Carpal Tunnel Syndrome

Patijn, Jacob; Vallejo, Ricardo; Janssen, Markus; Huygen, Frank; Lataster, Arno; Kleef, Maarten van; Mekhail, Nagy

doi:10.1002/9781119968375.ch19

Cited by 14 publications

(3 citation statements)

References 12 publications

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“…Symptoms and clinical findings alone are generally insufficient for evaluate the degree of nerve entrapment and functional status [2]. Approximatelly 10-15% of subjects with classic symptoms of CTS, EDSs are negative [7].…”

Section: Discussionmentioning

confidence: 99%

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Short-distance sensory stimulation technique in the early diagnosis of carpal tunnel syndrome

Çevik¹,

Baysal²

2013

CMJ

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Aim. Normal results obtained from nerve conduction studies do not exclude the diagnosis of carpal tunnel syndrome (CTS). We intended to increase diagnostic sensitivity of nerve conduction studies in the early stage CTS by stimulating shorter palm-wrist segment, and excluding distal region outside the entrapment site of the median nerve which is unaffected from pathologic changes. Methods. In this prospective study, 41 patients (66 hands) with clinically diagnosed CTS with normal conventional electrophysiologic examinations were stimulated with electrodes placed at 8, 7, 6, 5, 4 cm from the distal wrist crease (DWC) on the palm-wrist segment, and the conduction velocities, latencies, and the differential latencies (conduction delay) were compared with those of 34 patients (68 hands) in the control group. Results. Conduction delay recorded between 4-5, 5-6, 6-7, 7-8 cm. away from DWC of both groups was statistically insignificant (p>0.1), while the conduction velocities and the latencies obtained from the electrodes placed on 4, 5, 6, 7, and 8 cm away from DWC differed statistically significantly between two groups (p<0.001). Conclusion. In electrophysiologic examinations performed to confirm the diagnosis of CTS, assessment of shorter palm-wrist segment, and stimulation of a predetermined location 4 or 5 cm distal to DWC are sufficient to detect a slight and localized conduction delay in the carpal tunnel. This method eliminated slowing-down effect of distal segment on normal nerve conduction velocities yielding higher degrees of (up to 92.4 %) sensitivity.Keywords: Carpal tunnel syndrome, nerve conduction studies, palm-wrist conduction, shortdistance stimulation Özet Amaç. Sinir iletim çalışmalarının normal olması karpal tünel sendromu (KTS) tanısını dışlamaz. Biz bu çalışmada, erken evre KTS'de avuçiçi-bilek segmentindeki mesafeyi daha kısa tutup, median sinirin tuzaklanma bölgesi dışındaki, henüz patolojik değişikliklerden etkilenmemiş distal bölgesini çıkararak, KTS tanısında duyarlılığı artırmayı amaçladık. Yöntem. Bu prospektif çalışmada, klinik olarak KTS tanısı konan, konvansiyonel elektrofizyolojik incelemeleri normal olan 41 olguda (66 el), avuçiçi-bilek segmentinde; distal bilek çizgisinden (DBÇ) sırasıyla 8, 7, 6, 5, 4 cm mesafelerden uyarım yapılmış, bu mesafelerdeki hız, latans ve latanslar arası farkları (iletim gecikmesi), kontrol grubundaki 34 olgunun (68 el) verileriyle karşılaştırılmıştır. Bulgular. 4-5, 5-6, 6-7, 7-8. cm.'ler arası latans farkı (iletim gecikmesi) her iki grup arasında istatistiksel olarak anlamsız olup (p>0.1); 4, 5, 6, 7, 8. cm.'lerdeki hız, latans değerleri her iki grup arasında istatistiksel olarak anlamlı bulunmuştur (p<0.001). Sonuç. KTS tanısını doğrulamak için yapılan elektrofizyolojik incelemede, avuçiçi-bilek segmentinde, mesafenin daha kısa tutulup, uyarımın DBÇ'nin 4 ve/veya 5 cm distalinden yapılması, karpal tüneldeki hafif ve lokalize iletim gecikmesini tespit etmede yeterlidir. İletim hızı normal olan distal segmentin hafifletici etkisinin ortadan kalkmas...

