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[PMID]:29182131
[Au] Autor:Begovic N; Paunovic Z; Djuraskovic Z; Lazovic L; Mijovic T; Babic S
[Ti] Título:Lateral pinning versus others procedures in the treatment of supracondylar humerus fractures in children.
[So] Source:Acta Orthop Belg;82(4):866-871, 2016 Dec.
[Is] ISSN:0001-6462
[Cp] País de publicação:Belgium
[La] Idioma:eng
[Ab] Resumo:We compared results of lateral pinning procedure with crossed pinning, closed reduction, and open reduction in a retrospective review of 184 patients with displaced supracondylar humeral fractures. All patients had a minimum of 2 years follow-up (range 36-90 months). Patients were separated into 4 groups. Success was estimated by Flynn's criteria. We compared success of the lateral pinning to others procedures. Incidence of nerve palsy was recorded and compared. Esthetic effect of lateral pinning is significantly better than closed reduction (p=0.0007), but no significant difference was found comparing with cross pinning and open reduction. Elbow function was similar. Cross pinning procedure was followed with ulnar nerve palsy in ten patients (20.8%). There was 1 case (5%) of combined nerve palsy including ulnar, median and radial nerve after open reduction procedure. Lateral pinning is safe and effective method of therapy for Gartland type II and III supracondylar humeral fractures.
[Mh] Termos MeSH primário: Pinos Ortopédicos
Articulação do Cotovelo/lesões
Fixação Interna de Fraturas/métodos
Fraturas do Úmero/cirurgia
Doenças do Sistema Nervoso Periférico/epidemiologia
Complicações Pós-Operatórias/epidemiologia
[Mh] Termos MeSH secundário: Adolescente
Criança
Pré-Escolar
Redução Fechada/métodos
Articulação do Cotovelo/cirurgia
Feminino
Seres Humanos
Incidência
Masculino
Neuropatia Mediana/epidemiologia
Redução Aberta/métodos
Neuropatia Radial/epidemiologia
Estudos Retrospectivos
Neuropatias Ulnares/epidemiologia
[Pt] Tipo de publicação:COMPARATIVE STUDY; JOURNAL ARTICLE
[Em] Mês de entrada:1712
[Cu] Atualização por classe:171228
[Lr] Data última revisão:
171228
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:171129
[St] Status:MEDLINE


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[PMID]:28222457
[Au] Autor:Rahnama-Moghadam S; Motazedi T; Krejci-Manwaring J
[Ad] Endereço:Indiana University, Indianapolis, IN, USA. Email: srahnama@iupui.edu.
[Ti] Título:Hemodialysis patient with finger ulcerations.
[So] Source:J Fam Pract;66(2):107-110, 2017 Feb.
[Is] ISSN:1533-7294
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:The patient reported pain and paresthesias of his left ring finger, and his left hand was cooler than his right. An angiogram helped us recognize the cause of his symptoms.
[Mh] Termos MeSH primário: Fístula Arteriovenosa/complicações
Constrição Patológica/cirurgia
Gangrena/cirurgia
Neuropatia Mediana/cirurgia
Parestesia/etiologia
Diálise Renal/efeitos adversos
Úlcera/etiologia
[Mh] Termos MeSH secundário: Amputação
Artéria Braquial/fisiopatologia
Constrição Patológica/diagnóstico
Dedos
Gangrena/etiologia
Seres Humanos
Falência Renal Crônica/terapia
Masculino
Neuropatia Mediana/etiologia
Meia-Idade
Resultado do Tratamento
[Pt] Tipo de publicação:CASE REPORTS
[Em] Mês de entrada:1706
[Cu] Atualização por classe:170619
[Lr] Data última revisão:
170619
[Sb] Subgrupo de revista:AIM; IM
[Da] Data de entrada para processamento:170222
[St] Status:MEDLINE


