The Experts below are selected from a list of 14709 Experts worldwide ranked by ideXlab platform
Dimitri J. Anastakis - One of the best experts on this subject based on the ideXlab platform.
-
evaluation of cold sensitivity in patients with upper extremity Nerve Compression syndromes a scoping review
Journal of Hand Surgery (European Volume), 2021Co-Authors: Moaath M Saggaf, Christine B. Novak, Jeunice Vianca Evangelista, Dimitri J. AnastakisAbstract:purpose the aim of this study was to review the literature to determine the prevalence of cold sensitivity in upper extremity Nerve Compression syndromes and the impact of treating Nerve Compression syndromes on cold sensitivity. methods following a standardized scoping review protocol, this study included interventional and observational study designs assessing patients with cold sensitivity and upper extremity Nerve Compression syndromes. review articles, case reports, and small case series (n results three databases were searched (ovid medline, ovid embase, and cinahl on ebsco); 274 references were reviewed. fifteen studies from the database search and 8 studies from the reference search were eligible for this review (n = 23). two interventional and 21 observational studies were identified. the most common method for assessing cold sensitivity was cold pain threshold testing (n = 12), followed by subjective patient reporting (n = 4). the cold intolerance symptom severity questionnaire was the most common validated patient-reported outcome questionnaire used in the studies (n = 3). cold sensitivity was most commonly reported in carpal tunnel syndrome (96% of the studies). the prevalence of cold sensitivity in Nerve Compression syndromes ranged from 20% to 69%. Nerve deCompression improved the severity of cold sensitivity in 5 of 6 studies where cold sensitivity was studied. conclusions there is heterogenicity in the studies assessing cold sensitivity in Nerve Compression syndromes. despite moderate prevalence in patients with carpal tunnel syndrome, cold sensitivity is understudied. within the limitations of eligible studies reviewed, surgical deCompression improved the severity of cold sensitivity in some studies. type of study/level of evidence therapeutic iv.
-
evaluation of cold sensitivity in patients with upper extremity Nerve Compression syndromes a scoping review
Journal of Hand Surgery (European Volume), 2021Co-Authors: Moaath M Saggaf, Christine B. Novak, Jeunice Vianca Evangelista, Dimitri J. AnastakisAbstract:PURPOSE The aim of this study was to review the literature to determine the prevalence of cold sensitivity in upper extremity Nerve Compression syndromes and the impact of treating Nerve Compression syndromes on cold sensitivity. METHODS Following a standardized scoping review protocol, this study included interventional and observational study designs assessing patients with cold sensitivity and upper extremity Nerve Compression syndromes. Review articles, case reports, and small case series (n < 5) were excluded. The abstracts and eligible full texts were screened by 2 independent reviewers. Data were extracted and reported according to PRISMA extension for scoping reviews statement. RESULTS Three databases were searched (Ovid MEDLINE, Ovid EMBASE, and CINAHL on EBSCO); 274 references were reviewed. Fifteen studies from the database search and 8 studies from the reference search were eligible for this review (n = 23). Two interventional and 21 observational studies were identified. The most common method for assessing cold sensitivity was cold pain threshold testing (n = 12), followed by subjective patient reporting (n = 4). The Cold Intolerance Symptom Severity questionnaire was the most common validated patient-reported outcome questionnaire used in the studies (n = 3). Cold sensitivity was most commonly reported in carpal tunnel syndrome (96% of the studies). The prevalence of cold sensitivity in Nerve Compression syndromes ranged from 20% to 69%. Nerve deCompression improved the severity of cold sensitivity in 5 of 6 studies where cold sensitivity was studied. CONCLUSIONS There is heterogenicity in the studies assessing cold sensitivity in Nerve Compression syndromes. Despite moderate prevalence in patients with carpal tunnel syndrome, cold sensitivity is understudied. Within the limitations of eligible studies reviewed, surgical deCompression improved the severity of cold sensitivity in some studies. TYPE OF STUDY/LEVEL OF EVIDENCE Therapeutic IV.
-
Prevalence of cold sensitivity in upper extremity Nerve Compression syndromes.
