DOCSLIB.ORG

2013 Annual Meeting Abstracts

Total Page：16

File Type：pdf, Size：1020Kb

Download full-text PDF Read full-text
2013 Annual Meeting Abstracts Meeting Abstracts e1 ABSTRACTS 2013 Annual Meeting Abstracts This booklet contains the abstracts for the Scientific Session papers as submitted by the authors. Abstracts are in pre- sentation order by day and time. These abstracts are also available at www.ASSHAnnualMeeting.org. Financial Disclosure and FDA Status Symbol Key Society for Surgery of the Hand for educational purposes only. This material is not intended to represent the only, or — Something of Value The authors of those presentations necessarily the best methods or procedures appropriate for preceded by a have indicated that they have received the medical situation discussed, but rather is intended to something of value in the form of: research or institutional present an approach, view, statement, or opinion of the support, stock or stock options, equipment or services, paid authors or presenters, which may be helpful or of interest travel, royalties or as a consultant or employee of a com- to other practitioners. The attendees agree to participate in mercial company or institution related directly or indirectly this medical education program sponsored by ASSH with to the subject of the presentation. full knowledge and awareness that they waive any claim they may have against ASSH for reliance on any infor- © Nothing of Value — The authors of those presentations mation presented in this educational program. In addition, preceded by a © have indicated that they have not received the attendees also waive any claim they have against anything of value in the form of: research or institutional ASSH for any injury or other damage, which may result in support, stock or stock options, equipment or services, paid any way from their participation in the program. All of the travel, royalties or as a consultant or employee of a com- proceedings of this ASSH meeting, including the presen- mercial company or institution related directly or indirectly tation of scientific papers, are intended for limited publi- to the subject of the presentation. cation only, and all property rights in the material : Documentation of FDA Status — The authors of those presented, including common law copyright, are expressly presentations preceded by a : have indicated that the FDA reserved to the speaker and ASSH. No statement of pre- has not cleared the listed pharmaceuticals and/or medical sentation made is to be regarded as dedicated to the public devices for the use described in this presentation or that the domain. Any sound reproduction, transcript, or other use listed pharmaceuticals and/or medical devices are being of the material presented at this course without the discussed for an off-label use. permission of the speaker or ASSH is prohibited to the full extent of common law copyright in such material. The * AFSH Grant Research Acknowledgement — The authors approval of US Food and Drug Administration is required of those presentations preceded by a * have indicated that for procedures and drugs that are considered experimental. research related to their presentation was supported by an Instrumentation systems discussed and/or demonstrated in AFSH Research Grant. ASSH educational programs may not yet have received FDA approval. The ASSH does not view the existence of these interests or commitments as necessarily implying bias or decreasing the The ASSH assumes no responsibility or liability for the value of the presentations. use or misuse of any information, materials, or tech- Disclaimer niques described in the following abstracts and it makes no warranty, guarantee, or representation as to the ab- The material presented in this continuing medical educa- solute validity or sufficiency of any information tion program is being made available by the American provided. e2 ABSTRACTS PAPER 01 © Scott M. Tintle, MD L. Scott Levin, MD Best Papers Thursday, October 3, 2013 2:15e2:21 PM Hypothesis: We hypothesized that a rat model for composite tissue allo- Category: Evaluation/Diagnosis/Clinical Treatment transplantation (CTA) of the elbow joint could be developed. Keyword: Hand Methods: We developed an animal model for CTA of the elbow joint in rats. Microvascular elbow CTA was performed in 9 rats across a major histo- Comparison of Cortisone Injection and Percutaneous Trigger