  3 / 411 MEDLINE  
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[PMID]:28099278
[Au] Autor:Worobel MA; Alexander B; Hirsch M; Nguyen V
[Ad] Endereço:From the Carolinas Medical Center, Carolinas Rehabilitation, Department of Physical Medicine and Rehabilitation, Charlotte, North Carolina.
[Ti] Título:Recurrent Median Nerve Injury in a Weight Lifter.
[So] Source:Am J Phys Med Rehabil;96(2):e20-e23, 2017 Feb.
[Is] ISSN:1537-7385
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:Recurrent median neuropathy is an uncommon injury that can be commonly mistaken for other pathological causes. It is important to be aware of the potential causes and symptoms of injury as delay in diagnosis can lead to permanent decrease in hand function and disability. This case is a description of a 33-year-old male patient who previously presented with radicular symptoms and had complete resolution of his pain after a C7 selective nerve root block. Several months after presentation, he developed significant thenar atrophy, localized pain, and weakness associated with weight lifting activities. He was originally diagnosed with a recurrence of his C7 symptoms and a wrist sprain and was treated with a prednisone taper and wrist splint. After no improvement, he was referred to a physiatrist at an outpatient orthopedic clinic where he was examined and found to have a recurrent median neuropathy on electrodiagnostic studies. A left hand MRI was ordered which demonstrated no anatomical evidence of a compressive nerve lesion, and it was concluded that his injury was secondary to direct compression from high intensity weight lifting.
[Mh] Termos MeSH primário: Neuropatia Mediana/diagnóstico
Neuropatia Mediana/etiologia
Levantamento de Peso/lesões
[Mh] Termos MeSH secundário: Adulto
Seres Humanos
Masculino
Neuropatia Mediana/terapia
Recidiva
[Pt] Tipo de publicação:CASE REPORTS; JOURNAL ARTICLE
[Em] Mês de entrada:1708
[Cu] Atualização por classe:170804
[Lr] Data última revisão:
170804
[Sb] Subgrupo de revista:AIM; IM
[Da] Data de entrada para processamento:170119
[St] Status:MEDLINE
[do] DOI:10.1097/PHM.0000000000000555


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[PMID]:28077485
[Au] Autor:Macneal P; Crome CR; McNally S
[Ad] Endereço:King's College London, London, UK.
[Ti] Título:Persistent anterior interosseous nerve palsy following forearm crutch use.
[So] Source:BMJ Case Rep;2017, 2017 Jan 11.
[Is] ISSN:1757-790X
[Cp] País de publicação:England
[La] Idioma:eng
[Ab] Resumo:A 43-year-old man presented with weakness of the interphalageal joint of his right thumb following the use of forearm crutches. On examination he was unable to oppose his thumb and index finger to form the 'ok' sign. Nerve conduction showed anterior interosseous nerve (AIN) damage along its path to the flexor pollicis longus. The patient was managed conservatively with little clinical improvement seen at 4 months. AIN palsies are very rare and account for <1% of all upper limb lesions. Although AIN palsies resulting from other causes such as surgery and blunt trauma are more common, we report the second case of AIN palsy following crutch use, and the first case in which clinical identification was confirmed using electrodiagnosis. Usual clinical practice recommends a prolonged period of conservative management with surgical management withheld for a minimum of 12 months. Correct crutch fitting and early identification of signs of associated injuries are of paramount importance.
[Mh] Termos MeSH primário: Muletas/efeitos adversos
Neuropatia Mediana/etiologia
Síndromes de Compressão Nervosa/etiologia
[Mh] Termos MeSH secundário: Adulto
Antebraço
Seres Humanos
Masculino
[Pt] Tipo de publicação:CASE REPORTS; JOURNAL ARTICLE
[Em] Mês de entrada:1703
[Cu] Atualização por classe:170309
[Lr] Data última revisão:
170309
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170113
[St] Status:MEDLINE


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[PMID]:27902538
[Au] Autor:Strohl AB; Zelouf DS
[Ad] Endereço:From the Philadelphia Hand Center (Dr. Strohl), and the Thomas Jefferson University Hospital, Philadelphia, PA (Dr. Zelouf).
[Ti] Título:Ulnar Tunnel Syndrome, Radial Tunnel Syndrome, Anterior Interosseous Nerve Syndrome, and Pronator Syndrome.
[So] Source:J Am Acad Orthop Surg;25(1):e1-e10, 2017 Jan.
[Is] ISSN:1940-5480
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:In addition to the more common carpal tunnel and cubital tunnel syndromes, orthopaedic surgeons must recognize and manage other potential sites of peripheral nerve compression. The distal ulnar nerve may become compressed as it travels through the wrist, which is known as ulnar tunnel or Guyon canal syndrome. The posterior interosseous nerve may become entrapped in the proximal forearm as it travels through the radial tunnel, which results in a pain syndrome without motor weakness. The median nerve may become entrapped in the proximal forearm, which can result in a variety of symptoms. Spontaneous neuropathy of the anterior interosseous nerve of the median nerve can be observed without external compression. Electrodiagnostic and imaging studies may aid surgeons in the diagnosis of these syndromes; however, a thorough physical examination is paramount to localize compressed segments of these nerves. An understanding of the anatomy of each of these nerve areas allows practitioners to appreciate a patient's clinical findings and helps guide surgical decompression.
[Mh] Termos MeSH primário: Neuropatia Mediana
Síndromes de Compressão Nervosa
Neuropatia Radial
Síndromes de Compressão do Nervo Ulnar
[Mh] Termos MeSH secundário: Descompressão Cirúrgica/métodos
Antebraço/inervação
Seres Humanos
Nervo Mediano/fisiopatologia
Neuropatia Mediana/diagnóstico
Neuropatia Mediana/cirurgia
Síndromes de Compressão Nervosa/diagnóstico
Síndromes de Compressão Nervosa/cirurgia
Exame Físico
Neuropatia Radial/diagnóstico
Neuropatia Radial/cirurgia
Nervo Ulnar/fisiopatologia
Síndromes de Compressão do Nervo Ulnar/diagnóstico
Síndromes de Compressão do Nervo Ulnar/cirurgia
Punho/inervação
[Pt] Tipo de publicação:LECTURES
[Em] Mês de entrada:1707
[Cu] Atualização por classe:170817
[Lr] Data última revisão:
170817
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:161201
[St] Status:MEDLINE
[do] DOI:10.5435/JAAOS-D-16-00010


