Carpal Tunnel Syndrome: Multimedia

References

1. American Academy of Orthopaedic Surgeons Work Group Panel. AAOS Clinical Guidelines on the Treatment of Carpal Tunnel Syndrome. AAOS Now October 2008 Issue (10/09/08). American Academy of Orthopaedic Surgeons. Available at http://www.aaos.org/news/aaosnow/oct08/clinical3.asp.. Accessed October 21, 2009.

2. Jarvik JG, Comstock BA, Kliot M, Turner JA, Chan L, Heagerty PJ, et al. Surgery versus non-surgical therapy for carpal tunnel syndrome: a randomised parallel-group trial. Lancet. Sep 26 2009;374(9695):1074-81. [Medline].

3. Gelfman R, Melton LJ 3rd, Yawn BP, Wollan PC, Amadio PC, Stevens JC. Long-term trends in carpal tunnel syndrome. Neurology. Jan 6 2009;72(1):33-41. [Medline].

4. Pomerance J, Zurakowski D, Fine I. The cost-effectiveness of nonsurgical versus surgical treatment for carpal tunnel syndrome. J Hand Surg Am. Sep 2009;34(7):1193-200. [Medline].

5. Wolf JM, Mountcastle S, Owens BD. Incidence of Carpal Tunnel Syndrome in the US Military Population. Hand (N Y). Sep 2009;4(3):289-93. [Medline].

6. Paget J. Lectures on Surgical Pathology. Philadelphia, Pa: Lindsay and Blakiston; 1854.

7. Putnam JJ. A series of cases of paraesthesia, mainly of the hand, of periodic occurence, and possibly of vaso-motor origin. Archives of Medicine (New York). 1880;4:147-162.

8. Marie P, Foix C. Atrophie isolee de l'eminence thenar d'origine nevritique: role du ligament annulaire anterieur du carpe dans la pathogenie de la lesion. Revue Neurology (Paris). 1913;26:647-649.

9. Learmonth JR. The principle of decompression in the treatment of certain diseases of peripheral nerves. Surg Clin North Am. 1933;13:905-13.

10. Atroshi I, Gummesson C, Johnsson R, et al. Prevalence of carpal tunnel syndrome in a general population. JAMA. Jul 14 1999;282(2):153-8. [Medline]. [Full Text].

11. Roquelaure Y, Ha C, Pelier-Cady MC, et al. Work increases the incidence of carpal tunnel syndrome in the general population. Muscle Nerve. Jan 30 2008;[Medline].

12. Violante FS, Armstrong TJ, Fiorentini C, et al. Carpal tunnel syndrome and manual work: a longitudinal study. J Occup Environ Med. Nov 2007;49(11):1189-96. [Medline].

13. Lundborg G, Dahlin LB. The pathophysiology of nerve compression. Hand Clin. May 1992;8(2):215-27. [Medline].

14. Gelberman RH, Hergenroeder PT, Hargens AR, et al. The carpal tunnel syndrome. A study of carpal canal pressures. J Bone Joint Surg Am. Mar 1981;63(3):380-3. [Medline].

15. Gelberman RH, Szabo RM, Williamson RV, et al. Tissue pressure threshold for peripheral nerve viability. Clin Orthop Relat Res. Sep 1983;(178):285-91. [Medline].

16. Rydevik B, Lundborg G, Bagge U. Effects of graded compression on intraneural blood flow. An in vivo study on rabbit tibial nerve. J Hand Surg [Am]. Jan 1981;6(1):3-12. [Medline].

17. Ferry S, Hannaford P, Warskyj M, et al. Carpal tunnel syndrome: a nested case-control study of risk factors in women. Am J Epidemiol. Mar 15 2000;151(6):566-74. [Medline]. [Full Text].

18. Fuchs PC, Nathan PA, Myers LD. Synovial histology in carpal tunnel syndrome. J Hand Surg [Am]. Jul 1991;16(4):753-8. [Medline].

19. Naranjo A, Ojeda S, Mendoza D, et al. What is the diagnostic value of ultrasonography compared to physical evaluation in patients with idiopathic carpal tunnel syndrome?. Clin Exp Rheumatol. Nov-Dec 2007;25(6):853-9. [Medline].

