Carpal tunnel syndrome (CTS) is defined by compression of the median nerve in the wrist. It is the commonest of the compressive syndromes and its most frequent cause is idiopathic. Even though spontaneous regression is possible, the general rule is that the symptoms will worsen. The diagnosis is primarily clinical, from the symptoms and provocative tests. Electroneuromyographic examination may be recommended before the operation or in cases of occupational illnesses.
The treatments for non-deficit forms of carpal tunnel
syndrome (CTS) are corticoid infiltration and/or a nighttime immobilization
brace. Surgical treatment, which includes sectioning the retinaculum of the
flexors (retinaculotomy), is indicated in cases of resistance to conservative
treatment in deficit forms or, more frequently, in acute forms. In minimally
invasive techniques (endoscopy and mini-open), and even though the learning
curve is longer, it seems that functional recovery occurs earlier than in the
classical surgery, but with identical long-term results. The choice depends on
the surgeon, patient, severity, etiology and availability of material. The
results are satisfactory in close to 90% of the cases. Recovery of strength
requires four to six months after regression of the pain of pillar pain type.
This surgery has the reputation of being benign and has a complication rate of
0.2–0.5%.
Bilateral ectopic pregnancy is a rare clinical condition with an estimated
prevalence of 1/200 000 in spontaneous pregnancies. Studies have found that In
Vitro Fertilization (IVF) is related to ectopic pregnancy independently, but the
incidence of tubal disease in the donor egg recipient population is thought to
be significantly lower than in the standard IVF population. We report the case
of a patient participating in the egg-sharing program, who was diagnosed with
ovarian ectopic pregnancy, treated with surgery. After one week, she was
diagnosed with tubal ectopic pregnancy in the contralateral tube. The clinician
should be aware that the treatment of one ectopic pregnancy does not preclude
the occurrence of a second ectopic pregnancy in the same patient and should pay
attention to the intra-operatory inspection of both side fallopian tubes in any
ectopic pregnancy case. Routine ultrasound after ectopic pregnancy treatment may
be reasonable, especially in high risk patients.
scite is a Brooklyn-based organization that helps researchers better discover and understand research articles through Smart Citations–citations that display the context of the citation and describe whether the article provides supporting or contrasting evidence. scite is used by students and researchers from around the world and is funded in part by the National Science Foundation and the National Institute on Drug Abuse of the National Institutes of Health.