The Journal of hand surgery European volume, 2017Co-Authors: Michael Wendt, Christine B. Novak, Dimitri J. AnastakisAbstract:This prospective observational study assessed the prevalence of cold sensitivity in patients with Nerve Compression using the Cold Intolerance Symptom Severity (CISS) questionnaire. One hundred patients (72 women, 28 men; mean age 59 years) with carpal tunnel syndrome (n = 95) or cubital tunnel syndrome (n = 5) were studied. Fifty-two patients reported symptoms of cold sensitivity with a mean CISS score of 50. Overall, significantly more women (58% vs. 36%) reported cold sensitivity with significantly worse CISS scores than men.Level of evidence: IV
Dean G Sotereanos - One of the best experts on this subject based on the ideXlab platform.
-
the effect of wrapping scarred Nerves with autogenous vein graft to treat recurrent chronic Nerve Compression
Journal of Hand Surgery (European Volume), 2000Co-Authors: Sokratis E Varitimidis, Kenneth J Fisher, Matthew M Tomaino, Dean G SotereanosAbstract:The purpose of this study was to determine the efficacy of vein wrapping of scarred Nerves in a chronic Nerve Compression model in rats. The ultimate goal was to provide experimental evidence for application of the technique of vein wrapping of Nerves for the treatment of recurrent compressive neuropathy. The chronic Nerve Compression model was created in 100 rats. After 8 months the Nerves were decompressed. In 50 rats the Nerves were wrapped with an opened femoral vein graft; the remaining 50 animals served as controls. The sciatic Nerves of both groups were evaluated at 4, 8, 12, 24, and 48 weeks after surgery. Functionally, the sciatic Nerves in the vein-wrapped group showed greater improvement than those in the non-vein-wrapped group. For electrophysiologic testing the latency was significantly shorter in the vein-wrapped group. Histologic evaluation showed marked Nerve degeneration and scar tissue formation around the Nerves in the non-vein-wrapped group but not in the vein-wrapped group. The results indicate that the vein graft could improve the recovery of Nerve function by protecting the Nerve from surrounding scar and is an effective and feasible technique for the surgical treatment of recurrent compressive neuropathy. (J Hand Surg 2000; 25A:93-103.
-
the effect of wrapping scarred Nerves with autogenous vein graft to treat recurrent chronic Nerve Compression
Journal of Hand Surgery (European Volume), 2000Co-Authors: Sokratis E Varitimidis, Kenneth J Fisher, Matthew M Tomaino, Dean G SotereanosAbstract:Abstract The purpose of this study was to determine the efficacy of vein wrapping of scarred Nerves in a chronic Nerve Compression model in rats. The ultimate goal was to provide experimental evidence for application of the technique of vein wrapping of Nerves for the treatment of recurrent compressive neuropathy. The chronic Nerve Compression model was created in 100 rats. After 8 months the Nerves were decompressed. In 50 rats the Nerves were wrapped with an opened femoral vein graft; the remaining 50 animals served as controls. The sciatic Nerves of both groups were evaluated at 4, 8, 12, 24, and 48 weeks after surgery. Functionally, the sciatic Nerves in the vein-wrapped group showed greater improvement than those in the non-vein-wrapped group. For electrophysiologic testing the latency was significantly shorter in the vein-wrapped group. Histologic evaluation showed marked Nerve degeneration and scar tissue formation around the Nerves in the non-vein-wrapped group but not in the vein-wrapped group. The results indicate that the vein graft could improve the recovery of Nerve function by protecting the Nerve from surrounding scar and is an effective and feasible technique for the surgical treatment of recurrent compressive neuropathy. (J Hand Surg 2000;25A:93–103. Copyright © 2000 by the American Society for Surgery of the Hand.)
Christian Bischoff - One of the best experts on this subject based on the ideXlab platform.
-
Carpal and cubital tunnel and other, rarer Nerve Compression syndromes.
