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f Carpal Desmotomy: A Technical Note 1 Tiniir Banerjee, M.D,, and John N. Meagher, M.D. "'HE exact cause of carpal tunnel syndrome is not known. Several Hots, e.g., osteoarthritis, collagen ;ease, myxedema, and repeated •uma play an important role in the xipitation of this compression sidrome.^ '' A case of carpal tun-i syndrome associated with rubella ^imunization has been reported re- jJdOrdinarily, subjective symptoms : g^ear weeks or months before de-.^Vmstrable abnormalities are seen routine examination. Accentua-t a of the symptoms, as seen in i don or extension of the wrist, or a positive Tinel's sign at the wrist if y aid in making the diagnosis, but H se symptoms or signs do not (:ur consistently. The accompany-i pain is often diffuse and may be (f in the forearm. As noted by i Cormack,^ the pain is usually % at night. Distressing numbness f quently occurs, and paresthesia of 11 hand, usually sparing the little ^ icr and the ring-finger, may be I sent. According to their histories, r ny patients say that they often \.ice up in the middle of the night £ 1 shake their hands in a "jerky f lion" to get relief from pain and I esthesia. In advanced cases or in om the Division of Neurological Surgery, t ersity of North Carolina School of Medi-c Chapel Hill. N. C. 27514 (Dr. Banerjee) a the Ohio Stale University School of Medi-c Columbus, Ohio (Dr. Meagher), •print requests to Dr. Banerjee. instances of severe pain, the patient may be weak and unable to "pinch." Electrodiagnostic studies help to CARPAL TUNNEL SYNDROME MOTOR 2mV I millisec A. SENSORY IfO//V millisec Fig. 1. EMG of carpal tunnel syndrome: (a) motor nerve conduction delay (normal up to 4.5 msec); (b) sensory nerve conduction delay (normal up to 3.5 msec). ABD. P. BR. ^FL. P. BR. RECURRENT BR, ULNAR N. MEDIAN N. •-FLEXOR RETINACULUM Fig. 2. Semidiagrammatic picture of the wrist showing the position of the recurrent branch of median nerve. demonstrate the delay in median nerve conduction at the wrist; they are also reliable in following up the patient's recovery. When a bipolar supramaximal stimulus is administered to the median nerve by an electrode at the proximal flexor crease, and the evoked response in the thenar musculature is recorded by a surface or a coaxial needle-electrode, the delay should not exceed 4.5 msec (Figures 1-3). There is considerable dispute among orthopedic, plastic and neurosurgeons regarding the technique of carpal desmotomy. This paper is Fig. 3. Skin incision. 1974, NCMJ 415 -I
Object Description
Rating | |
Fixed Title * | NCHH-17: North Carolina Medical Journal [1940-Present] |
Document Title | North Carolina Medical Journal [1940-Present] |
Subject Topical Other | Public Health -- Periodicals.; Physicians -- North Carolina -- Directory.; Societies, Medical -- North Carolina -- Periodicals. |
Description | Includes Transactions of the Society, -1960; 1961- , Transactions issued separately, bound in.; Includes Transactions of the auxiliary to the Medical Society of the State of North Carolina and Proceedings of the North Carolina Public Health Association. Official organ of the Medical Society of the State of North Carolina, 1940-May 1972; of the North Carolina Medical Society, June 1972-. Vols. for 1940-May 1972 published by the Medical Society of the State of North Carolina; June 1972- by the North Carolina Medical Society. |
Contributor | Medical Society of the State of North Carolina. Transactions.; Medical Society of the State of North Carolina.; North Carolina Medical Society.; North Carolina Medical Society. Transactions.; North Carolina Public Health Association. Proceedings. |
Publisher | [Winston-Salem] : North Carolina Medical Society [etc.], 1940- |
Repository | University of North Carolina at Chapel Hill. Health Sciences Library. |
Host | University of North Carolina at Chapel Hill |
Date | 1974 |
Identifier | NCHH-17-035 |
Form General | Periodicals |
Language | English |
Rights | This item is part of the North Carolina History of Health Digital Collection. Some materials in the Collection are protected by U.S. copyright law. This item is presented by the Health Sciences Library of the University of North Carolina at Chapel Hill for research and educational purposes. It may not be republished or distributed without permission of the Health Sciences Library. |
Digital Collection | North Carolina History of Health Digital Collection |
Sponsor | The North Carolina History of Health Digital Collection is an open access publishing initiative of the Health Sciences Library of the University of North Carolina at Chapel Hill. Financial support for the initiative was provided in part by a multi-year NC ECHO (Exploring Cultural Heritage Online) digitization grant, awarded by the State Library of North Carolina, and funded through the Library Services and Technology Act (LSTA). |
Volume Number | 35 |
Health Discipline | Medicine |
Digital Format | JPEG 2000 |
Print / Download PDF Version | http://archives.hsl.unc.edu/nchh/nchh-17/nchh-17-035.pdf |
Document Sort | all; nchh-17 |
Volume Link | http://dc.lib.unc.edu/cdm/search/collection/nchh/field/identi/searchterm/NCHH-17-035 |
Title Link | http://dc.lib.unc.edu/cdm/search/collection/nchh/field/documa/searchterm/NCHH-17 |
Catalog Record link | http://search.lib.unc.edu/search?R=UNCb1306322 |
Revision History | done |
Description
Fixed Title * | Page 415 (images) |
Document Title | North Carolina Medical Journal [1940-Present] |