compatibility barrier. Three rats were treated with full-dose immunosu- Finger Release for Diabetic Trigger Fingers in 293 Patients pression consisting of cyclosporine until death. Three rats were provided Level 1 Evidence with 10 days of immunosuppression and then the cyslosporine was stopped. © Melissa Arief, MD Finally, 3 rats were used as a control and were given no immunosuppres- sion. Joint mobility and weight-bearing capability were assessed throughout © Mukund Patel, MD 90 days of life. Pedicle patency, bone blood flow, and histologic analysis Hypothesis: This study sought to compare the success rate of cortisone steroid were performed at the time of death. injection with that of percutaneous trigger finger release in diabetic patients. Results: In the cyclosporine group, forelimb activity was gradually recovered Methods: Data were collected over a 5-year period from 2008 to 2013. We over the postoperative 90 days. The operated extremity was used in daily studied 2 cohorts of patients with diabetes type 1 and 2 who were either activities such as ambulating and eating. There was little to no range of treated with local corticosteroid injection (N ¼ 191) or percutaneous trigger motion or use of the limb in the cyclosporine taper or the control groups. The release under local anesthesia in the office with a sterile 18-gauge needle vascular pedicles were patent at the time of death in the cyclosporine-treated (N ¼ 209). Patients were observed for at least 1 year. Patient demographics group, but not in the remaining groups. Micro-computed tomography scan included pain, trigger finger grade, and duration of symptoms. Patients were performed 3 months after the transplants revealed union at the bone junctions assessed at follow-up for pain, continued triggering, need for therapy after and the elbow joint appeared grossly normal upon death in the cyclosporine treatment, complications, and overall satisfaction. treatment group only. Incomplete healing was observed in the other 2 groups, Results: A total of 145 patients treated with corticosteroid injection were and the elbow joints were grossly destroyed. Histologic examination observed for 1 year and had an overall success rate based on patient revealed normal cartilage and bone cells in the cyclosporine-treated group, satisfaction of 75%. In this group, 4% required a second injection, 5% whereas the nontreated groups demonstrated lymphocytic infiltration and underwent a percutaneous trigger finger release, and 1 patient received an loss of normal histology. Flow cytometry of blood samples obtained on days open release. In the percutaneous release group, 147 patients were observed 14, 30, 60, and 90 showed no recipient cell chimerism in any of the groups. for 1 year. There was an overall success rate of 95%; 1 patient received a Summary: We have provided the first animal model for elbow CTA. In our corticosteroid injection. In both groups, there were no complications. cyclosporine-treated rats, animals regained near-normal function of fore- Summary: limbs after bone union and maintained grossly normal elbow cartilage. The results of this study demonstrate a greater rate of success of percu- Without cyslosporine treatment, the elbow transplants were rejected. taneous trigger finger release for diabetic trigger fingers compared with the standard corticosteroid injection. Royalties/Honoraria received from: Mavrek Medical This study demonstrated no complications for a large series of patients Receipt of Intellectual Property Rights/Patent Holder with: Sternal Talon demonstrating the safety of the percutaneous release in the office setting. REFERENCES PAPER 03 1. Pope DF, Wolfe SW. Safety and efficacy of percutaneous trigger finger release. J Hand Surg Am. 1995;20(2):280e283. Best Papers 2. Eastwood DM, Gupta KJ, Johnson DP. Percutaneous release of the trigger Thursday, October 3, 2013 2:35e2:41 PM finger: an office procedure. J Hand Surg Am. 1992;17(1):114e117. Category: Nerve/Neuromuscular 3. Bain GI, Wallwork NA. Percutaneous A1 pulley release: a clinical study. Hand Keyword: Forearm Surg. 1999;4(1):45e50. 4. Schramm JM, Nguyen M, Wongworawat MD. The safety of percutaneous A Collagen Conduit Versus Microsurgical Neurorrhaphy trigger finger release. Hand (N Y). 2008;3(1):44e46. 2-Year Follow-Up of a Prospective Blinded Clinical and 5. Calleja H, Tanchuling A, Alagar D, Tapia C, Macalalad A. Anatomic outcome of Electrophysiological Multicenter RCT percutaneous release among patients with trigger finger. J Hand Surg Am. Level 1 Evidence 2010;35(10):1671e1674. 