Prognostic factors in carpal tunnel syndrome treated with a corticosteroid injection.

Abstract:

INTRODUCTION:Symptoms often return in patients with carpal tunnel syndrome (CTS) who are treated with a local corticosteroid injection. We aimed to determine prognostic factors for a successful long-term outcome. METHODS:We prospectively followed 113 patients who received an injection for CTS. Clinical, electrophysiological, and ultrasonographic tests were done at baseline, and clinical outcome was evaluated after 1, 3, 6, and 12 months. The primary outcome measure for success was no need for additional treatment (e.g., surgery) within 1 year. RESULTS:After 1 month, most patients improved, but after 12 months 67.4% had surgery. Patients with a successful outcome had a lower median nerve ultrasonographic cross-sectional area (CSA) at the pisiform bone, a lower swelling ratio, and a lower symptom severity score. CONCLUSIONS:Less pronounced median nerve swelling measured by ultrasonography may indicate a less severe stage of CTS, which is more likely to respond to treatment with a corticosteroid injection.

journal_name

Muscle Nerve

journal_title

Muscle & nerve

authors

Meys V,Thissen S,Rozeman S,Beekman R

doi

10.1002/mus.22183

subject

Has Abstract

pub_date

2011-11-01 00:00:00

pages

763-8

issue

5

eissn

0148-639X

issn

1097-4598

journal_volume

44

pub_type

杂志文章
  • Discrimination of spinal and bulbar muscular atrophy from amyotrophic lateral sclerosis using sensory nerve action potentials.

    abstract:INTRODUCTION:Spinal and bulbar muscular atrophy (SBMA) and amyotrophic lateral sclerosis (ALS) are motor neuron diseases. Sensory impairment is sometimes observed, and electrophysiological involvement has been described in the sensory nerves of SBMA patients. We hypothesized that a sensory nerve conduction study (NCS) ...

    journal_title:Muscle & nerve

    pub_type: 杂志文章

    doi:10.1002/mus.22291

    authors: Hama T,Hirayama M,Hara T,Nakamura T,Atsuta N,Banno H,Suzuki K,Katsuno M,Tanaka F,Sobue G

    更新日期:2012-02-01 00:00:00

  • Hypothyroid myopathy with a strikingly elevated serum creatine kinase level.

    abstract::Although serum creatine kinase (CK) levels are frequently modestly elevated in patients with hypothyroid myopathy, elevations in serum CK to the levels usually seen in inflammatory myopathies or dystrophies are rare. We report a patient with progressive proximal weakness and a serum CK level of over 29,000 IU/L, in wh...

    journal_title:Muscle & nerve

    pub_type: 杂志文章

    doi:10.1002/mus.10128

    authors: Scott KR,Simmons Z,Boyer PJ

    更新日期:2002-07-01 00:00:00

  • Clinical utility of reflex studies in assessing cervical radiculopathy.

    abstract::We prospectively studied the diagnostic utility of upper limb segmental reflexes in patients with suspected cervical radiculopathy (CR). Fifty-three patients (29 men and 24 women), referred for electrodiagnostic testing, were positive for at least one of four clinical criteria for CR: abnormal (1) history, (2) motor (...

    journal_title:Muscle & nerve

    pub_type: 杂志文章

    doi:10.1002/(sici)1097-4598(199908)22:8<1075::aid-mus1

    authors: Miller TA,Pardo R,Yaworski R

    更新日期:1999-08-01 00:00:00

  • Myonuclear domains in muscle adaptation and disease.

    abstract::Adult skeletal muscle fibers are among the few cell types that are truly multinucleated. Recently, evidence has accumulated supporting a role for the modulation of myonuclear number during muscle remodeling in response to injury, adaptation, and disease. These studies have demonstrated that muscle hypertrophy is assoc...

    journal_title:Muscle & nerve

    pub_type: 杂志文章,评审

    doi:10.1002/(sici)1097-4598(199910)22:10<1350::aid-mus

    authors: Allen DL,Roy RR,Edgerton VR

    更新日期:1999-10-01 00:00:00

  • The influence of changes in the intensity of magnetic stimulation on coil output.

