1. Recent Research of Carpal Tunnel Syndrome.
- Author
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Ryhänen, Jorma and Ryhänen, Jorma
- Subjects
Medicine ,ESWT ,Japan ,Kinesio taping ,WALANT ,X-rays ,body mass index ,carpal tunnel release ,carpal tunnel surgery ,carpal tunnel syndrome ,central sensitization ,central sensitization inventory ,conditioned pain modulation ,corticosteroid ,cubital tunnel syndrome ,diabetes ,diabetes mellitus ,diabetic neuropathy ,drawing ,electrodiagnosis ,electrophysiological severity classification ,entrapment neuropathy ,gabapentin ,local anesthesia ,machine learning ,manual dexterity ,median nerve ,median nerve entrapment ,median neuropathy ,mobility ,n/a ,national quality register ,nerve ,nerve compression ,nerve conduction study ,neuralgic amyotrophy ,neurodynamic techniques ,neurolysis ,neuropathy ,obesity ,orthoses ,pain ,pain measurement ,peripheral nerve ultrasound ,platelet-rich plasma ,pressure pain threshold ,pronator syndrome ,psychological health ,psychotropic drugs ,revision carpal tunnel release ,screening ,socioeconomical factors ,splint ,support vector machine ,tablet app ,temporal summation ,trends ,ulnar nerve entrapment ,ultrasonography ,ultrasound ,waist circumference ,waist-to-hip ratio ,wide-awake anesthesia - Abstract
Summary: Carpal tunnel syndrome (CTS) is a very common median nerve compression neuropathy at wrist level. It causes unplesant symptoms to patient as well as a financial burden for society. Conservative treatment helps with mild and transient symptoms, but often this syndrome requires surgical treatment. Surgical decompression of the median nerve is one of the most common surgical operations. If the symptom persists for a long time and treatment is delayed, this can result in a lack of sensation in the median area in addition to thenar atrophy and weakness of the thumb opposition. There are many impressive things behind CTS that we do not know yet; anatomical causes, links to other diseases and medication, occupational exposures and predisposing lifestyle risk factors. Diagnostics and differential diagnostics of CTS have their own challenges. Conservative treatment practices of CTS are diverse and unambiguous best practice is not clear. Clinical symptoms, electromyography (EMG) finding, and possible differential diagnostic challenges should be considered when deciding on surgery. Surgical treatment varies somewhat from hospital to hospital and from country to country. When the CTS diagnosis and treatment is done too late for nerves to recover or there is perioperative complication, some late reconstructive surgeries might be needed. These nerve surgery techniques can be done by experienced hand surgeons. The quality of care, complications, and cost effectiveness of different methods require further research. This Special Issue will present the latest research on this interesting and clinically significant syndrome.