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Liverpool carpal tunnel scoring system to predict nerve conduction study results:A prospective correlation study

World Journal of Orthopedics 2022年第2期13卷 171-177页

作者： Yuen Chan Veenesh Selvaratnam Tharjan Manickavasagar Vishwanath Shetty Vishal Sahni Department of Trauma and Orthopaedics Mersey DeaneryPrescot L355DRMerseysideUnited Kingdom Department of Trauma and Orthopaedics Manchester University Hospitals NHS Foundation TrustManchester M139WLUnited Kingdom Department of Trauma and Orthopaedics Southport and Ormskirk NHS TrustSouthport L392AZUnited Kingdom

BACKGROUND Carpal tunnel syndrome(CTS)is one of the most common peripheral nerve compressive *** clinical symptoms and physical examinations of CTS are widely recognised,however,there is still debate around what is the best approach for assessment of *** assessment is still considered the gold standard,however,controversies do exist regarding the need for investigations such nerve conduction studies(NCS)to aid with management *** To correlate the severity of NCS results to a scoring system which included symptoms,signs and risk *** This was a prospective correlation *** scored patients’signs and symptoms using our CTS scoring *** was then correlated with the findings of the *** scoring system included-four symptoms(2 Katz hand diagrams–one for tingling and one for numbness;nocturnal paresthesia and bilateral symptoms)and four clinical signs(weak thumb abduction test;Tinel’s sign;Phalen sign and hypoalgesia in median nerve territory)and two risk factors(age more than 40 years and female sex).We classified the NCS results to normal,mild,moderate and *** There were 61 scores in 59 *** mean scores for the categories were as follows:6.75 for normal NCS;5.50 for mild NCS;9.17 for moderate NCS and 9 for severe *** scores of 8 or more matched with NCS results of moderate and severe intensity apart from three scores which were greater than seven that had normal *** score was 0.822 for the CTS score being the dependent value and the NCS category being the independent variable showing a strong association between the scoring system and the NCS *** We feel that this simple scoring system can be used to predict and correlate the severity of NCS in patients with CTS.

关键词： Carpal tunnel syndrome Nerve compression neuropathy Median nerve Scoring

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Entrapment neuropathy of common peroneal nerve by fabella:A case report

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世界临床病例杂志 2023年第28期11卷 6857-6863页

作者： Jing-Chun Lin Mu-Hung Tsai Wei-Pin Lin Ta-Shen Kuan Wei-Chih Lien Department of Physical Medicine and Rehabilitation National Cheng Kung University HospitalCollege of MedicineNational Cheng Kung UniversityTainan 704Taiwan Department of Physical Medicine and Rehabilitation College of MedicineNational Cheng Kung UniversityTainan 701Taiwan

BACKGROUND neuropathy of the common peroneal nerve caused by compression by a fabella is an extremely rare form of compression *** both the superficial and deep peroneal nerves,it usually manifests as either impaired sensation from the lower lateral leg to the top of the foot or drop foot,or as a combination of *** SUMMARY We report the case of a 58-year-old Asian female who presented with inversion of the right foot during the stance phase of gait without sensory complaints related to the lower *** testing revealed the neuropathy of the common peroneal nerve at the level of the knee,exclusively affecting the muscular branch of the superficial peroneal nerve.A neuromuscular ultrasound disclosed swelling of the right common peroneal nerve just before it crossed over a large fabella as well as atrophy and fatty infiltration of the right peroneus longus and peroneus brevis *** excision of the fabella and neurolysis were ***,the strength of the right foot evertors improved,but the unsteady gait with occasional falls persisted for nine months after the ***,another procedure was performed to transfer the split posterior tibialis tendon to the peroneus brevis in order to correct the *** This is the first case of neuropathy of the common peroneal nerve caused by compression by a fabella affecting exclusively the muscular branch of the superficial peroneal *** should be aware of this unusual peripheral neuropathy while evaluating and treating patients with gait disturbance.

关键词： Common peroneal neuropathy Fabella compression neuropathy Case report

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