    abstract::We measured the peak voltage induced in a sensing loop by a Magstim 200 magnetic stimulator. Coil output varied little for repeated stimulation at the same intensity over a wide range of coil output. In contrast, the first stimulus immediately after a change in intensity was of larger amplitude and showed greater vari...

    journal_title:Muscle & nerve

    pub_type: 杂志文章

    doi:10.1002/mus.880161211

    authors: Reutens DC,MacDonell RA,Berkovic SF

    更新日期:1993-12-01 00:00:00

  • Chronic inflammatory demyelinating polyradiculoneuropathy in children: II. Long-term follow-up, with comparison to adults.

    abstract::We previously reviewed the presentation, initial clinical course, and electrodiagnostic features of children with chronic inflammatory demyelinating polyradiculoneuropathy (CIDP). We now report the long-term follow-up of 12 children with idiopathic CIDP, and compare these to 62 adults with idiopathic CIDP. Children of...

    journal_title:Muscle & nerve

    pub_type: 杂志文章

    doi:10.1002/(sici)1097-4598(199712)20:12<1569::aid-mus

    authors: Simmons Z,Wald JJ,Albers JW

    更新日期:1997-12-01 00:00:00

  • AAEM case report #24: electrodiagnosis in posttraumatic syringomyelia.

    abstract::An adult male with C-7 quadriplegia developed neck pain. Axillary F central latencies were prolonged, and MRI showed a syrinx extending to C-1. After shunting, F latencies normalized. At subsequent follow-up, a rostral syrinx persisted by magnetic resonance imaging (MRI); motor evoked potential (MEP) latencies were pr...

    journal_title:Muscle & nerve

    pub_type: 杂志文章

    doi:10.1002/mus.880150702

    authors: Little JW,Robinson LR

    更新日期:1992-07-01 00:00:00

  • Coexpression of myosin isoforms in muscle of patients with neurogenic disease.

    abstract::Three well-characterized antimyosin heavy chain monoclonal antibodies (McAbs) were used as immunocytochemical reagents to study myosin isoform expression in relationship to adenosine triphosphatase (ATPase) defined fiber types in human muscle. The biopsy specimens were from patients with neurogenic muscle disease whos...

    journal_title:Muscle & nerve

    pub_type: 杂志文章,评审

    doi:10.1002/mus.880120809

    authors: Sawchak JA,Lewis S,Shafiq SA

    更新日期:1989-08-01 00:00:00

  • Stroke-related effects on maximal dynamic hip flexor fatigability and functional implications.

    abstract:INTRODUCTION:Stroke-related changes in maximal dynamic hip flexor muscle fatigability may be more relevant functionally than isometric hip flexor fatigability. METHODS:Ten chronic stroke survivors performed 5 sets of 30 hip flexion maximal dynamic voluntary contractions (MDVC). A maximal isometric voluntary contractio...

    journal_title:Muscle & nerve

    pub_type: 杂志文章

    doi:10.1002/mus.24520

    authors: Kuhnen HR,Rybar MM,Onushko T,Doyel RE,Hunter SK,Schmit BD,Hyngstrom AS

    更新日期:2015-03-01 00:00:00

  • Two patients with GMPPB mutation: The overlapping phenotypes of limb-girdle myasthenic syndrome and limb-girdle muscular dystrophy dystroglycanopathy.

    abstract:INTRODUCTION:Mutations in the guanosine diphosphate-mannose pyrophosphorylase-B gene (GMPPB) have been identified in congenital muscular dystrophies, limb-girdle muscular dystrophy (LGMD2T), and congenital myasthenic syndromes (CMSs); overall, 41 patients have been described. METHODS:Two patients presented with a myas...

    journal_title:Muscle & nerve

    pub_type:

    doi:10.1002/mus.25485

    authors: Montagnese F,Klupp E,Karampinos DC,Biskup S,Gläser D,Kirschke JS,Schoser B

    更新日期:2017-08-01 00:00:00

  • Preparation of cell-free extracellular matrix from human peripheral nerve.

    abstract::The extracellular matrix of human peripheral nerve, which is mainly basement membrane and fibrillar collagen, has been prepared by a procedure involving extensive detergent extraction of isolated endoneurium and perineurium obtained from various nerves. The ultrastructure of the isolated nerve extracellular matrix was...

