PURPOSE This study evaluated functional outcomes and safety after endoscopic and open bilateral carpal tunnel syndrome release in opposite hands of the same patients through a meta-analysis of randomized controlled trial data. MATERIALS AND METHODS Randomized controlled trials involving both methods in opposite hands of patients with bilateral carpal tunnel syndrome were identified via a syst...

Diagnosis The classic history is of the patient who begins his or her symptoms by awakening at night with numbness and pain in the median nerve distribution of his or her hand(s). This progresses to daytime symptoms that are often aggravated by activities.1,2 The occurrence of “dropping objects” in carpal tunnel syndrome patients is an index of elevated disease severity.3 Carpal tunnel symptoms...

Carpal tunnel syndrome comprises potentially disabling sensory and/or motor symptoms in the hand. Around 1 in 10 people develop carpal tunnel syndrome at some point, and it is particularly common in women (Hughes 2007), with one study in the UK indicating an incidence of 139.4 cases per 100,000 women per year and 67.2 cases per 100,000 men (Bland 2003). The condition carries considerable implic...

OBJECTIVE Our aim was to assess the efficacy of polarized polychromatic noncoherent light (Bioptron light) in the treatment of idiopathic carpal tunnel syndrome. BACKGROUND Carpal tunnel syndrome is the most common compression neuropathy, but no satisfactory conservative treatment is available at present. METHOD An uncontrolled experimental study was conducted in patients who visited our cl...

Diagnosis The classic history is of the patient who begins his or her symptoms by awakening at night with numbness and pain in the median nerve distribution of his or her hand(s). This progresses to daytime symptoms that are often aggravated by activities.1,2 The occurrence of “dropping objects” in carpal tunnel syndrome patients is an index of elevated disease severity.3 Carpal tunnel symptoms...

OBJECTIVE To evaluate the results of 4 mg of dexamethasone acetate injections for the treatment of carpal tunnel syndrome in pregnancy. MATERIAL AND METHOD Twenty-four pregnant volunteers who suffered from carpal tunnel syndrome occurring in the third trimester of their pregnancies were injected with 4 mg of dexamethasone acetate combined with 1% lidocaine into the carpal tunnels. The volunte...

The syndrome of compression of the median nerve in the carpal tunnel produces well-defined symptoms and signs. Often there is electromyographic evidence of impaired neural conduction at the level of the wrist. The clinical features of the syndrome have been described clearly by Garland, Bradshaw, and Clark (1957) and by Phalen and Kendrick (1957). To appreciate the many aetiological factors whi...

In 117 consecutive patients with carpal tunnel syndrome and 11 patients with a compression syndrome of the median nerve at elbow, motor and sensory conduction along the median and ulnar nerves and quantitative electromyography were compared with findings in 190 normal controls of the same age. In 25% of patients with carpal tunnel syndrome in whom motor conduction and EMG were normal, the lesio...

To the Editor: I enjoyed reading the article " Prevalence of Carpal Tunnel Syndrome in Motorcyclists " by Manes. 1 This article provides insight into a possible new association of symptoms with or the diagnosis for carpal tunnel syndrome due to motorcycle riding. The article makes recommendations for possible risk reduction (ie, prevention), which should be encouraged. However, problems with th...

Nerve compression syndromes of the upper extremity, including carpal tunnel syndrome, cubital tunnel syndrome, posterior interosseous syndrome and radial tunnel syndrome, are common in the general population. Diagnosis is made based on patient complaint and history as well as specific exam and study findings. Treatment options include various operative and nonoperative modalities, both of which...