Carpal tunnel syndrome: Indication for surgical treatment based on electrophysiologic study

Aulisa, Lorenzo; Tamburrelli, Francesco Ciro; Padua, R.; Romanini, Emilio; Monaco, Mauro Lo; Padua, Luca

doi:10.1016/s0363-5023(98)80056-7

Cited by 68 publications

(47 citation statements)

References 13 publications

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“…In the present study, subjective symptoms were found to be the most important reason for undergoing surgery from the patient's perspective. Electrodiagnostic findings tend to affect a physician's choice of treatment 9,28,29 , but they were not found to be compelling reasons for undergoing surgery from the patient's perspective.…”

Section: Discussionmentioning

confidence: 99%

Factors Affecting Willingness to Undergo Carpal Tunnel Release

Gong

Baek

et al. 2009

The Journal of Bone and Joint Surgery-American Volume

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Section: Discussionmentioning

confidence: 99%

Factors Affecting Willingness to Undergo Carpal Tunnel Release

Gong

Baek

et al. 2009

The Journal of Bone and Joint Surgery-American Volume

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“…Interesting differential surgical outcomes depending on the degree of disturbance severity shown by ENG at baseline were presented by Aulisa et al [14]. They evaluated treatment outcomes by looking at conduction velocity and distal latency as well as the clinical symptoms: -in the group with mild conduction disturbances, they achieved complete restoration of sensory and motor functions in 14 out of 15 patients, -in the group with moderate CTS (as per ENG results), they achieved an improvement in nerve conduction in all cases as well as clinical im provement.…”

Section: Discussionmentioning

confidence: 99%

“…[14]. Do oce ny efek tów le cze nia wy ko rzy sta li na stę pu ją ce kry te ria: szyb kość prze wo dze nia i la ten cję koń co wą oraz ob raz kli nicz ny: -w gru pie z ła god nym na si le niem za bu rzeń przewod nic twa uzy ska li cał ko wi tą po pra wę funk cji czucio wych i ru cho wych u 14 spo śród 15 pa cjen tów, -w gru pie z umiar ko wa nym ZKN (na pod sta wie ba da nia ENG) uzy ska li po pra wę prze wod nic twa ner wo we go we wszyst kich przy pad kach oraz popra wę sta nu kli nicz ne go.…”

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Results of Surgical Treatment of Carpal Tunnel Syndrome

Georgiew

Maciejczak

Florek

2014

Ortop Traumatol Rehabil

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“…Grading the nerve compression is useful in deciding the treatment strategy and following up the disease progress. [5][6][7][8][9] Electrophysiologic studies are also important to detect the CTS when the classic defining features are absent. 10 In electrophysiologic practice, numerous NCS techniques are used.…”

mentioning

confidence: 99%

“…However, the previous studies showed a wide range of sensitivity and specificity values for them. 5,6,[11][12][13][14][15][16] Because the sensory fibers compose the outer layers of the MN in its topographical anatomy, the abnormalities in transcarpal sensory studies of MN are expected to occur in earlier stages of the nerve compression in carpal tunnel than ones in motor responses. Therefore, the sensitivities of MN transcarpal sensory conduction studies (SCSs) could be assumed to be higher than of motor conduction studies.…”

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confidence: 99%

Median to Ulnar Nerve Comparative Conduction Studies on Diagnosis of Carpal Tunnel Syndrome in Early Grades

Alemdar¹

2016

Turkiye Klinikleri J Neur

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A AB BS S T TR RA AC CT T O Ob bj je ec ct ti iv ve e: : To analyze the utility of various comparative median (MN) to ulnar nerve (UN) conduction study (NCS) techniques in detecting carpal tunnel syndrome (CTS). MMa at te er ri ia al l a an nd d M Me et th ho od ds s: : We retrospectively analyzed our NCS recordings that belong to the patients who were consecutively referred to our laboratory within a year. The best cut off points and diagnostic efficiencies of the parameters based on comparison of MN and UN distal sensory onset latencies (DSOLs) and peak latencies (DSPLs) over fourth finger and second-to-fifth finger, SNAP amplitudes, MN-thenar and UN-hypothenar distal motor latencies (DMLs), minimum F wave latencies (mFWLs), CMAP amplitudes, motor conduction velocities, and MN sensory and UN motor latency (MS-UM) on electrodiagnosis of CTS were detected beside ones of conventional conduction parameters. R Re es su ul lt ts s: : Totally 109 recordings among the 210 upper extremity recordings were included. CTS was clinically diagnosed in 59 hands (54.1%). MN DSOL and DSPL over fourth finger had the highest diagnostic efficiency values (88.1% and 87.2%, respectively) among conventional parameters, whereas MN to UN DSOL and DSPL differences over fourth finger had the highest ones (93.6% and 90.8%, respectively) among comparative parameters. MN DSOL and DSPL values, over both second and fourth fingers, had good overall agreement in confirming the CTS diagnosis. That was also true for MN to UN DSOL and DSPL differences on fourth finger, but not for ones on second to fifth finger DSOL and DSPL comparisons. The diagnostic efficiency values were 80.7% for DML difference and 78% for mFWL difference. C Co on nc cl lu us si io on n: : DSOL and DSPL differences over fourth finger have a favorable diagnostic efficiency values on CTS diagnosis. Although the MN to UN DML and mFWL differences are more efficient in CTS diagnosis, their diagnostic efficiency rates are lower than ones of sensory parameters. Future studies are warranted to consider their possible usefulness of them for diagnosing CTS in patients with concomitant polyneuropathy or unelicitable sensory responses because of technical pitfalls during the sensory NCSs. K Ke ey y W Wo or rd ds s: : Carpal tunnel syndrome; median nerve; ulnar nerve Ö ÖZ ZE ET T A Am ma aç ç: : Karpal Tünel Sendromunun (KTS) tespitinde, median sinir (MN) ve ulnar sinir (UN) kıyas-lanmasına dayalı değişik sinir iletim çalışmaları tekniklerinin kullanılabilirliğini analiz etmek. G Ge er re eç ç v ve e Y Yö ön nt te em ml le er r: : Bir yıl süresince laboratuvarımıza refere edilen hastalara ait sinir iletim çalışmalarının kayıtlarını retrospektif olarak analiz ettik. Geleneksel parametrelerinkinin yanısıra, 4. parmak ve 2-5. parmak üzerin-den kaydedilen MN-UN duyusal başlangıç latansları (DSOL) ve tepe latansları (DSPL), duyusal yanıt amplitüdleri, median-tenar ve ulnar-hipotenar distal motor latansları (DML), minimum F dalga latansları (mFWL), bileşik kas aksiyon potansiyeli amplitüdleri, ...

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Carpal tunnel syndrome: Indication for surgical treatment based on electrophysiologic study

Cited by 68 publications

References 13 publications

Factors Affecting Willingness to Undergo Carpal Tunnel Release

Factors Affecting Willingness to Undergo Carpal Tunnel Release

Results of Surgical Treatment of Carpal Tunnel Syndrome

Median to Ulnar Nerve Comparative Conduction Studies on Diagnosis of Carpal Tunnel Syndrome in Early Grades

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