    journal_title:Muscle & nerve

    pub_type: 杂志文章

    doi:10.1002/mus.880050410

    authors: Johnson PC,Duhamel RC,Meezan E,Brendel K

    更新日期:1982-04-01 00:00:00

  • Effects of insulin on protein synthesis in muscles from normal and dystrophic mice.

    abstract::Protein synthesis in soleus and extensor digitorum longus (EDL) muscles was measured in vitro to test the hypothesis that the lack of muscle protein accumulation in dystrophic conditions could be caused by a reduced sensitivity to insulin. We demonstrate that physiological insulin concentrations stimulate protein synt...

    journal_title:Muscle & nerve

    pub_type: 杂志文章

    doi:10.1002/mus.880060709

    authors: Ballard FJ,Nield MK,Tomas FM

    更新日期:1983-09-01 00:00:00

  • Bifacial weakness with paresthesias: Serial nerve conduction studies indicate diffuse demyelinating neuropathy.

    abstract:INTRODUCTION:Bifacial weakness with paresthesias is a rare subtype of Guillain-Barré syndrome (GBS), characterized by facial diplegia in the absence of any other cranial neuropathies, limb weakness, or ataxia. Frequently, patients also complain of distal limb paresthesias before or at the time they develop facial weakn...

    journal_title:Muscle & nerve

    pub_type: 杂志文章

    doi:10.1002/mus.25028

    authors: Morgan C,Fuller G,Wakerley BR

    更新日期:2016-05-01 00:00:00

  • Properties of extensor digitorum longus muscle and skinned fibers from adult and aged male and female Actn3 knockout mice.

    abstract::Absence of α-actinin-3, encoded by the ACTN3 "speed gene," is associated with poorer sprinting performance in athletes and a slowing of relaxation in fast-twitch muscles of Actn3 knockout (KO) mice. Our first aim was to investigate, at the individual-fiber level, possible mechanisms for this slowed relaxation. Our sec...

    journal_title:Muscle & nerve

    pub_type: 杂志文章

    doi:10.1002/mus.21778

    authors: Chan S,Seto JT,Houweling PJ,Yang N,North KN,Head SI

    更新日期:2011-01-01 00:00:00

  • Estimation of the number and size of human flexor digiti minimi muscle motor units using histological methods.

    abstract::Motor unit (MU) number and size estimates were obtained from the human flexor digiti minimi muscle using histological methods. Ten adult fresh cadavers (33-74 years old) were used. The number of MUs was 130 +/- 15 and the MU size was 108 +/- 10. These values are similar to those reported for other hypothenar muscles, ...

    journal_title:Muscle & nerve

    pub_type: 杂志文章

    doi:10.1002/(sici)1097-4598(199801)21:1<112::aid-mus14

    authors: Santo Neto H,de Carvalho VC,Marques MJ

    更新日期:1998-01-01 00:00:00

  • The cooperative international neuromuscular research group Duchenne natural history study--a longitudinal investigation in the era of glucocorticoid therapy: design of protocol and the methods used.

    abstract:UNLABELLED:Contemporary natural history data in Duchenne muscular dystrophy (DMD) is needed to assess care recommendations and aid in planning future trials. METHODS:The Cooperative International Neuromuscular Research Group (CINRG) DMD Natural History Study (DMD-NHS) enrolled 340 individuals, aged 2-28 years, with DM...

    journal_title:Muscle & nerve

    pub_type: 杂志文章,多中心研究

    doi:10.1002/mus.23807

    authors: McDonald CM,Henricson EK,Abresch RT,Han JJ,Escolar DM,Florence JM,Duong T,Arrieta A,Clemens PR,Hoffman EP,Cnaan A,Cinrg Investigators.