6. Dahabra IA, Sawaqed IS. Percutaneous trigger finger release with 18-gauge Michel E. H. Boeckstyns, MD needle. Saudi Med J. 2007;28(7):1065e1067. © Christian Krarup, MD, FRCP fi 7. Stothard J, Kumar A. A safe percutaneous procedure for trigger nger release. J © Birgitta Rosen, OT, PhD R Coll Surg Edinb. 1994;39(2):116e117. © Joaquim Fores, MD 8. Patel MR, Moradia VJ. Percutaneous release of trigger digit with and without © cortisone injection. J Hand Surg Am. 1997;22(1):150e155. Allan Ibsen Sørensen, MD © Xavier Navarro, MD, PhD PAPER 02 Hypothesis: The hypothesis to be tested in our study was that use of the collagen nerve guide conduit for repair of traumatic short gap nerve lesions Best Papers in humans is associated
Load more

Recommended publications
  • Ultrasound of Radial, Ulnar, and Median Nerves
    Ultrasound of Radial, Ulnar, Disclosures • Consultant: Bioclinica and Median Nerves • Contractor: POCUS PRO • Advisory Board: Philips Jon A. Jacobson, M.D. • Book Royalties: Elsevier • Not relevant to this lecture Professor of Radiology See www.jacobsonmskus.com for syllabus other educational material Nerve Compression Nerve Entrapment • Experimental model (rat, sciatic nv): • US findings: – Compression causes ischemia – Nerve enlargement proximal to entrapment – First pathologic change: edema • Best appreciated transverse to nerve • Correlated with severity of axonal injury – Abnormally hypoechoic – Mild compression: demyelination • Especially the connective tissue layers – Severe compression: axonal damage – Variable enlargement or flattening at entrapment site Powell, Laboratory Investigation 1986; 55:91 Atrophy Denervation Nerve Entrapment Syndromes • Edema: hyperechoic • Fatty degeneration: • Median: – Hyperechoic – Carpal tunnel syndrome – Echogenic interfaces – Pronator teres syndrome • Atrophy: Asymptomatic – Hyperechoic with • Ulnar: decreased muscle size – Ulnar tunnel syndrome • Compare to other side! – Cubital tunnel syndrome J Ultrasound Med 1993; 2:73 Extensor Muscles: leg 1 Volar Wrist Normal Peripheral Nerve • Ultrasound appearance: – Hypoechoic nerve fascicles – Hyperechoic connective tissue • Transverse: – Honeycomb appearance Silvestri et al. Radiology 1995; 197:291 Median Nerve From: Netter’s Atlas of Human Anatomy Volar Wrist: median nerve & flexors Peripheral Nerves • More coarse compared to tendon T – Fascicular
    [Show full text]
  • Ultrasound of Peripheral Nerve and Muscle
    ULTRASOUND OF PERIPHERAL NERVE AND MUSCLE Steven Shook, MD Cleveland Clinic Cleveland, OH INTRODUCTION Advances in field of ultrasound over the past twenty years have generated increasing interest in utilizing the technology in neuromuscular assessment and diagnosis. High-resolution ultrasound offers a noninvasive, real- time, static and dynamic examination of the peripheral nervous system, yielding information which complements the neurological examination, electrodiagnostic testing (EDX), and other established imaging modalities such as Magnetic Resonance Imaging (MRI). ULTRASOUND BASICS Ultrasonography involves transmitting sound-wave pulses into tissue and analyzing the temporal and acoustic properties of the reflected wave, or echo. Echoes occur at tissue interfaces. Reflected energy is a product of the difference in adjacent tissue densities (acoustic impedance), as well the angle of the ultrasound beam (angle of incidence) relative to the interface.(1) A fraction of a transmitted sound-wave energy is reflected whenever there is a change in acoustic impedance within tissue. Larger differences in acoustic impedance result in more profound reflection. Unreflected sound travels deeper into the tissue, generating echos from layers at a greater depth. A portion of the ultrasound energy never returns to the transducer, either being transformed into heat (absorption), refracted or scattered at nonperpendicular tissue interfaces. When the sound wave encounters a significantly different tissue density, analysis of deeper structures is not possible. For example, ultrasound cannot evaluate structures deep to air- filled cavities or bone due to the acoustic impedance of these regions.(2) An ultrasound probe (transducer) is capable of both emitting and receiving these pulses and converting them into electrical signals for analysis.