Deutsches Arzteblatt international, 2015Co-Authors: Hans Assmus, Gregor Antoniadis, Christian BischoffAbstract:Peripheral Nerve Compression syndromes involve chronic irritation and pressure lesions where Nerves pass through anatomical bottlenecks and fibro-osseous canals. The characteristic tunnel syndromes are distinct from acute pressure injuries to a Nerve caused by an external Compression or blow at a site where a Nerve courses superficially over a bony prominence, and from Nerve stretching injuries across joints, although mixed injuries also arise. The main clinical manifestations of Nerve Compression syndromes are paresthesiae, sensory impairment, and paresis (1). The diagnosis is established by the history and physical examination, along with the findings of electrophysiologic studies and imaging (1). Nerve Compression syndromes are not life-threatening and generally not disabling, yet they are nonetheless very disturbing for the affected patients. Definition Peripheral Nerve Compression syndromes involve chronic irritation and pressure lesions where Nerves pass through anatomical bottlenecks and fibro-osseous canals. Carpal tunnel syndrome is by far the most common and most important peripheral Nerve Compression syndrome. It can generally be diagnosed from the history and physical examination alone on the basis of its typical symptoms and signs. Nonetheless, in our experience, it is often misdiagnosed as a C7 syndrome or as a “circulatory disturbance” such as Raynaud’s disease. Cubital tunnel syndrome, also called ulnar neuropathy at the elbow, is the second most common peripheral Nerve syndrome; it is 13 times rarer than carpal tunnel syndrome (2). It was once commonly called “sulcus ulnaris syndrome,” especially in the German-speaking countries, but this designation has been dropped because it described the site of the lesion too imprecisely and seemed to imply a justification for invasive transposition procedures that are now only rarely performed. The available S3 guidelines for these two conditions serve as the basis for this review (2, 3). The other Compression syndromes are much rarer, and some of them are controversial (Table 1). They are discussed in the second part of this review. Table 1 Compression syndromes and focal Nerve lesions (from [3]) The topic of peripheral Nerve Compression syndromes is dealt with in greater depth in a current monograph (3). A book including a thorough discussion of all aspects of carpal tunnel syndrome was published in 2002 (4).
-
carpal and cubital tunnel and other rarer Nerve Compression syndromes
Deutsches Arzteblatt International, 2015Co-Authors: Hans Assmus, Gregor Antoniadis, Christian BischoffAbstract:Background Carpal tunnel syndrome is by far the most common peripheral Nerve Compression syndrome, affecting approximately one in every six adults to a greater or lesser extent. Splitting the flexor retinaculum to treat carpal tunnel syndrome is the second most common specialized surgical procedure in Germany. Cubital tunnel syndrome is rarer by a factor of 13, and the other Compression syndromes are rarer still.
Sokratis E Varitimidis - One of the best experts on this subject based on the ideXlab platform.
-
the effect of wrapping scarred Nerves with autogenous vein graft to treat recurrent chronic Nerve Compression
Journal of Hand Surgery (European Volume), 2000Co-Authors: Sokratis E Varitimidis, Kenneth J Fisher, Matthew M Tomaino, Dean G SotereanosAbstract:The purpose of this study was to determine the efficacy of vein wrapping of scarred Nerves in a chronic Nerve Compression model in rats. The ultimate goal was to provide experimental evidence for application of the technique of vein wrapping of Nerves for the treatment of recurrent compressive neuropathy. The chronic Nerve Compression model was created in 100 rats. After 8 months the Nerves were decompressed. In 50 rats the Nerves were wrapped with an opened femoral vein graft; the remaining 50 animals served as controls. The sciatic Nerves of both groups were evaluated at 4, 8, 12, 24, and 48 weeks after surgery. Functionally, the sciatic Nerves in the vein-wrapped group showed greater improvement than those in the non-vein-wrapped group. For electrophysiologic testing the latency was significantly shorter in the vein-wrapped group. Histologic evaluation showed marked Nerve degeneration and scar tissue formation around the Nerves in the non-vein-wrapped group but not in the vein-wrapped group. The results indicate that the vein graft could improve the recovery of Nerve function by protecting the Nerve from surrounding scar and is an effective and feasible technique for the surgical treatment of recurrent compressive neuropathy. (J Hand Surg 2000; 25A:93-103.