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Section: Discussionmentioning

confidence: 99%

“…CTS is common in women and occurs most often in the fifth and sixth decades [1,2]. The prevalence varies between 0.6% to 2.1% in males and 3.0% to 5.8% in females [3][4][5].…”

Section: Introductionmentioning

confidence: 99%

Short-distance sensory stimulation technique in the early diagnosis of carpal tunnel syndrome

Çevik¹,

Baysal²

2013

CMJ

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“…Penderita umumnya usia 40-60 tahun, perempuan tiga kali lebih berisiko dari pada laki-laki. (Patijn et al, 2011) Di Indonesia, urutan prevalensi Carpal tunnel syndrome dalam masalah kerja belum diketahui karena sampai tahun 2001 masih sangat sedikit diagnosis penyakit akibat kerja yang dilaporkan karena berbagai hal, Antara lain sulitnya diagnosis. Penelitian pada pekerjaan dengan resiko tinggi pada pergelangan tangandan tangan melaporkan prevalensi Carpal tunnel syndrome Antara 5,6% sampai dengan 15% (Sekarsari et al, 2017) Carpal tunnel syndrome adalah penekanan saraf medianus pada daerah terowongan karpal di pergelangan tangan ketika jaringan disekitar tendon fleksor pergelangan tangan membengkak dan menekan saraf medianus, di lihat dari segi anatomis pergelangan tangan dibentuk oleh bangunan tulang, otot, ligament, saraf dan pembuluh darah sehingga tangan dapat melakukan gerakan halus (fine Motor) yang terkoordinir dan otomatis (Mujianto, 2013) Gejala-gejala yang di timbulkan antara lain jari-jari terasa baal pada waktu pagi hari di sertai rasa terbakar, kurang merasa atau jari terasa seperti terkena aliran listrik.…”

Section: Pendahuluanunclassified

Hubungan Posisi Pergelangan Tangan Saat Mengetik Terhadap Risiko Terjadinya Carpal Tunnel Syndrome: Studi Literatur

B L,

Ariyanti,

Sariana

2022

JFKI

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Background: The use of computers has a high risk of experiencing wrist trauma disorders, namely the occurrence of carpal tunnel syndrome, which is caused by compression of the median nerve at the wrist and causes joint pain. This is influenced by years of activity in using a keyboard and mouse on a computer. Ergonomic position on the wrist when using the keyboard and mouse while typing is an important thing to prevent the occurrence of carpal tunnel syndrome. Objective: This study aims to analyze the results of previous studies regarding the relationship between wrist position when typing and the risk of carpal tunnel syndrome. Research Methods: The design used is a literature study. By searching through search engines, namely PubMed, Google Scholar, PMC, and Semantic Scholar. Results: Obtained 6 eligible literatures. Overall, the literature shows a significant relationship between wrist position while typing and the risk of developing carpal tunnel syndrome. Conclusion: Ergonomic position on the wrist when using the keyboard and mouse when typing is an important thing to prevent carpal tunnel syndrome..

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Causes of Carpal Tunnel Syndrome

Polsdorfer¹

2006

AMA Guides® Newsletter

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Carpal Tunnel Syndrome

Cited by 14 publications

References 12 publications

Short-distance sensory stimulation technique in the early diagnosis of carpal tunnel syndrome

Short-distance sensory stimulation technique in the early diagnosis of carpal tunnel syndrome

Hubungan Posisi Pergelangan Tangan Saat Mengetik Terhadap Risiko Terjadinya Carpal Tunnel Syndrome: Studi Literatur

Causes of Carpal Tunnel Syndrome

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