    [Show full text]
  • COVID-19 Mrna Pfizer- Biontech Vaccine Analysis Print
    COVID-19 mRNA Pfizer- BioNTech Vaccine Analysis Print All UK spontaneous reports received between 9/12/20 and 22/09/21 for mRNA Pfizer/BioNTech vaccine. A report of a suspected ADR to the Yellow Card scheme does not necessarily mean that it was caused by the vaccine, only that the reporter has a suspicion it may have. Underlying or previously undiagnosed illness unrelated to vaccination can also be factors in such reports. The relative number and nature of reports should therefore not be used to compare the safety of the different vaccines. All reports are kept under continual review in order to identify possible new risks. Report Run Date: 24-Sep-2021, Page 1 Case Series Drug Analysis Print Name: COVID-19 mRNA Pfizer- BioNTech vaccine analysis print Report Run Date: 24-Sep-2021 Data Lock Date: 22-Sep-2021 18:30:09 MedDRA Version: MedDRA 24.0 Reaction Name Total Fatal Blood disorders Anaemia deficiencies Anaemia folate deficiency 1 0 Anaemia vitamin B12 deficiency 2 0 Deficiency anaemia 1 0 Iron deficiency anaemia 6 0 Anaemias NEC Anaemia 97 0 Anaemia macrocytic 1 0 Anaemia megaloblastic 1 0 Autoimmune anaemia 2 0 Blood loss anaemia 1 0 Microcytic anaemia 1 0 Anaemias haemolytic NEC Coombs negative haemolytic anaemia 1 0 Haemolytic anaemia 6 0 Anaemias haemolytic immune Autoimmune haemolytic anaemia 9 0 Anaemias haemolytic mechanical factor Microangiopathic haemolytic anaemia 1 0 Bleeding tendencies Haemorrhagic diathesis 1 0 Increased tendency to bruise 35 0 Spontaneous haematoma 2 0 Coagulation factor deficiencies Acquired haemophilia
    [Show full text]
  • Electrophysiological Features of Ulnar Tunnel Syndrome Caused By
    hysical M f P ed l o ic a in n r e International Journal of Physical u & o R J l e a h n a Nobuta et al., Int J Phys Med Rehabil 2018, 6:6 b o i t i l i a ISSN: 2329-9096t a n r Medicine & Rehabilitation DOI: 10.4172/2329-9096.1000494 t i e o t n n I Research Article Open Access Electrophysiological Features of Ulnar Tunnel Syndrome Caused by Ganglion–A Descriptive Study Shingo Nobuta1*, Kazuaki Sonofuchi2 and Eiji Itoi3 1Department of Orthopaedic Surgery, Tohoku Rosai Hospital, Sendai, Japan 2Goto Orthopaedic Clinic, Sendai, Japan 3Department of Orthopaedic Surgery, Tohoku University School of Medicine, Sendai, Japan *Corresponding author: Shingo Nobuta, MD, PhD, Department of Orthopaedic Surgery, Tohoku Rosai Hospital 4-3-21 Dainohara, Aoba-ku, Sendai, Miyagi 981-8563, Japan, Tel: +81-22-275-1111; Fax: +81-22-275-7541; E mail : [email protected] Received date: October 31, 2018; Accepted date: November 20, 2018; Published date: November 22, 2018 Copyright: ©2018 Nobuta S, et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited. Abstract Objective: Ulnar tunnel syndrome (UTS) is an uncommon ulnar neuropathy. Clinical and electrophysiological diagnosis of UTS is difficult. The purposes of this study were to assess the diagnostic value of the nerve conduction measurements for UTS caused by ganglion, and to investigate the electrophysiological features of UTS.
    [Show full text]
  • Upper Extremity Compression Neuropathies
    Peripheral Nerve Injury in the Athlete: Upper and Lower Limb Entrapment Neuropathies Greg Moore, MD Sports and Spine Rehabilitation NeuroSpine Institute Outline Review common nerve entrapment and injury syndromes, particularly related to sports Review pertinent anatomy to each nerve Review typical symptoms Discuss pathophysiology Discuss pertinent diagnostic tests and treatment options Neuropathy Mononeuropathies Median Femoral Pronator Teres Intrapelvic Anterior Interosseous Nerve Inguinal Ligament Carpal Tunnel Sciatic Ulnar Piriformis Cubital Tunnel Peroneal Guyon’s Canal Fibular Head Radial Axilla Tibial Spiral Groove Tarsal Tunnel Posterior Interosseous Nerve Sports Medicine Pearls Utilize your athletic trainers Individualize your diagnostic and treatment approach based on multiple factors Age Sport Level of Sport (HS, college, professional) Position Sports Medicine Pearls Time in the season Degree of pain/disability Desire of the patient/parents Coach’s desires/level of concern Cost (rarely discuss with the coach) Danger of a delay in diagnosis Impact to the team Obtaining the History Pain questions- location, duration, type, etc. Presence and location of numbness and paresthesias Exertional fatigue and/or weakness Subjective muscle atrophy Symptom onset- insidious or post-traumatic Exacerbating activities History (continued) Changes in exercise duration, intensity or frequency New techniques or equipment Past medical history and review of systems Diabetes Hypercoaguable state Depression/anxiety