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[PMID]:27894853
[Au] Autor:Hsiao CW; Shih JT; Hung ST
[Ad] Endereço:Department of Orthopedic Surgery, Taoyuan Armed Forces General Hospital, Taoyuan, Taiwan; National Defense Medical Center, Taipei, Taiwan. Electronic address: navygun@kimo.com.
[Ti] Título:Concurrent carpal tunnel syndrome and pronator syndrome: A retrospective study of 21 cases.
[So] Source:Orthop Traumatol Surg Res;103(1):101-103, 2017 Feb.
[Is] ISSN:1877-0568
[Cp] País de publicação:France
[La] Idioma:eng
[Ab] Resumo:PURPOSE: Concurrent carpal tunnel syndrome and pronator syndrome are rarely considered and the proximal compression sites are easily overlooked. We retrospectively studied 21 concurrent cases in our series from 2009 to 2015 and report the results. PATIENTS AND METHODS: The typical symptoms were pain, tingling, and numbness of the radial 3½ digits. If paresthesia involved the thenar eminence and proximal forearm pain was noted in cases of carpal tunnel syndrome, carpal tunnel syndrome combined with pronator syndrome was considered. Additionally, nocturnal paresthesia symptoms are absent in pronator syndrome. Therefore, if nocturnal symptoms occurred in pronator syndrome, carpal tunnel syndrome was considered. We included concurrent carpal tunnel syndrome and pronator syndrome. We used arthroscopic release of the transverse carpal ligament and open decompression for the pronator teres in cases that underwent surgery for the first time. However, recurrent carpal tunnel cases were treated with the open carpal tunnel release and open pronator decompression procedure in our hospital. The two-point discrimination was used for evaluation of sensory deficit. The grip and pinch (thumb tip to index) strength were measured by dynamometry and pinch gauge respectively. RESULTS: We retrospectively reviewed 344 cases of sustained carpal tunnel syndrome or pronator syndrome from the medical records of our institution. Of the 344 cases, 322 involved carpal tunnel syndrome alone, 1 involved pronator syndrome alone, and 21 involved carpal tunnel syndrome combined with pronator syndrome. The 21 cases of carpal tunnel syndrome combined with pronator syndrome were included in our study. Among the total cases of carpal tunnel syndrome, 6% (21/343) had pronator syndrome. The patients included 3 men and 18 women with a mean age of 52 years (range: 42-69 years). Electromyography (EMG) and nerve conduction studies were routinely performed. Postoperative evaluation showed that 15 out of 21 patients (71%) were completely relieved of pain and paresthesia and had no sensory deficit, satisfied strength improved (>85% of the opposite hand). Six patients (29%) had occasional paresthesia and pain, but no sensory deficit; grip and pinch strength deficit were recorded (<50% of the opposite hand). Six cases of these partially relieved patients had recurrent carpal tunnel syndrome but no one needed to perform tendon transfer for thenar muscle atrophy. CONCLUSION: It is important to consider the diagnosis of double crush syndrome of the median nerve, as carpal tunnel syndrome combined with pronator syndrome may impede treatment of the carpal tunnel syndrome.
[Mh] Termos MeSH primário: Síndrome do Túnel Carpal/cirurgia
Neuropatia Mediana/cirurgia
[Mh] Termos MeSH secundário: Adulto
Idoso
Artroscopia
Síndrome do Túnel Carpal/complicações
Descompressão Cirúrgica
Feminino
Força da Mão
Seres Humanos
Ligamentos Articulares/cirurgia
Masculino
Neuropatia Mediana/complicações
Meia-Idade
Parestesia/etiologia
Parestesia/cirurgia
Estudos Retrospectivos
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1710
[Cu] Atualização por classe:171025
[Lr] Data última revisão:
171025
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:161130
[St] Status:MEDLINE