-
the effect of wrapping scarred Nerves with autogenous vein graft to treat recurrent chronic Nerve Compression
Journal of Hand Surgery (European Volume), 2000Co-Authors: Sokratis E Varitimidis, Kenneth J Fisher, Matthew M Tomaino, Dean G SotereanosAbstract:Abstract The purpose of this study was to determine the efficacy of vein wrapping of scarred Nerves in a chronic Nerve Compression model in rats. The ultimate goal was to provide experimental evidence for application of the technique of vein wrapping of Nerves for the treatment of recurrent compressive neuropathy. The chronic Nerve Compression model was created in 100 rats. After 8 months the Nerves were decompressed. In 50 rats the Nerves were wrapped with an opened femoral vein graft; the remaining 50 animals served as controls. The sciatic Nerves of both groups were evaluated at 4, 8, 12, 24, and 48 weeks after surgery. Functionally, the sciatic Nerves in the vein-wrapped group showed greater improvement than those in the non-vein-wrapped group. For electrophysiologic testing the latency was significantly shorter in the vein-wrapped group. Histologic evaluation showed marked Nerve degeneration and scar tissue formation around the Nerves in the non-vein-wrapped group but not in the vein-wrapped group. The results indicate that the vein graft could improve the recovery of Nerve function by protecting the Nerve from surrounding scar and is an effective and feasible technique for the surgical treatment of recurrent compressive neuropathy. (J Hand Surg 2000;25A:93–103. Copyright © 2000 by the American Society for Surgery of the Hand.)
Hans Assmus - One of the best experts on this subject based on the ideXlab platform.
-
Carpal and cubital tunnel and other, rarer Nerve Compression syndromes.
Deutsches Arzteblatt international, 2015Co-Authors: Hans Assmus, Gregor Antoniadis, Christian BischoffAbstract:Peripheral Nerve Compression syndromes involve chronic irritation and pressure lesions where Nerves pass through anatomical bottlenecks and fibro-osseous canals. The characteristic tunnel syndromes are distinct from acute pressure injuries to a Nerve caused by an external Compression or blow at a site where a Nerve courses superficially over a bony prominence, and from Nerve stretching injuries across joints, although mixed injuries also arise. The main clinical manifestations of Nerve Compression syndromes are paresthesiae, sensory impairment, and paresis (1). The diagnosis is established by the history and physical examination, along with the findings of electrophysiologic studies and imaging (1). Nerve Compression syndromes are not life-threatening and generally not disabling, yet they are nonetheless very disturbing for the affected patients. Definition Peripheral Nerve Compression syndromes involve chronic irritation and pressure lesions where Nerves pass through anatomical bottlenecks and fibro-osseous canals. Carpal tunnel syndrome is by far the most common and most important peripheral Nerve Compression syndrome. It can generally be diagnosed from the history and physical examination alone on the basis of its typical symptoms and signs. Nonetheless, in our experience, it is often misdiagnosed as a C7 syndrome or as a “circulatory disturbance” such as Raynaud’s disease. Cubital tunnel syndrome, also called ulnar neuropathy at the elbow, is the second most common peripheral Nerve syndrome; it is 13 times rarer than carpal tunnel syndrome (2). It was once commonly called “sulcus ulnaris syndrome,” especially in the German-speaking countries, but this designation has been dropped because it described the site of the lesion too imprecisely and seemed to imply a justification for invasive transposition procedures that are now only rarely performed. The available S3 guidelines for these two conditions serve as the basis for this review (2, 3). The other Compression syndromes are much rarer, and some of them are controversial (Table 1). They are discussed in the second part of this review. Table 1 Compression syndromes and focal Nerve lesions (from [3]) The topic of peripheral Nerve Compression syndromes is dealt with in greater depth in a current monograph (3). A book including a thorough discussion of all aspects of carpal tunnel syndrome was published in 2002 (4).
-
carpal and cubital tunnel and other rarer Nerve Compression syndromes
Deutsches Arzteblatt International, 2015Co-Authors: Hans Assmus, Gregor Antoniadis, Christian BischoffAbstract:Background Carpal tunnel syndrome is by far the most common peripheral Nerve Compression syndrome, affecting approximately one in every six adults to a greater or lesser extent. Splitting the flexor retinaculum to treat carpal tunnel syndrome is the second most common specialized surgical procedure in Germany. Cubital tunnel syndrome is rarer by a factor of 13, and the other Compression syndromes are rarer still.