The Numb Hand (pdf)

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Carpal Tunnel Release • Randomized trial comparing endoscopic to open CTR • Endoscopic group – Less pain & more grip strength @ 1 and 6 w – No different from open group @ 12 w – Less satisfied than open group • <strong>The</strong> re-operation rate in the endoscopic group was 5% v. 0% in the open CTR group – Macdermid J <strong>Hand</strong> Surg {Am} 28, 2003
Carpal Tunnel Release • Mini-open – Good visualization of nerve & ligament – Fewer complications – Re-operations are rare – Grip strength recovery in 3 months – Pinch strength recovers in 6w Median Nerve Transverse Carpal Ligament
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The Numb Hand James T. Mazzara, M.D
Page 3 and 4:
The Nerve • 3 Types of nerves - M
Page 5 and 6:
Toxic Nerve Damage • Lead, mercur
Page 7 and 8:
Inflammatory Nerve Damage Infectiou
Page 9 and 10:
Anatomy The nerves then pass down t
Page 11 and 12:
Sensory Nerve Anatomy This is the a
Page 13 and 14:
Types of Nerve Injury • Axonotmes
Page 15 and 16: Our Focus • Nerve compression con
Page 17 and 18: Epidemiology Carpal Tunnel Syndrome
Page 19 and 20: Contributing Factors • Work place
Page 21 and 22: Contributing Factors • Definitive
Page 23 and 24: Contributing Factors • Occupation
Page 25 and 26: Contributing Factors •Nerve compr
Page 27 and 28: •Early Phases of Compressive Neur
Page 29 and 30: Intermediate Phase • Intraneural
Page 31 and 32: Double Crush Phenomenon • 2 separ
Page 33 and 34: Clinical Presentation • Dynamic -
Page 35 and 36: Carpal Tunnel Syndrome • Anatomic
Page 37 and 38: Carpal Tunnel Syndrome • Inflamma
Page 39 and 40: Carpal Tunnel Syndrome • Position
Page 41 and 42: Carpal Tunnel Syndrome • Immobili
Page 43 and 44: Carpal Tunnel Syndrome • Phalen
Page 45 and 46: Carpal Tunnel Syndrome • Compress
Page 47 and 48: Carpal Tunnel Syndrome • 2-point
Page 49 and 50: Carpal Tunnel Syndrome • Semmes-W
Page 51 and 52: Carpal Tunnel Syndrome • Nerve co
Page 53 and 54: Carpal Tunnel Syndrome • EMG - Te
Page 55 and 56: Carpal Tunnel Syndrome • Most sen
Page 57 and 58: Carpal Tunnel Syndrome • Conserva
Page 59 and 60: Carpal Tunnel Syndrome • Injectio
Page 61 and 62: Carpal Tunnel Syndrome • Alternat
Page 63 and 64: Carpal Tunnel Release • Advanced
Page 65: Carpal Tunnel Release • Endoscopi
Page 69 and 70: Carpal Tunnel Syndrome • May be a
Page 71 and 72: Carpal Tunnel Release • Post op c
Page 73 and 74: 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 and 126:
Posterior Interosseous Nerve • Co
Page 127 and 128:
Radial Tunnel Syndrome • Pain •
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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