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[PMID]:27981288
[Au] Autor:Giasna GK; Micu MC; Micu R
[Ad] Endereço:Department of Sports Medicine and physiology, University of Medicine, 69 Svetozara Markovica Street, 34000 Kragujevac, Serbia, Private Office, 10 Solomou Street, 60132 Katerini, Greece.
[Ti] Título:Schwannoma of the median nerve mimicking carpal tunnel syndrome in a pregnant patient. Case report.
[So] Source:Med Ultrason;18(4):521-523, 2016 Dec 05.
[Is] ISSN:2066-8643
[Cp] País de publicação:Romania
[La] Idioma:eng
[Ab] Resumo:In patients with symptoms of a peripheral neuropathy especially during pregnancy, use of imaging techniques such as Ultrasound (US) and Magnetic Resonance Imaging (MRI) may be essential for the diagnostic accomplishment. A 30-weekspregnant diabetic female attending US evaluation due to intermittent hand pain, numbness, and weakness bilaterally. Although, the US evaluation revealed the median nerve (MN) normal size, echogenicity and echo-texture within the right carpal tunnel; the US assessment applied proximally to the carpal tunnel, revealed a hypoechoic tumor-like mass and increased MN cross section area. In transverse view, the MN was detected as an eccentric, hypoechoic structure compressed by the aforementioned mass. A presence of MN schwannoma or neurofibroma was suspected. US has been proved to be extremely useful to determine location, extent as well as the type of nerve lesion.
[Mh] Termos MeSH primário: Síndrome do Túnel Carpal/diagnóstico por imagem
Neuropatia Mediana/diagnóstico por imagem
Neurilemoma/diagnóstico por imagem
Neoplasias do Sistema Nervoso Periférico/diagnóstico por imagem
Complicações Neoplásicas na Gravidez/diagnóstico por imagem
[Mh] Termos MeSH secundário: Diagnóstico Diferencial
Feminino
Seres Humanos
Imagem por Ressonância Magnética/métodos
Gravidez
Ultrassonografia/métodos
[Pt] Tipo de publicação:CASE REPORTS
[Em] Mês de entrada:1708
[Cu] Atualização por classe:170818
[Lr] Data última revisão:
170818
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:161217
[St] Status:MEDLINE
[do] DOI:10.11152/mu-883


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[PMID]:27929556
[Au] Autor:Kjærvik C; Kvernmo HD; Bågenholm A; Løseth S
[Ad] Endereço:Nordlandssykehuset Vesterålen.
[Ti] Título:Nerve tumour of the wrist.
[Ti] Título:En nervetumor ved håndleddet..
[So] Source:Tidsskr Nor Laegeforen;136(22):1899, 2016 Dec.
[Is] ISSN:0807-7096
[Cp] País de publicação:Norway
[La] Idioma:eng; nor
[Mh] Termos MeSH primário: Hamartoma/patologia
Lipoma/patologia
[Mh] Termos MeSH secundário: Adolescente
Feminino
Hamartoma/complicações
Hamartoma/diagnóstico
Hamartoma/cirurgia
Seres Humanos
Lipoma/complicações
Lipoma/diagnóstico
Lipoma/cirurgia
Neuropatia Mediana/diagnóstico
Neuropatia Mediana/etiologia
Neuropatia Mediana/patologia
Neuropatia Mediana/cirurgia
[Pt] Tipo de publicação:CASE REPORTS
[Em] Mês de entrada:1703
[Cu] Atualização por classe:170817
[Lr] Data última revisão:
170817
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:161209
[St] Status:MEDLINE


