The Effectiveness of Conservative Treatments of Carpal Tunnel Syndrome: Splinting, Ultrasound, and Low-Level Laser Therapies.
Dincer U, Cakar E, Kiralp MZ, Kilac H, Dursun H The objective of this study was to investigate the effectiveness of splinting, ultrasound (US), and low-level laser (LLL) in the management of carpal tunnel syndrome (CTS). Patients were randomly allocated to three groups that received the following treatment protocols: splinting only, splinting plus US, and [...]
Scratch Collapse Test for Evaluation of Carpal and Cubital Tunnel Syndrome
Christine J. Cheng, Brendan Mackinnon-Patterson, John L. Beck and Susan E. Mackinnon The purpose of this study was to evaluate the clinical usefulness of a new test, the scratch collapse test, for the diagnosis of carpal tunnel syndrome and cubital tunnel syndrome. The scratch collapse test was prospectively compared with Tinel's sign and flexion/nerve compression [...]
Clinical Features Influencing the Patient-Based Outcome After Carpal Tunnel Release
Hyun Sik Gong, Joo Han Oh, Sung Woo Bin, Woo Sung Kim, Moon Sang Chung and Goo Hyun Baek This study analyzed several clinical features of carpal tunnel syndrome to identify potential prognostic factors influencing a patient-based outcome assessment after carpal tunnel release. 102 hands of 64 patients with carpal tunnel syndrome using the Boston [...]
Evaluation of Static Progressive Stretch for the Treatment of Wrist Stiffness
Mike S. McGrath, Slif D. Ulrich, Peter M. Bonutti, Jonathan M. Smith, Thorsten M. Seyler and Michael A. Mont The purpose of this study was to assess the total arc of motion and the satisfaction scores of patients who had wrist stiffness and who were treated with a bidirectional, patient-directed orthosis that used the principles [...]
Static Progressive Splinting for Restoration of Rotational Motion of the Forearm
Mike S. McGrath, Slif D. Ulrich, Peter M. Bonutti, David R. Marker, Henning R. Johanssen and Michael A. Mont This study examined the use of a bidirectional, patient-directed orthosis that used the principles of static progressive stress to improve forearm rotation. Thirty-eight patients who had limited pronation and supination motions after injuries and who failed [...]
Comparison of a targeted and general massage protocol on strength, function, and symptoms associated with carpal tunnel syndrome: a randomized pilot study.
Moraska A, Chandler C, Edmiston-Schaetzel A, Franklin G, Calenda EL, Enebo B This study aimed to evaluate the effectiveness of two distinct massage therapy protocols on strength, function, and symptoms associated with CTS. 27 subjects with a clinical diagnosis of CTS were randomly assigned to receive 6 weeks of twice-weekly massage consisting of either a [...]
The de Quervain’s screening tool: Validity and reliability of a measure to support clinical diagnosis and management
Rachel Batteson, Alison Hammond, Frank Burke , Shiladitya Sinha The aim of this study was to provide evidence for the content and construct validity and test-retest and inter-rater reliability of the DQST. The DQST diagnostic criteria were initially generated from a literature review and content validity was established. The DQST was then tested in people either [...]
Clinical diagnosis of carpal tunnel syndrome: Old tests–new concepts
Yasser El Miedany, Samia Ashour, Sally Youssef, Annie Mehanna and Fatma A. Meky The objective of this study is to examine the relationship between the clinical manifestations of CTS with the outcome of the diagnostic tools, and its implication for clinical practice. 232 patients with CTS and 182 controls completed a patient oriented questionnaire, were [...]
Carpal Kinematics During Simulated Active and Passive Motion of the Wrist
Rita M. Patterson, Laura Williams, Clark R. Andersen, Shukuki Koh and Steven F. Viegas The purpose of this study was to investigate the effect of experimental control mechanisms, simulated active (tendon-driven) and passive (externally assisted), on carpal motion. Kinematics of the carpal bones in five fresh-frozen cadaver upper extremities were studied using an optical motion [...]
Osteoarthritis of the Wrist
Krista E. Weiss and Craig M. Rodner Osteoarthritis of the wrist is one of the most common conditions encountered by hand surgeons. It may result from a nonunited or malunited fracture of the scaphoid or distal radius; disruption of the intercarpal, radiocarpal, radioulnar, or ulnocarpal ligaments; avascular necrosis of the carpus; or a developmental abnormality. [...]
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