20. Cobb TK, Dalley BK, Posteraro RH, et al. Anatomy of the flexor retinaculum. J Hand Surg [Am]. Jan 1993;18(1):91-9. [Medline].

21. Bessette L, Keller RB, Liang MH, et al. Patients' preferences and their relationship with satisfaction following carpal tunnel release. J Hand Surg [Am]. Jul 1997;22(4):613-20. [Medline].

22. Bindra RR, Evanoff BA, Chough LY, et al. The use of routine wrist radiography in the evaluation of patients with carpal tunnel syndrome. J Hand Surg [Am]. Jan 1997;22(1):115-9. [Medline].

23. Emad MR, Najafi SH, Sepehrian MH. The effect of provocative tests on electrodiagnosis criteria in clinical carpal tunnel syndrome. J Electromyogr Kinesiol. Aug 11 2009;[Medline].

24. Kwon BC, Jung KI, Baek GH. Comparison of sonography and electrodiagnostic testing in the diagnosis of carpal tunnel syndrome. J Hand Surg [Am]. Jan 2008;33(1):65-71. [Medline].

25. Lo JK, Finestone HM, Gilbert K. Prospective evaluation of the clinical prediction of electrodiagnostic results in carpal tunnel syndrome. PM R. Jul 2009;1(7):612-9. [Medline].

26. Gelberman RH, Aronson D, Weisman MH. Carpal-tunnel syndrome. Results of a prospective trial of steroid injection and splinting. J Bone Joint Surg [Am]. Oct 1980;62(7):1181-4. [Medline].

27. Dammers JW, Veering MM, Vermeulen M. Injection with methylprednisolone proximal to the carpal tunnel: randomised double blind trial. BMJ. Oct 2 1999;319(7214):884-6. [Medline]. [Full Text].

28. Hamamoto Filho PT, Leite FV, Ruiz T, Resende LA. A systematic review of anti-inflammatories for mild to moderate carpal tunnel syndrome. J Clin Neuromuscul Dis. Sep 2009;11(1):22-30. [Medline].

29. Yang CP, Hsieh CL, Wang NH, Li TC, Hwang KL, Yu SC, et al. Acupuncture in patients with carpal tunnel syndrome: A randomized controlled trial. Clin J Pain. May 2009;25(4):327-33. [Medline].

30. Agee JM, McCarroll HR Jr, Tortosa RD, et al. Endoscopic release of the carpal tunnel: a randomized prospective multicenter study. J Hand Surg [Am]. Nov 1992;17(6):987-95. [Medline].

31. Chow JC. Endoscopic carpal tunnel release. Two-portal technique. Hand Clin. Nov 1994;10(4):637-46. [Medline].

32. Proubasta IR, Lluch A, Lamas CG, et al. "Fat pad" and "little finger pulp" signs are good indicators of proper release of carpal tunnel. Neurosurgery. Oct 2007;61(4):810-3; discussion 813-4. [Medline].

33. Adams BD. Endoscopic carpal tunnel release. J Am Acad Orthop Surg. May 1994;2(3):179-184. [Medline].

34. Agee JM, McCarroll HR, North ER. Endoscopic carpal tunnel release using the single proximal incision technique. Hand Clin. Nov 1994;10(4):647-59. [Medline].

35. Bozentka DJ, Osterman AL. Complications of endoscopic carpal tunnel release. Hand Clin. Feb 1995;11(1):91-5. [Medline].

36. Brown RA, Gelberman RH, Seiler JG 3rd, et al. Carpal tunnel release. A prospective, randomized assessment of open and endoscopic methods. J Bone Joint Surg Am. Sep 1993;75(9):1265-75. [Medline].

37. Cook AC, Szabo RM, Birkholz SW, et al. Early mobilization following carpal tunnel release. A prospective randomized study. J Hand Surg [Br]. Apr 1995;20(2):228-30. [Medline].

38. de Krom MC, Knipschild PG, Kester AD, et al. Carpal tunnel syndrome: prevalence in the general population. J Clin Epidemiol. Apr 1992;45(4):373-6. [Medline].

39. Feinstein PA. Endoscopic carpal tunnel release in a community-based series. J Hand Surg [Am]. May 1993;18(3):451-4. [Medline].

