This article discusses the historical aspects related to the understanding of carpal tunnel syndrome (CTS) and its diagnosis, highlighting observations about this disease that have yet to be challenged. This is followed by a discussion regarding the use of electrodiagnostic testing as a diagnostic tool for CTS, as well as the author's approach to making the diagnosis of CTS. Finally, conclusion...

OBJECTIVE To observe the efficacy of modified acupotome combined with blocking therapy in patients with carpal tunnel syndrome (CTS). METHODS Fifty-five patients with CTS were divided into three groups, which were modified acupotome group including 26 CTS patients with 28 lesions treated by modified acupotome combined with blocking therapy, traditional acupotome group including 14 CTS patient...

CONTEXT Carpal tunnel syndrome is a common complication of repetitive activities and causes significant morbidity. OBJECTIVE To determine the effectiveness of a yoga-based regimen for relieving symptoms of carpal tunnel syndrome. DESIGN Randomized, single-blind, controlled trial. SETTING A geriatric center and an industrial site in 1994-1995. PATIENTS Forty-two employed or retired indiv...

Stress fracture of the capitate reports A 42-year-old male physical exercise teacher presented to his general practitioner (GP) with a 4-month history of bilateral wrist pain. He was unable to recall any specific episode of trauma, but the nature of his work as a gymnastics teacher required repeated dorsiflexion of both wrists. The pain was enough to keep him awake at night and he had developed...

The concept of carpal instability has evolved considerably over the past few years. Initially, the term ‘instability’ was considered to be synonymous with ‘malalignment’. A wrist was regarded as unstable when there was an alteration of the sagittal and/or anteroposterior alignment of the carpal bones beyond what was judged to be normal. Based on this, four major types of carpal malalignment wer...

Background. Carpal tunnel syndrome, the most common peripheral neuropathy, is caused by increased carpal tunnel pressure and decreased carpal tunnel volume. The aim of our study was to evaluate early results in single-portal endoscopic carpal tunnel release for the surgical treatment of carpal tunnel syndrome. Material and methods. The population included 67 patients with 80 hands operated usin...

Long weekly hours of keyboard use may lead to or aggravate carpal tunnel syndrome. The effects of typing on fluid pressure in the carpal tunnel, a possible mediator of carpal tunnel syndrome, are unknown. Twenty healthy subjects participated in a laboratory study to investigate the effects of typing at different wrist postures on carpal tunnel pressure of the right hand. Changes in wrist flexio...

BACKGROUND Over 60% of patients with carpal tunnel syndrome present with symptoms and findings of nerve compression in both hands. Our goal was to compare patient-rated difficulties in performing activities of daily living in the early postoperative period between those undergoing bilateral carpal tunnel release and those undergoing unilateral carpal tunnel release. METHODS This prospective c...

With advancement in biomechanical and biological research on idiopathic carpal tunnel syndrome, the insight on the pathophysiology of carpal tunnel syndrome has gained much clinical relevance. Open carpal tunnel release is still a gold standard procedure for carpal tunnel syndrome, which has evolved into mini-open procedure with development of new devices. Endoscopic carpal tunnel release has b...

Skeletal age assessment is one of the important applications of hand radiography in the area of pediatric radiology. Features analysis of the carpal bones can reveal the important information for skeletal age assessment. The present work in this paper faces the problem of the detection of carpal-bone features from its radio-image. A novel and effective segmentation technique is presented in thi...