The Numb Hand (pdf)

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Posterior Interosseous Nerve (PIN) Syndrome • Treatment – Avoid aggravating activities –NSAIDs – Surgical release if not improved in 4-12 weeks – Strength recovery may take 18 months – 85% good – excellent results
Radial Tunnel Syndrome • Pain • No motor or sensory deficits • Same nerve and compression sites as PIN syndrome • Work-related – Associated with forceful elbow extension or forearm rotation
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The Numb Hand James T. Mazzara, M.D
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The Nerve • 3 Types of nerves - M
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Toxic Nerve Damage • Lead, mercur
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Inflammatory Nerve Damage Infectiou
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Anatomy The nerves then pass down t
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Sensory Nerve Anatomy This is the a
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Types of Nerve Injury • Axonotmes
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Our Focus • Nerve compression con
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Epidemiology Carpal Tunnel Syndrome
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Contributing Factors • Work place
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Contributing Factors • Definitive
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Contributing Factors • Occupation
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Contributing Factors •Nerve compr
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•Early Phases of Compressive Neur
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Intermediate Phase • Intraneural
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Double Crush Phenomenon • 2 separ
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Clinical Presentation • Dynamic -
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Carpal Tunnel Syndrome • Anatomic
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Carpal Tunnel Syndrome • Inflamma
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Carpal Tunnel Syndrome • Position
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Carpal Tunnel Syndrome • Immobili
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Carpal Tunnel Syndrome • Phalen
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Carpal Tunnel Syndrome • Compress
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Carpal Tunnel Syndrome • 2-point
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Carpal Tunnel Syndrome • Semmes-W
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Carpal Tunnel Syndrome • Nerve co
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Carpal Tunnel Syndrome • EMG - Te
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Carpal Tunnel Syndrome • Most sen
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Carpal Tunnel Syndrome • Conserva
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Carpal Tunnel Syndrome • Injectio
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Carpal Tunnel Syndrome • Alternat
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Carpal Tunnel Release • Advanced
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Carpal Tunnel Release • Endoscopi
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Carpal Tunnel Release • Mini-open
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Carpal Tunnel Syndrome • May be a
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Carpal Tunnel Release • Post op c
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Pronator Syndrome • Median nerve
Page 75 and 76: Pronator Syndrome • Diagnostic fi
Page 77 and 78: • Compression @ pronator muscle P
Page 79 and 80: Pronator Syndrome • Nerve conduct
Page 81 and 82: Anterior Interosseous Nerve • Exa
Page 83 and 84: Anterior Interosseous Nerve • Non
Page 85 and 86: Cubital Tunnel Syndrome • Ulnar n
Page 87 and 88: Cubital Tunnel Syndrome • Symptom
Page 89 and 90: Cubital Tunnel Syndrome • Pain an
Page 91 and 92: Cubital Tunnel Syndrome • Intrins
Page 93 and 94: Cubital Tunnel Syndrome • Thumb a
Page 95 and 96: Cubital Tunnel Syndrome • Examine
Page 97 and 98: Cubital Tunnel Syndrome • Ulnar n
Page 99 and 100: Cubital Tunnel Syndrome • Nonoper
Page 101 and 102: Cubital Tunnel Syndrome • Medial
Page 107 and 108: Cubital Tunnel Syndrome • Submusc
Page 113 and 114: Cubital Tunnel Syndrome • Surgica
Page 115 and 116: Ulnar Tunnel Syndrome • Causes of
Page 117 and 118: Ulnar Tunnel Syndrome • Treatment
Page 119 and 120: Radial Nerve • Compression above
Page 121 and 122: Posterior Interosseous Nerve • Mo
Page 123 and 124: Posterior Interosseous Nerve • EM
Page 125: Posterior Interosseous Nerve • Co
Page 129 and 130: Radial Tunnel Syndrome • Examinat
Page 131 and 132: Radial Tunnel Syndrome • EMG-NCS
Page 133 and 134: Radial Tunnel Syndrome • Surgical
Page 135 and 136: Wartenberg’s Syndrome • Sensory
Page 137 and 138: Wartenberg’s Syndrome • Examina
Page 139 and 140: Wartenberg’s Syndrome • Surgica
Page 141: The End
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