40. Garcia-Elias M, Sanchez-Freijo JM, Salo JM, et al. Dynamic changes of the transverse carpal arch during flexion-extension of the wrist: effects of sectioning the transverse carpal ligament. J Hand Surg [Am]. Nov 1992;17(6):1017-9. [Medline].

41. Gelberman RH, Szabo RM, Williamson RV, et al. Sensibility testing in peripheral-nerve compression syndromes. An experimental study in humans. J Bone Joint Surg Am. Jun 1983;65(5):632-8. [Medline].

42. Kerr CD, Sybert DR, Albarracin NS. An analysis of the flexor synovium in idiopathic carpal tunnel syndrome: report of 625 cases. J Hand Surg [Am]. Nov 1992;17(6):1028-30. [Medline].

43. Kline SC, Moore JR. The transverse carpal ligament. An important component of the digital flexor pulley system. J Bone Joint Surg Am. Dec 1992;74(10):1478-85. [Medline].

44. Kyle RA, Eilers SG, Linscheid RL, et al. Amyloid localized to tenosynovium at carpal tunnel release. Natural history of 124 cases. Am J Clin Pathol. Apr 1989;91(4):393-7. [Medline].

45. Lanz U. Anatomical variations of the median nerve in the carpal tunnel. J Hand Surg [Am]. Jan 1977;2(1):44-53. [Medline].

46. Lister GD. Ergonomic disorders. J Hand Surg [Am]. May 1995;20(3):353. [Medline].

47. Louis DS, Greene TL, Noellert RC. Complications of carpal tunnel surgery. J Neurosurg. Mar 1985;62(3):352-6. [Medline].

48. Lundborg G, Rydevik B. Effects of stretching the tibial nerve of the rabbit. A preliminary study of the intraneural circulation and the barrier function of the perineurium. J Bone Joint Surg [Br]. May 1973;55(2):390-401. [Medline]. [Full Text].

49. Nathan PA, Meadows KD, Doyle LS. Relationship of age and sex to sensory conduction of the median nerve at the carpal tunnel and association of slowed conduction with symptoms. Muscle Nerve. Nov 1988;11(11):1149-53. [Medline].

50. Nathan PA, Meadows KD, Keniston RC. Rehabilitation of carpal tunnel surgery patients using a short surgical incision and an early program of physical therapy. J Hand Surg [Am]. Nov 1993;18(6):1044-50. [Medline].

51. Padua L, Padua R, Aprile, et al. Italian multicentre study of carpal tunnel syndrome. Differences in the clinical and neurophysiological features between male and female patients. J Hand Surg [Br]. Oct 1999;24(5):579-82. [Medline].

52. Palmer AK, Toivonen DA. Complications of endoscopic and open carpal tunnel release. J Hand Surg [Am]. May 1999;24(3):561-5. [Medline].

53. Pfeffer GB, Gelberman RH, Boyes JH, et al. The history of carpal tunnel syndrome. J Hand Surg [Br]. Feb 1988;13(1):28-34. [Medline].

54. Richman JA, Gelberman RH, Rydevik BL. Carpal tunnel syndrome: morphologic changes after release of the transverse carpal ligament. J Hand Surg [Am]. Sep 1989;14(5):852-7. [Medline].

55. Rowland EB, Kleinert JM. Endoscopic carpal-tunnel release in cadavera. An investigation of the results of twelve surgeons with this training model. J Bone Joint Surg Am. Feb 1994;76(2):266-8. [Medline].

56. Stevens JC, Smith BE, Weaver AL, et al. Symptoms of 100 patients with electromyographically verified carpal tunnel syndrome. Muscle Nerve. Oct 1999;22(10):1448-56. [Medline].

57. Vender MI, Kasdan ML, Truppa KL. Upper extremity disorders: a literature review to determine work-relatedness. J Hand Surg [Am]. Jul 1995;20(4):534-41. [Medline].

58. Young VL, Logan SE, Fernando B, et al. Grip strength before and after carpal tunnel decompression. South Med J. Sep 1992;85(9):897-900. [Medline].

