analysis modern literature on possibilities carpal release.