    更新日期:2013-07-01 00:00:00

  • Fulminant case of hereditary neuropathy with liability to pressure palsy.

    abstract::Hereditary neuropathy with liability to pressure palsy (HNPP) is typified as isolated nerve palsies caused by trivial compression or trauma. It rarely presents in two extremities and even more infrequently affects all four limbs simultaneously. We present a patient who concurrently experienced right shoulder, left han...

    journal_title:Muscle & nerve

    pub_type: 杂志文章

    doi:10.1002/(sici)1097-4598(200006)23:6<979::aid-mus23

    authors: Crum BA,Sorenson EJ,Abad GA,Dyck PJ

    更新日期:2000-06-01 00:00:00

  • Simulation of myopathic motor unit action potentials.

    abstract::Normal motor units (MUs) were simulated and their architecture altered to simulate the changes produced by myopathy. The concentric needle electromyographic recordings of motor unit action potentials (MUAPs) from the MUs were then also simulated. These simulated MUAPs showed features that are seen in myopathy: normal ...

    journal_title:Muscle & nerve

    pub_type: 杂志文章

    doi:10.1002/mus.880120306

    authors: Nandedkar SD,Sanders DB

    更新日期:1989-03-01 00:00:00

  • Giant nerves in chronic inflammatory polyradiculoneuropathy.

    abstract:INTRODUCTION:Nerve enlargement (NE) is described in inflammatory and inherited neuropathies. It is commonly multifocal and moderate in the former and homogeneous and generalized in the latter. We describe 4 cases of massive NE in inflammatory neuropathies. METHODS:Patients presented with symptoms of polyneuropathy tha...

    journal_title:Muscle & nerve

    pub_type: 杂志文章

    doi:10.1002/mus.25272

    authors: Grimm A,Schubert V,Axer H,Ziemann U

    更新日期:2017-02-01 00:00:00

  • Neuromyotonia, peripheral neuropathy and myasthenia gravis.

    abstract::A patient with neuromyotonia, peripheral neuropathy and myasthenia gravis (MG) is described. Neurophysiological studies, at rest, showed continuous muscle discharges of motor unit action potentials (MUAPs) in duplets and triplets. Motor (MNCV) and sensory (SNCV) nerve conduction studies revealed mild axonal and demyel...

    journal_title:Muscle & nerve

    pub_type: 杂志文章

    doi:10.1002/(SICI)1097-4598(199604)19:4<505::AID-MUS10

    authors: Martinelli P,Patuelli A,Minardi C,Cau A,Riviera AM,Dal Pozzo F

    更新日期:1996-04-01 00:00:00

  • Heterogeneity of muscle sizes in the lower limbs of children with cerebral palsy.

    abstract:INTRODUCTION:Cerebral palsy (CP) is associated with reduced muscle volumes, but previous studies have reported deficits in only a small number of muscles. The extent of volume deficits across lower limb muscles is not known. This study presents an imaging-based assessment of muscle volume and length deficits in 35 lowe...

    journal_title:Muscle & nerve

    pub_type: 杂志文章

    doi:10.1002/mus.24972

    authors: Handsfield GG,Meyer CH,Abel MF,Blemker SS

    更新日期:2016-06-01 00:00:00

  • Can we eliminate placebo in ALS clinical Trials?

    abstract::Amyotrophic lateral sclerosis (ALS) is a fatal disease with limited treatment options. Controlled studies are a necessary part of Phase II and Phase III assessments of proposed therapies. Due to the relatively small number of patients with ALS, several study designs have been proposed to improve the efficiency of Phas...

    journal_title:Muscle & nerve

    pub_type: 杂志文章

    doi:10.1002/mus.21358

    authors: Simmons Z

    更新日期:2009-06-01 00:00:00

  • Analysis of crosstalk in the mechanomyographic signals generated by forearm muscles during different wrist postures.

    abstract:INTRODUCTION:In this study, we analyzed the crosstalk in mechanomyographic (MMG) signals generated by the extensor digitorum (ED), extensor carpi ulnaris (ECU), and flexor carpi ulnaris (FCU) muscles of the forearm during wrist flexion (WF) and extension (WE) and radial (RD) and ulnar (UD) deviations. METHODS:Twenty r...

    journal_title:Muscle & nerve

    pub_type: 杂志文章

    doi:10.1002/mus.24454

    authors: Islam A,Sundaraj K,Ahmad RB,Sundaraj S,Ahamed NU,Ali MA

    更新日期:2015-06-01 00:00:00

  • Validation of diagnostic methods for traumatic sensory neuropathy and neuropathic pain.