Further Reading

Related eMedicine topics

Carpal Tunnel Syndrome (Emergency Medicine)

Steroid Injection, Carpal Tunnel (Clinical Procedures)

Carpal Tunnel Syndrome (Physical Medicine and Rehabilitation)

Carpal Tunnel Syndrome (Radiology)

Carpal Bone Injuries

Clinical guidelines

American Academy of Orthopaedic Surgeons clinical practice guideline on the treatment of carpal tunnel syndrome.
American Academy of Orthopaedic Surgeons - Medical Specialty Society. 2008 Sep. 76 pages. NGC:006751

American Academy of Orthopaedic Surgeons clinical guideline on diagnosis of carpal tunnel syndrome.
American Academy of Orthopaedic Surgeons - Medical Specialty Society. 2007 May 19. 72 pages. NGC:005664

Forearm, wrist and hand complaints.
American College of Occupational and Environmental Medicine - Medical Specialty Society. 1997 (revised 2004). 34 pages. NGC:004754

Clinical trials

Post-Operative Mobilization for Carpal Tunnel Syndrome

Effect of Lumbrical Stretching on Carpal Tunnel Syndrome

Early Motion Following Carpal Tunnel Release

Keywords

carpal tunnel syndrome, carpel tunnel syndrome, carpal tunnel surgery, carpal, carpal tunnel, repetitive stress injury, cumulative trauma disorder, median nerve entrapment, median neuropathy, mononeuropathy, nerve compression syndrome, CTS, median nerve compression at the wrist, double crush syndrome, carpal canal, median nerve

Contributor Information and Disclosures

Author

David A Fuller, MD, Assistant Professor of Surgery, Director of Hand Surgery, University of Medicine and Dentistry of New Jersey, Cooper University Hospital
David A Fuller, MD is a member of the following medical societies: American Academy of Orthopaedic Surgeons, American Medical Association, Pennsylvania Orthopaedic Society, and Phi Beta Kappa
Disclosure: Nothing to disclose.

Medical Editor

Michael S Clarke, MD, Clinical Associate Professor, Department of Orthopedic Surgery, University of Missouri-Columbia School of Medicine
Michael S Clarke, MD is a member of the following medical societies: American Academy of Orthopaedic Surgeons, American Academy of Pediatrics, American Association for Hand Surgery, American College of Surgeons, American Medical Association, Arthroscopy Association of North America, Clinical Orthopaedic Society, Mid-Central States Orthopaedic Society, and Missouri State Medical Association
Disclosure: Nothing to disclose.

Pharmacy Editor

Francisco Talavera, PharmD, PhD, Senior Pharmacy Editor, eMedicine
Disclosure: eMedicine Salary Employment

Managing Editor

Thomas R Hunt III, MD, John D Sherrill Professor and Director of Orthopaedic Surgery, Surgeon in Chief of UAB Highlands Hospital, Director of Hand and Upper Extremity Fellowship, University of Alabama at Birmingham
Thomas R Hunt III, MD is a member of the following medical societies: American Academy of Orthopaedic Surgeons, American Association for Hand Surgery, American Orthopaedic Association, American Orthopaedic Society for Sports Medicine, American Society for Surgery of the Hand, AO Foundation, Mid-America Orthopaedic Association, and Southern Orthopaedic Association
Disclosure: Tornier Consulting fee Review panel membership; Tornier Royalty None; Tornier Ownership interest None

CME Editor

Dinesh Patel, MD, FACS, Associate Clinical Professor of Orthopedic Surgery, Harvard Medical School; Chief of Arthroscopic Surgery, Department of Orthopedic Surgery, Massachusetts General Hospital
Dinesh Patel, MD, FACS is a member of the following medical societies: American Academy of Orthopaedic Surgeons, American Association of Physicians of Indian Origin, American College of International Physicians, and American College of Surgeons
Disclosure: Nothing to disclose.

Chief Editor

Harris Gellman, MD, Consulting Surgeon, Broward Hand Center; Voluntary Clinical Professor of Orthopedic Surgery and Plastic Surgery, Departments of Orthopedic Surgery and Surgery, University of Miami School of Medicine
Harris Gellman, MD is a member of the following medical societies: American Academy of Medical Acupuncture, American Academy of Orthopaedic Surgeons, American Orthopaedic Association, American Society for Surgery of the Hand, and Arkansas Medical Society
Disclosure: Nothing to disclose.