Risk factors for median mononeuropathy of the wrist in postpoliomyelitis patients

Werner, Robert A.; Waring, William P.; Davidoff, Gary

doi:10.1016/0003-9993(89)90008-7

Cited by 32 publications

(14 citation statements)

References 13 publications

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“…8 One patient with bilateral CTS (patient 2) presented with bilaterally delayed and shortened CSPs in the opponens pollicis muscle. He had been using crutches due to knee surgery 1 month earlier, which may have led to bilateral focal ischemic lesions due to increased pressure at the wrist, 19 causing small-fiber involvement.…”

Section: Discussionmentioning

confidence: 99%

Preserved cutaneous silent periods in severe entrapment neuropathies

Kofler¹,

Fröhlich²,

Saltuari³

2003

Muscle and Nerve

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Noxious digital nerve stimulation during isometric contraction of hand muscles leads to transient suppression of the electromyographic activity, the so-called cutaneous silent period (CSP), which is mostly due to a spinal reflex mediated by A-delta fibers. We investigated two patients with carpal tunnel syndrome (CTS) and two patients with ulnar entrapment at the elbow (UNE), in whom routine sensory conduction studies failed to document afferent fiber continuity across the lesion site. In three patients, motor nerve conduction studies and electromyography failed to demonstrate intact efferent fibers. Noxious stimulation of digit II elicited distinct CSPs in ulnar-innervated hand muscles in both patients with CTS, and stimulation of digit V evoked CSPs in median-innervated hand muscles in both UNE patients. The presence of a CSP can only be explained by preserved A-delta fibers crossing the respective lesion site. Thus, preserved CSPs may serve to document residual nerve continuity in severe entrapment neuropathies when fast-conducting fibers are so compromised that their continuity cannot be detected by standard electrodiagnostic techniques.

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Section: Discussionmentioning

confidence: 99%

Preserved cutaneous silent periods in severe entrapment neuropathies

Kofler¹,

Fröhlich²,

Saltuari³

2003

Muscle and Nerve

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“…Because the upper extremity joints are functionally and structurally designed for mobility rather than as weight bearing joints, the use of these types of mobility devices places increased demands on the user's upper extremities 16,17 . Individuals who chronically use their upper extremities for weight bearing relief maneuvers demonstrate a high prevalence of carpal tunnel syndrome and wrist pain [5][6][7][8]18 . While both wrist and elbow problems are reported, shoulder pain is the most common upper extremity orthopedic co-morbid condition in long-term users of these types of devices 19 .…”

Section: Discussionmentioning

confidence: 99%

“…The highest demand for short-term use of assistive devices are associated with rehabilitation of lower extremity surgeries, when patients are just beginning to be allowed of bearing their weight through the lower extremities [2][3][4] . Upper limb extremity conditions, such as carpal tunnel syndrome 5,6 , median neuropathy 7,8 , stress fractures 9 and upper limb risk of pain 10 were previously associated to chronic use of ambulatory devices. However, little is known about the stresses placed on the upper extremities during ambulation with assistive devices.…”

Section: Introductionmentioning

confidence: 99%

Upper extremity joint stresses during walkerassisted ambulation in post-surgical patients

McQuade¹,

Finley²,

Oliveira³

2011

Rev. bras. fisioter.

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“…The prevalence of carpal tunnel syndrome in the general population is 0.6%‐3.4% [1]. However, in patients with postpolio syndrome, the prevalence rate is 22%‐62% [2]. For chronic cases, patients may elect to undergo surgical release [3].…”

Section: Introductionmentioning

confidence: 99%

Ultrasound‐Guided Carpal Tunnel Release Using Dynamic Expansion of the Transverse Safe Zone in a Patient With Postpolio Syndrome: A Case Report

Henning

Lueders

Chang

et al. 2018

PM&R

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The prevalence of carpal tunnel syndrome (CTS) in patients with postpolio syndrome occurs at a rate of 22%. Irrespective of those with CTS, 74% of postpolio patients weight bear through their arms for ambulation or transfers. As open carpal tunnel release is performed along the weight-bearing region of the wrist, their functional independence may be altered while recovering. This case demonstrates that ultrasound-guided carpal tunnel release was successfully performed in a patient with postpolio syndrome allowing him to immediately weight bear through his hands after the procedure so he could recover at home. LEVEL OF EVIDENCE: V.

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Risk factors for median mononeuropathy of the wrist in postpoliomyelitis patients

Cited by 32 publications

References 13 publications

Preserved cutaneous silent periods in severe entrapment neuropathies

Preserved cutaneous silent periods in severe entrapment neuropathies

Upper extremity joint stresses during walkerassisted ambulation in post-surgical patients

Ultrasound‐Guided Carpal Tunnel Release Using Dynamic Expansion of the Transverse Safe Zone in a Patient With Postpolio Syndrome: A Case Report

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