Subject Topical Other | Public Health -- Periodicals.; Physicians -- North Carolina -- Directory.; Societies, Medical -- North Carolina -- Periodicals. |
Description | Includes Transactions of the Society, -1960; 1961- , Transactions issued separately, bound in.; Includes Transactions of the auxiliary to the Medical Society of the State of North Carolina and Proceedings of the North Carolina Public Health Association. Official organ of the Medical Society of the State of North Carolina, 1940-May 1972; of the North Carolina Medical Society, June 1972-. Vols. for 1940-May 1972 published by the Medical Society of the State of North Carolina; June 1972- by the North Carolina Medical Society. |
Contributor | Medical Society of the State of North Carolina. Transactions.; Medical Society of the State of North Carolina.; North Carolina Medical Society.; North Carolina Medical Society. Transactions.; North Carolina Public Health Association. Proceedings. |
Publisher | [Winston-Salem] : North Carolina Medical Society [etc.], 1940- |
Repository | University of North Carolina at Chapel Hill. Health Sciences Library. |
Host | University of North Carolina at Chapel Hill |
Date | 1974 |
Identifier | NCHH-17-035-0263 |
Form General | Periodicals |
Page Type | all; all images; diagram; article; article title; all images; chart/table; all images; photo |
Language | English |
Rights | This item is part of the North Carolina History of Health Digital Collection. Some materials in the Collection are protected by U.S. copyright law. This item is presented by the Health Sciences Library of the University of North Carolina at Chapel Hill for research and educational purposes. It may not be republished or distributed without permission of the Health Sciences Library. |
Filename | ncarolinamed351974medi_0263.jp2 |
Digital Collection | North Carolina History of Health Digital Collection |
Sponsor | The North Carolina History of Health Digital Collection is an open access publishing initiative of the Health Sciences Library of the University of North Carolina at Chapel Hill. Financial support for the initiative was provided in part by a multi-year NC ECHO (Exploring Cultural Heritage Online) digitization grant, awarded by the State Library of North Carolina, and funded through the Library Services and Technology Act (LSTA). |
Volume Number | 35 |
Issue Number | 7 |
Page Number | 415 |
Health Discipline | Medicine |
Full Text | f Carpal Desmotomy: A Technical Note 1 Tiniir Banerjee, M.D,, and John N. Meagher, M.D. "'HE exact cause of carpal tunnel syndrome is not known. Several Hots, e.g., osteoarthritis, collagen ;ease, myxedema, and repeated •uma play an important role in the xipitation of this compression sidrome.^ '' A case of carpal tun-i syndrome associated with rubella ^imunization has been reported re- jJdOrdinarily, subjective symptoms : g^ear weeks or months before de-.^Vmstrable abnormalities are seen routine examination. Accentua-t a of the symptoms, as seen in i don or extension of the wrist, or a positive Tinel's sign at the wrist if y aid in making the diagnosis, but H se symptoms or signs do not (:ur consistently. The accompany-i pain is often diffuse and may be (f in the forearm. As noted by i Cormack,^ the pain is usually % at night. Distressing numbness f quently occurs, and paresthesia of 11 hand, usually sparing the little ^ icr and the ring-finger, may be I sent. According to their histories, r ny patients say that they often \.ice up in the middle of the night £ 1 shake their hands in a "jerky f lion" to get relief from pain and I esthesia. In advanced cases or in om the Division of Neurological Surgery, t ersity of North Carolina School of Medi-c Chapel Hill. N. C. 27514 (Dr. Banerjee) a the Ohio Stale University School of Medi-c Columbus, Ohio (Dr. Meagher), •print requests to Dr. Banerjee. instances of severe pain, the patient may be weak and unable to "pinch." Electrodiagnostic studies help to CARPAL TUNNEL SYNDROME MOTOR 2mV I millisec A. SENSORY IfO//V millisec Fig. 1. EMG of carpal tunnel syndrome: (a) motor nerve conduction delay (normal up to 4.5 msec); (b) sensory nerve conduction delay (normal up to 3.5 msec). ABD. P. BR. ^FL. P. BR. RECURRENT BR, ULNAR N. MEDIAN N. •-FLEXOR RETINACULUM Fig. 2. Semidiagrammatic picture of the wrist showing the position of the recurrent branch of median nerve. demonstrate the delay in median nerve conduction at the wrist; they are also reliable in following up the patient's recovery. When a bipolar supramaximal stimulus is administered to the median nerve by an electrode at the proximal flexor crease, and the evoked response in the thenar musculature is recorded by a surface or a coaxial needle-electrode, the delay should not exceed 4.5 msec (Figures 1-3). There is considerable dispute among orthopedic, plastic and neurosurgeons regarding the technique of carpal desmotomy. This paper is Fig. 3. Skin incision. 1974, NCMJ 415 -I |
Digital Format | JPEG 2000 |
Print / Download PDF Version | http://archives.hsl.unc.edu/nchh/nchh-17/nchh-17-035.pdf |
Document Sort | all; nchh-17 |
Article Title | Carpal Desmotomy: A Technical Note |
Article Author | Timir Banerjee; John N. Meagher |
Volume Link | http://dc.lib.unc.edu/cdm/search/collection/nchh/field/identi/searchterm/NCHH-17-035 |
Title Link | http://dc.lib.unc.edu/cdm/search/collection/nchh/field/documa/searchterm/NCHH-17 |
Catalog Record link | http://search.lib.unc.edu/search?R=UNCb1306322 |
Revision History | done |
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