    [Show full text]
  • Ulnarneur.Pdf
    PRACTICE PARAMETER FOR ELECTRODIAGNOSTIC STUDIES IN ULNAR NEUROPATHY AT THE ELBOW SUMMARY STATEMENT Introduction A total of 19 of the 398 articles and abstracts met five or six literature classification criteria; six of these articles were Ulnar neuropathy at the elbow (UNE) is a common excluded from subsequent analysis for various reasons. For peripheral mononeuropathy, second only to carpal tunnel example, some investigators performed ulnar nerve syndrome in incidence. The electrodiagnostic evaluation of conduction studies (NCSs) in the course of looking UNE is frequently complex and challenging to even the most primarily at other phenomena, such as the effects of age on experienced electrodiagnostic medicine consultant. This the conduction properties of multiple nerves, the correlation document defines the standards, guidelines, and options for between clinical and electrodiagnostic findings, or the electrodiagnostic studies of UNE based on a critical review difference between proximal and distal nerve segments; the of the literature. findings therefore have scant or no applicability to the evaluation of the clinical problem of UNE. Studies of normal control subjects met a maximum of five of five Literature Review criteria; studies of patients with UNE met a maximum of six of six criteria. A Medline search was conducted for literature in English from 1983 through 1996 under the Medical Subject The remaining 13 articles formed the basis for the Headings (MeSH) (1) ulnar nerve, (2) electrodiagnosis, (3) recommendations of this report. The findings of these and other additional studies are reviewed in a document nerve compression syndromes, (4) neural conduction, and 1 (5) elbow. The initial search generated 282 article titles with developed by the AAEM.
    [Show full text]
  • Pathological Sonographic Values in Peripheral Nerve Entrapments—A Literature Review
    Published online: 2019-04-15 THIEME Review Article | Artículo de Revisión 29 Pathological Sonographic Values in Peripheral Nerve Entrapments—A Literature Review Valores ecográficos patológicos en los atrapamientos de nervio periférico—Revisión bibliográfica Jesús Miguel Bolívar Gázquez1 Pablo Bellosta-López2 1 Centro de Fisioterapia Jesús Bolívar, Calle Ignasi Ferretjans, Palma de Address for correspondence Jesús Miguel Bolívar Gázquez, MSc, Mallorca, Spain Centro de Fisioterapia Jesús Bolívar, Calle Ignasi Ferretjans, 3, 07004. 2 Facultad de Ciencias de la Salud, Universidad San Jorge, Grupo de Palma de Mallorca, Spain (e-mail: [email protected]). Investigación iPhysio, Zaragoza, Spain Rev Fisioter Invasiva 2019;2:29–38. Abstract Introduction In recent years, musculoskeletal ultrasound has become an important tool for the assessment of peripheral nerve entrapments in human subjects. Objective To research sonographic pathological values of peripheral nerve entrap- ments and to verify the usefulness of ultrasound for the assessment of the same. Material and Methods A literature search was conducted on the EBSCOHost platform between January 2016 and September 2017. Results Fifty-four articles were included in this review. Ultrasound showed good diagnostic values for the ulnar tunnel syndrome at the level of the tunnel (sensitivity Keywords 72–99%; specificity 53–100%) and at the level of the medial epicondyle (sensitivity 72– ► sonography 92%; specificity 75–93%). ► validity Conclusions Sonographic assessments may be considered a valid tool for the ► diagnosis assessment of the peripheral nervous system. High diagnostic precision exists for ► peripheral nerve the cross-sectional area in carpal tunnel syndrome and ulnar tunnel syndrome. There is ► nerve entrapment. a lack of evidence regarding the diagnosis of other neuropathies.