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[PMID]:27843079
[Au] Autor:Gurses IA; Altinel L; Gayretli O; Akgul T; Uzun I; Dikici F
[Ad] Endereço:Department of Anatomy, Istanbul Faculty of Medicine, Istanbul University, Millet Caddesi, 34093 Istanbul, Turkey. Electronic address: iagurses@gmail.com.
[Ti] Título:Morphology and morphometry of the ulnar head of the pronator teres muscle in relation to median nerve compression at the proximal forearm.
[So] Source:Orthop Traumatol Surg Res;102(8):1005-1008, 2016 Dec.
[Is] ISSN:1877-0568
[Cp] País de publicação:France
[La] Idioma:eng
[Ab] Resumo:INTRODUCTION: The pronator syndrome is a rare compression neuropathy of the median nerve. Ulnar head of the pronator teres muscle may cause compression at proximal forearm. HYPOTHESIS: Detailed morphologic and morphometric studies on the anatomy of the ulnar head of pronator teres is scarce. MATERIAL AND METHODS: We dissected 112 forearms of fresh cadavers. We evaluated the morphology and morphometry of the ulnar head of pronator teres muscle. RESULTS: The average ulnar head width was 16.3±8.2mm. The median nerve passed anterior to the ulnar head at a distance of 50.4±10.7mm from the interepicondylar line. We classified the morphology of the ulnar head into 5 types. In type 1, the ulnar head was fibromuscular in 60 forearms (53.6%). In type 2, it was muscular in 23 forearms (20.5%). In type 3, it was just a fibrotic band in 18 forearms (16.1%). In type 4, it was absent in 9 forearms (8%). In type 5, the ulnar head had two arches in 2 forearms (1.8%). In 80 forearms (71.5%: types 1, 3, and 5), the ulnar head was either fibromuscular or a fibrotic band. DISCUSSION: Although the pronator syndrome is a rare compression syndrome, the ulnar head of pronator teres is reported as the major cause of entrapment in the majority of the cases. The location of the compression of the median nerve in relation to the ulnar head of pronator teres muscle and the morphology of the ulnar head is important for open or minimally-invasive surgical treatment. TYPE OF STUDY: Sectional study. LEVEL OF EVIDENCE: Basic science study.
[Mh] Termos MeSH primário: Antebraço/anatomia & histologia
Nervo Mediano/anatomia & histologia
Neuropatia Mediana
Músculo Esquelético/anatomia & histologia
Síndromes de Compressão Nervosa
Ulna/anatomia & histologia
[Mh] Termos MeSH secundário: Cadáver
Epífises/anatomia & histologia
Feminino
Seres Humanos
Masculino
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1710
[Cu] Atualização por classe:171019
[Lr] Data última revisão:
171019
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:161116
[St] Status:MEDLINE


  10 / 411 MEDLINE  
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[PMID]:27760069
[Au] Autor:Zanette G; Lauriola MF; Tamburin S
[Ad] Endereço:*Neurology Unit, Pederzoli Hospital, Peschiera del Garda, Italy; and†Department of Neurological and Movement Sciences, University of Verona, Verona, Italy.
[Ti] Título:Electrodiagnosis of Lesions of Median and Ulnar Nerve Hand Sensory Branches: A Case Series.
[So] Source:J Clin Neurophysiol;33(5):454-457, 2016 Oct.
[Is] ISSN:1537-1603
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:INTRODUCTION: The authors have recently tested a new electrodiagnostic technique for palmar proper digital nerves sensory nerve action potentials in normal controls. Here the authors explored whether it may offer additional information in comparison to mixed nerve wrist stimulation in a series of patients. METHODS: The authors recorded palmar proper digital nerves sensory nerve action potential to selective antidromic webspace stimulation in a group of 19 patients with suspected lesions of median and ulnar nerve hand sensory branches. Coexistent carpal tunnel syndrome was present in 11 patients. RESULTS: The webspace stimulation technique offered additional information in 89% patients when compared with mixed nerve wrist stimulation. Webspace stimulation was informative even when carpal tunnel syndrome coexisted with damage to hand sensory branches and biased the interpretation of conventional wrist nerve conduction study. CONCLUSIONS: Webspace PaPDN stimulation is feasible in patients with lesion of median and ulnar nerve hand sensory branches and offer additional information in comparison with wrist-mixed nerve conduction study, also in patients with coexisting carpal tunnel syndrome.
[Mh] Termos MeSH primário: Eletrodiagnóstico/métodos
Mãos/inervação
Neuropatia Mediana/diagnóstico
Neuropatias Ulnares/diagnóstico
[Mh] Termos MeSH secundário: Potenciais de Ação/fisiologia
Adulto
Idoso
Estimulação Elétrica
Feminino
Seres Humanos
Masculino
Meia-Idade
Adulto Jovem
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1703
[Cu] Atualização por classe:170327
[Lr] Data última revisão:
170327
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:161021
[St] Status:MEDLINE



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