Carpal Tunnel Syndrome and Other Disorders of the Median Nerve

Carpal Tunnel Syndrome and Other Disorders of the Median Nerve

Paperback(REV)

$124.00

Product Details

ISBN-13: 9780750673143
Publisher: Elsevier Health Sciences
Publication date: 05/06/2002
Edition description: REV
Pages: 464
Product dimensions: 7.20(w) x 10.12(h) x 1.19(d)

Table of Contents

Forewordxiii
Prefacexv
Acknowledgmentsxix
1.Anatomy of the Median Nerve1
Median Nerve Formation1
Median Nerve Branches2
Topographic Relationships12
Intraneural Anatomy17
Vascular Supply of the Median Nerve19
Variations of Median Nerve Branching20
2.Historical Understanding of Carpal Tunnel Syndrome27
Median Neuropathy after Wrist Fracture27
Thenar Atrophy28
Acroparesthesias28
Surgery for Carpal Tunnel Syndrome29
3.Carpal Tunnel Syndrome: Clinical Presentation31
Symptoms31
Examination36
Epidemiology45
Definition and Diagnostic Criterion Standards for Carpal Tunnel Syndrome48
Clinical Classification of Carpal Tunnel Syndrome49
4.Differential Diagnosis of Carpal Tunnel Syndrome55
Neurologic Differential Diagnosis55
Non-Neurologic Differential Diagnosis60
Summary64
5.Carpal Tunnel Syndrome with Other Medical Conditions: Part I67
Carpal Canal Stenosis68
Deformities of the Carpal Canal69
Connective Tissue Diseases69
Endocrinopathies73
6.Carpal Tunnel Syndrome with Other Medical Conditions: Part II85
Amyloidosis85
Disorders of Peripheral Nerve89
Infectious Diseases92
Anomalous Canal Contents or Masses94
Obesity98
Other Personal Factors99
Delayed Effects of Trauma101
Genetic Considerations103
Carpal Tunnel Syndrome in Children104
Medication Side Effects105
Screening105
Summary106
7.Electrodiagnostic Methods for Evaluation of Carpal Tunnel Syndrome119
History of Electrodiagnosis of Carpal Tunnel Syndrome119
Electrodiagnostic Methods119
To Be Continued143
8.Interpretation of Electrodiagnostic Findings149
Importance of Clinical Setting149
Personal Factors Affecting Nerve Conduction149
Test Sensitivity in Carpal Tunnel Syndrome153
Test Specificity for Carpal Tunnel Syndrome154
Choice of Normal Control Values156
Results in Patients with Co-Existent Neuropathy157
Receiver Operating Characteristic Curves158
Clinical Electrodiagnostic Correlation159
Electrodiagnosis and Response to Therapy160
Electrodiagnostic Caveats162
Testing in Suspected Carpal Tunnel Syndrome164
9.Quantitative Sensory Testing169
Quantitative Sensory Thermotesting169
Vibration Sense and Vibrametry172
Current Perception Thresholds in Carpal Tunnel Syndrome174
10.Thermography177
Abnormal Patterns177
Objective Thermographic Delineation of Cutaneous Innervations179
Thermography and Positive Sensory Symptoms179
Thermography in Carpal Tunnel Syndrome179
11.Imaging the Carpal Tunnel and Median Nerve183
Wrist Radiography183
Hand Radiography183
Computed Tomographic Scanning183
Magnetic Resonance Imaging Scanning185
Ultrasonography188
Summary: Diagnostic Value of Imaging in Evaluation of Suspected Carpal Tunnel Syndrome189
12.Acute and Chronic Mechanical Nerve Injury: Pathologic, Physiologic, and Clinical Correlations193
Acute Ischemia and Nerve Fiber Dysfunction193
Pathophysiology of Vasa Nervorum196
Acute Ischemia and Nerve Infarction196
Chronic Ischemia and Nerve Pathology196
Acute Severe Local Mechanical Trauma to Nerve197
Percussion Injury198
Neurapraxia199
Chronic Nerve Entrapment205
Tinel's Sign in Carpal Tunnel Syndrome210
Renaut Bodies212
Some Pathologic, Physiologic, and Clinical Correlations in Chronic Nerve Entrapment213
Pressure Studies213
13.Activity, Occupation, and Carpal Tunnel Syndrome219
Historical Background220
Epidemiology220
Biological Plausibility228
Occupational Examples231
Clinical Care of the Worker Who Has Carpal Tunnel Syndrome233
Prevention of Occupational Carpal Tunnel Syndrome235
Summary237
14.Nonsurgical Treatment of Carpal Tunnel Syndrome245
Choice of Therapy245
Initial Nonoperative Treatment247
Splinting247
Oral Anti-Inflammatory Drugs, Diuretics, and Anticonvulsants249
Steroid Injection into the Carpal Tunnel250
Manipulative Therapy253
New Therapeutic Alternatives253
Pyridoxine (Vitamin B[subscript 6])255
Summary256
15.Surgical Treatment of Carpal Tunnel Syndrome261
Technique261
Results of Carpal Tunnel Surgery269
Prognostic Factors279
Analysis of Unsatisfactory Surgical Results281
Summary291
16.Median Nerve "Causalgia," "Reflex Sympathetic Dystrophy," and "Complex Regional Pain Syndrome"303
Historical Concepts and Terminology303
Sensory Pathophysiology in Neuropathy306
Role of the Sympathetic Nervous System308
Animal Models309
Psychological Factors309
Pseudoneuropathy309
Patient Evaluation310
Three Clinical Cases of "Causalgia-Reflex Sympathetic Dystrophy--Complex Regional Pain Syndrome"311
17.Median Neuropathy Proximal to the Carpal Tunnel317
Median Neuropathy in the Distal Forearm317
Median Neuropathy in the Antecubital Space and Proximal Forearm327
Median Neuropathy in the Axilla338
Summary339
18.Median Neuropathy Distal to the Carpal Tunnel347
Digital Nerves347
Terminal Motor Branches349
19.Tumors of the Median Nerve353
Neurilemmoma353
Neurofibroma353
Neurofibromatosis354
Malignant Peripheral Nerve Tumors355
Fatty Nerve Tumors355
Vascular Tumors357
Intraneural Mucoid Cysts357
Digital Nerve Tumors357
Localized Hypertrophic Neuropathy (Intraneural Perineurioma)358
Metastatic Tumor358
Infection Mistaken for Tumor358
Tumor Imaging359
Conclusion359
Index363

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