Case presentation: A 17-year-old girl presented recurrent skin injuries on both feet with onset at 2 years old. She had labile temperature unexplained hyperthermia episodes. Parents were consanguineous and two healthy younger brothers. Past medical history included chronic osteomyelitis of the right foot after cellulitis. On examination, there are acral mutilations hands dry skin; reduced bilat...

Carpal tunnel syndrome is a compression of the median nerve which occurs under a sheet of ligamentous tissue (transverse carpal ligament) just past the wrist joint. Lacertus tunnel syndrome is a compression of the median nerve which occurs under a sheet of ligamentous tissue (lacertus fibrosus) just past the elbow joint. Lacertus syndrome has been well described by Hagert (Hagert E. Clinical di...

OBJECTIVE To find the optimal needle insertion site for needle electromyography of the pronator teres (PT) muscle among commonly used sites. METHODS Fifty forearms of 25 healthy subjects were evaluated. Four expected needle insertion points were designated as follows. Point 0 was positioned at the midpoint between the medial epicondyle and medial border of biceps tendon in the elbow crease. P...

STUDY DESIGN Randomized clinical trial. OBJECTIVE The aim of this study was to evaluate the effect of ischemic compression therapy in the treatment of chronic carpal tunnel syndrome. METHOD Fifty-five patients suffering from carpal tunnel syndrome were randomized to two groups. Thirty-seven patients received 15 experimental treatments which consisted of ischemic compressions at trigger poin...

OBJECT The sublime bridge is a potential site of entrapment of the median nerve in the forearm. To the authors' knowledge, this structure and its relationship to the median nerve have not been studied. The aim of the present study was to quantitate this structure and elucidate its relationship to the median nerve. METHODS Sixty adult cadaveric forearms underwent dissection of the sublime brid...