    [Show full text]
  • Is Ulnar Nerve Entrapment at Wrist
    ORIGINAL PAPER International Journal of Occupational Medicine and Environmental Health 2017;30(6):861 – 874 https://doi.org/10.13075/ijomeh.1896.00970 IS ULNAR NERVE ENTRAPMENT AT WRIST FREQUENT AMONG PATIENTS WITH CARPAL TUNNEL SYNDROME OCCUPATIONALLY EXPOSED TO MONOTYPE WRIST MOVEMENTS? MAGDALENA LEWAŃSKA and JOLANTA WALUSIAK-SKORUPA Nofer Institute of Occupational Medicine, Łódź, Poland Department of Occupational Diseases and Environmental Health, Out-patient Clinic of Occupational Diseases Abstract Objectives: Association between carpal tunnel syndrome (CTS) and ulnar nerve entrapment at wrist remains controversial. The aim of the study has been to investigate the prevalence of Guyon’s canal syndrome amongst patients diagnosed with the CTS, occupationally exposed to repetitive wrist movements. Material and Methods: The retrospective analysis of 310 pa- tients (268 females, 42 males) representing the mean age of 52±7 years old hospitalized for the suspected occupational CTS was performed. Results: In the analyzed cohort, 4 patients had undergone decompression of the Guyon’s canal in the right limbs. Nerve conduction studies (NCS) in the ulnar nerves performed during the hospitalization of those patients did not show any abnormalities. Nerve conduction studies revealed signs of the ulnar neuropathy (UN) at the wrist affecting exclusively sen- sory fibers for 6 patients. Only those 4 patients who had undergone the operation suffered from clinical symptoms of the UN before the surgery. In the case of the remaining patients, despite the NCS changes, signs suggestive of the UN at the wrist were not detected. In the case of the patients with the occupational CTS, no signs of the ulnar nerve dysfunction were recorded.
    [Show full text]
  • Upper Extremity Nerves
    1/15/2019 Upper Extremity Nerves Learning Objectives Upper Extremity Nerves At the completion of the course, the learner will be able to 1. describe the neuroanatomy from brain to fingertip. 2. describe current concepts of peripheral nerve biology and healing. 3. collect a good history & exam for common peripheral nerve conditions. 4. educate patients regarding their condition and treatments. 5. participate more effectively in the patients’ care Course Content Meets These AOTA Classification Codes for CE activities Category 1: Domain of OT METHODS Areas of occupation: ADLs Performance skills: motor skills • 12 lectures Activity demands: required actions, body functions and • 2 question and answer sessions structures • networking Category 2: OT Process Develop intervention plan/approaches • some repetition between talks Implement intervention bad news: unavoidable because of multiple speakers Category 3: Professional Issues good news: repetition is a good learning tool OT education: teaching theory and methods Supervision: competence Contemporary issues/trends: professional development/continuing competence Upper Extremity Nerves for OTs and PTs For Your Questions during the Discussion Sessions: Write them on notecards as you think of them Practical Matters Can everybody see? Hear? MACRO ANATOMY Room temperature? Cell phones, beepers From Brain to Fingertips Auditorium’s policy on food/beverage Restrooms Evaluation forms and certificates Naveed Nosrati, MD Ready, set, go…… 1 1/15/2019 Motor Pathways: Major Elements Outline Central Nervous
    [Show full text]
  • A Quantitative Evaluation of Sciatic Nerve Stiffness After Compression by Shear Wave Elastography in Diabetic Rats
    682 Original Article Page 1 of 10 A quantitative evaluation of sciatic nerve stiffness after compression by shear wave elastography in diabetic rats Diancheng Li, Jiaan Zhu, Fang Liu, Bing Li, Feifei Liu, Wenxue Li Department of Ultrasound, Peking University People’s Hospital, Beijing, China Contributions: (I) Conception and design: J Zhu, F Liu; (II) Administrative support: J Zhu, F Liu; (III) Provision of study materials: D Li, B Li; (IV) Collection and assembly of data: D Li, B Li, F Liu; (V) Data analysis and interpretation: D Li, F Liu, W Li; (VI) Manuscript writing: All authors; (VII) Final approval of manuscript: All authors. Correspondence to: Jiaan Zhu; Fang Liu. Department of Ultrasound, Peking University People’s Hospital, No. 11 Xizhimen South Street, Beijing, China. Email: [email protected]; [email protected]. Background: Our study investigates the feasibility of using quantitative evaluation for nerve entrapment visualization by shear wave elastography (SWE) in diabetic rats. Methods: A total of 24 male Sprague-Dawley (SD) rats were included in this study. Before injection of streptozotocin (STZ), the experimental groups were assigned as the diabetic nerve compression (DNC) group (DNC, n=18) and the control group (CON, n=6). The DNC model was created by wrapping a silicone tube around the nerve, and then the DNC group was divided into the DNC 2-week (DNC2W, n=6), 4-week (DNC4W, n=6), and 8-week (DNC8W, n=6) groups according to the different duration time of sciatic nerve compression. The nerve stiffness was detected by SWE. Meanwhile, motor nerve conduction velocity (MNCV) was detected.