    abstract:INTRODUCTION:We evaluated diagnostic value of sensory tests during recovery from iatrogenic sensory neuropathy using intraoperatively verified nerve injury with subjective symptoms as gold standard. METHODS:Inferior alveolar nerves were monitored neurophysiologically throughout mandibular osteotomy in 19 patients. Sen...

    journal_title:Muscle & nerve

    pub_type: 杂志文章

    doi:10.1002/mus.26400

    authors: Teerijoki-Oksa T,Forssell H,Jääskeläinen SK

    更新日期:2019-03-01 00:00:00

  • A prognostic model for the patient-reported outcome of surgical treatment of carpal tunnel syndrome.

    abstract:INTRODUCTION:Many prognostic factors have been studied in carpal tunnel decompression, but most studies consider only a subset of variables. METHODS:Three thousand three hundred thirty-two operations were used to develop prognostic models, and 885 operations were used for validation. Outcome recorded on a Likert scale...

    journal_title:Muscle & nerve

    pub_type: 杂志文章

    doi:10.1002/mus.26297

    authors: Bowman A,Rudolfer S,Weller P,Bland JDP

    更新日期:2018-12-01 00:00:00

  • L1 radiculopathy mimicking meralgia paresthetica: a case report.

    abstract::L1 radiculopathy is very rare and difficult to diagnose with needle electromyography. A patient presented with pain and hypesthesia on the anterolateral aspect of the left thigh. Nerve conduction studies and needle electromyography were normal, except for the quadratus lumborum and iliopsoas muscles, which showed abno...

    journal_title:Muscle & nerve

    pub_type: 杂志文章

    doi:10.1002/mus.21601

    authors: Yang SN,Kim DH

    更新日期:2010-04-01 00:00:00

  • The care of patients with Duchenne, Becker, and other muscular dystrophies in the COVID-19 pandemic.

    abstract::The coronavirus disease 2019 (COVID-19) pandemic has resulted in the reorganization of health-care settings affecting clinical care delivery to patients with Duchenne and Becker muscular dystrophy (DBMD) as well as other inherited muscular dystrophies. The magnitude of the impact of this public health emergency on the...

    journal_title:Muscle & nerve

    pub_type: 杂志文章,评审

    doi:10.1002/mus.26902

    authors: Veerapandiyan A,Wagner KR,Apkon S,McDonald CM,Mathews KD,Parsons JA,Wong BL,Eichinger K,Shieh PB,Butterfield RJ,Rao VK,Smith EC,Proud CM,Connolly AM,Ciafaloni E

    更新日期:2020-07-01 00:00:00

  • CMAP variability as a function of electrode site and size.

    abstract::The site of the recording electrode influences the amplitude of the compound muscle action potential (CMAP) and its variation over a length of nerve. The effects of large electrodes on this source of intraindividual variability were assessed. Right median nerves of 20 healthy subjects were studied, and recordings made...

    journal_title:Muscle & nerve

    pub_type: 杂志文章

    doi:10.1002/mus.880180110

    authors: van Dijk JG,Tjon-a-Tsien A,van der Kamp W

    更新日期:1995-01-01 00:00:00

  • Did giant mitochondria delay muscle maturation? An uncommon congenital myopathy.

    abstract:INTRODUCTION:Mitochondria are semi-autonomous organelles that are able to change their shape, size, location, and number inside the living cell. Mitochondrial division is an extremely important process, because cell survival depends on there being an adequate number of mitochondria in each cell. The dynamics of these o...

    journal_title:Muscle & nerve

    pub_type: 杂志文章

    doi:10.1002/mus.23365

    authors: Fidziańska A,Glinka Z

    更新日期:2012-07-01 00:00:00

  • Effect of caffeine and high potassium on normal and dystrophic mouse EDL muscles at various developmental stages.

    abstract::EDL muscles from normal and dystrophic (dy2j) mice of various ages were examined. Muscles were divided into three groups according to age: 7 to 14 days postnatal, 16 to 21 days postnatal, and 6 months old, to assess age and/or phenotype related differences in the muscle response to caffeine or high K+. The response of...

    journal_title:Muscle & nerve

    pub_type: 杂志文章

    doi:10.1002/mus.880160108

    authors: Dangain J,Neering IR

    更新日期:1993-01-01 00:00:00