    [Show full text]
  • Electrodiagnosis of Ulnar Nerve Entrapment at the Elbow
    Electrodiagnosis of ulnar nerve entrapment at the elbow Gülbün Yüksel, MD, Geysu Karlıkaya, MD, Kemal Tutkavul, MD, Ayşe Akpınar, MD, Cihat Örken, MD, Hülya Tireli, MD. ABSTRACT m/sn) across the elbow was recorded in 48.4% of the limbs with long segment studies, and 73% of the limbs with short segment studies. In 82% of cases, an amplitude drop of the compound muscle action اﻷهداف: دراسة استعمال طرق فسيولوجية كهربائية مختلفة potential (CMAP) was also recorded. A CMAP لتشخيص انحشار العصب الزندي في املرفق على وجه اخلصوص amplitude drop of 10-30% between the wrist and ومقارنة دراسة القطع الطويلة عند املرفق مقابل القطع الصغيرة. elbow was recorded in 35 limbs (37.6%), while a drop .(of more than 50% was only recorded in 5 limbs (5.4% الطريقة: ُأجري تقييم للمرضى الذين مت حتويلهم إلى مستشفى Conclusions: Short segment studies are sensitive for حيدرباشا نومون ومركز التدريب والبحث بقسم املختبر the electrodiagnosis of UNE, and although a CMAP وفسيولوجية اﻷعصاب – اسطنبول – تركيا، خﻻل الفترة ما بني amplitude drop is recorded in most patients, an 2000م وحتى 2004م، والذين مت تشخيص حالتهم ًأوليا بانحشار amplitude drop consistent with a conduction block العصب الزندي في املرفق )UNE(. قمنا مبقارنة دراسة القطع .is rare (%50>) الطويلة )12cm-8( مقابل القطع القصيرة )3cm(، لتشخيص 93 UNE Neurosciences 2009; Vol. 14 (3): 249-253 انحشار العصب الزندي في املرفق ) ( لـ طرف. From the Department of Neurology (Yüksel, Tutkavul, Akpınar, Örken, Tireli) Haydarpaşa Numune Training and Research Hospital, and النتائج: شملت مجموعة الدراسة 55 أنثى و 31 ذكر. مت 48.4% CV <50m sn Department of Neurology (Karlıkaya), Yeditepe University Hospital, .İstanbul, Turkey تسجيل بطء في ) / ( ) ( نقطة لدى ) ( و )%73( من اﻷطراف مع دراسات القطع الطويلة والقصيرة، على Received 1st January 2009.
    [Show full text]
  • The Biological Basis of Nervous Tissue Repetitive Strain Injuries in Esports Competitors
    University of South Dakota USD RED Honors Thesis Theses, Dissertations, and Student Projects Spring 2019 The Biological Basis of Nervous Tissue Repetitive Strain Injuries in eSports Competitors Katryna Booth-Malnack University of South Dakota Follow this and additional works at: https://red.library.usd.edu/honors-thesis Recommended Citation Booth-Malnack, Katryna, "The Biological Basis of Nervous Tissue Repetitive Strain Injuries in eSports Competitors" (2019). Honors Thesis. 40. https://red.library.usd.edu/honors-thesis/40 This Honors Thesis is brought to you for free and open access by the Theses, Dissertations, and Student Projects at USD RED. It has been accepted for inclusion in Honors Thesis by an authorized administrator of USD RED. For more information, please contact [email protected]. THE BIOLOGICAL BASIS OF NERVOUS TISSUE REPETITIVE STRAIN INJURIES IN ESPORTS COMPETITORS by Katryna Booth-Malnack A Thesis Submitted in Partial Fulfillment Of the Requirements for the University Honors Program ________________________________________________________ Department of Biology The University of South Dakota May 2019 The members of the Honors Thesis Committee appointed to examine the thesis of Katryna Booth-Malnack find it satisfactory and recommend that it be accepted. ____________________________________ Dr. Christopher V. Anderson Assistant Professor of Biology Director of the Committee ____________________________________ Dr. Allison Naber Assistant Professor of Occupational Therapy ____________________________________ Dr. Michael Granaas Associate Professor of Psychology ABSTRACT The Biological Basis of Nervous Tissue Repetitive Strain Injuries in eSports Competitors Katryna Booth-Malnack Director: Christopher V. Anderson, Ph.D. Participation in competitive video games, or eSports, is growing. ESports players subject themselves to high-intensity practice sessions over long hours in order to maintain their competitive edge.
    [Show full text]