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Double-Crush Syndrome

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1. Double Crush Syndrome

likely it therefore is that the disease in question is responsible. How does this apply to RSI, Carpal Tunnel Syndrome (CTS) and Double Crush? Well, two types of pathology are known to be very common in the population at large and therefore present the problems outlined in the last paragraph - these are CTS and the group of conditions which, for want of a better term, I will call 'root/plexus problems'. This last includes arthritic degeneration of the cervical spine producing nerve root compression (...) suggested that the failure of symptoms to respond to treatment for CTS, often surgery, is a result of misdiagnosis of double crush syndrome as CTS. The implication is often that many patients who have double crush syndrome are mistakenly treated as having CTS when they don't have it – as though the two conditions are entirely separate. Most of the patients we are talking about will have CTS as one part of their 'double crush' as CTS is far more common than other entrapment neuropathies in the arm

2012 Carpal-Tunnel.net

2. Double crush syndrome caused by cervical spondylosis and vertebral artery loop. (Abstract)

Double crush syndrome caused by cervical spondylosis and vertebral artery loop. The purpose of this article is to report a successful treatment experience in a rare case of simultaneous cervical nerve root compression by spondylotic cervical foraminal stenosis and a vertebral artery loop.51-year-old man presented with a 4-year history of left-sided cervical pain radiating to the left shoulder with progressive exacerbation of weakness on left shoulder girdle muscles for 7 months. The patient had (...) girdle returned normal.This report illustrates the first phenomenon of a double crush syndrome caused by vertebral artery loop and cervical spondylotic changes. When patients with cervical spondylosis present with unexplainably severe pain and weakness, additional underlying pathologies should be considered when making differential diagnoses. The investigation planning should involve electromyography, computed tomography angiography, and magnetic resonance imaging.

2017 European Spine Journal

3. Double-Crush Syndrome

Double-Crush Syndrome Double-Crush Syndrome Toggle navigation Brain Head & Neck Chest Endocrine Abdomen Musculoskeletal Skin Infectious Disease Hematology & Oncology Cohorts Diagnostics Emergency Findings Procedures Prevention & Management Pharmacy Resuscitation Trauma Emergency Procedures Ultrasound Cardiovascular Emergencies Lung Emergencies Infectious Disease Pediatrics Neurologic Emergencies Skin Exposure Miscellaneous Abuse Cancer Administration 4 Double-Crush Syndrome Double-Crush (...) Syndrome Aka: Double-Crush Syndrome From Related Chapters II. Pathophysiology compression at two sites Cervical disc and Cervical compression predisposes to more susceptible to injury III. Causes Proximal Images: Related links to external sites (from Bing) These images are a random sampling from a Bing search on the term "Double-Crush Syndrome." Click on the image (or right click) to open the source website in a new browser window. Related Studies (from Trip Database) Related Topics in Wrist Disorders

2018 FP Notebook

4. Double Crush of L5 Spinal Nerve Root due to L4/5 Lateral Recess Stenosis and Bony Spur Formation of Lumbosacral Transitional Vertebra Pseudoarticulation: A Case Report and Review Full Text available with Trip Pro

Double Crush of L5 Spinal Nerve Root due to L4/5 Lateral Recess Stenosis and Bony Spur Formation of Lumbosacral Transitional Vertebra Pseudoarticulation: A Case Report and Review We present a case of double-crushed L5 nerve root symptoms caused by inside and outside of the spinal canal with spur formation of the lumbosacral transitional vertebra (LSTV). A 78-year-old man presented with 7-year history of moderate paresis of his toe and left leg pain when walking. Magnetic resonance imaging (MRI (...) Wiltse approach, resulting in the improvement of his symptoms. The impingement of L5 spinal nerve root between the transverse process of the fifth lumbar vertebra and the sacral ala is a rare entity of the pathology called "far-out syndrome (FOS)". Especially, the bony spur formation secondary to the anomalous articulation of the LSTV (LSPA) has not been reported. These articulations could be due to severe disc degeneration, following closer distance and contact between the transverse process

2017 NMC Case Report Journal

5. Multifocal Neuropathy: Expanding the Scope of Double Crush Syndrome. (Abstract)

Multifocal Neuropathy: Expanding the Scope of Double Crush Syndrome. Double crush syndrome (DCS), as it is classically defined, is a clinical condition composed of neurological dysfunction due to compressive pathology at multiple sites along a single peripheral nerve. The traditional definition of DCS is narrow in scope because many systemic pathologic processes, such as diabetes mellitus, drug-induced neuropathy, vascular disease and autoimmune neuronal damage, can have deleterious effects

2016 Journal of Hand Surgery - American

6. Ultrasound Diagnosis of Double Crush Syndrome of the Ulnar Nerve by the Anconeus Epitrochlearis and a Ganglion Full Text available with Trip Pro

Ultrasound Diagnosis of Double Crush Syndrome of the Ulnar Nerve by the Anconeus Epitrochlearis and a Ganglion Double compression of the ulnar nerve, including Guyon's canal syndrome associated with cubital tunnel syndrome caused by the anconeus epitrochlearis muscle, is a very rare condition. We present a case of double crush syndrome of the ulnar nerve at the wrist and elbow in a 55-year-old man, as well as a brief review of the literature. Although electrodiagnostic findings were consistent

2016 Journal of Korean Neurosurgical Society

7. Outcomes following peripheral nerve decompression with and without associated double crush syndrome: a case control study. (Abstract)

Outcomes following peripheral nerve decompression with and without associated double crush syndrome: a case control study. Double crush syndrome, the association between proximal and distal nerve lesions, has been established. This investigation compares the outcomes of nerve surgery in patients with isolated peripheral compression versus those with double crush syndrome treated with peripheral nerve and cervical spine operations.This case-controlled study enrolled 80 patients: 40 underwent (...) surgery, patients with a history of cervical spine surgery are likely to have inferior patient-reported outcomes, persistent nerve dysfunction, and lower satisfaction after peripheral nerve release compared with patients following isolated peripheral nerve surgery. Double crush syndrome was associated with poorer outcome after peripheral nerve surgery despite treatment of cervical spine nerve compression.Therapeutic, III.

2016 Plastic and reconstructive surgery

8. The diagnosis of double-crush lesion in the l5 lumbar nerve using diffusion tensor imaging. (Abstract)

The diagnosis of double-crush lesion in the l5 lumbar nerve using diffusion tensor imaging. A double-crush lesion is a condition in which the lumbar nerve is compressed both medially and laterally in the spinal canal, where diagnosis can be very difficult, and is a factor leading to poor surgical success rates.Diffusion tensor imaging (DTI) was used to determine DTI parameter fractional anisotropy (FA) values and apparent diffusion coefficient (ADC) in both intraspinal column lesions alone (...) and in double-crush lesions.This study used a prospective study.Of the 56 cases (mean age: 72.2 years) that underwent laminectomy for lumbar spinal stenosis at our clinic between April 2013 to March, 2015, 10 cases with L5 radiculopathy caused by L4-L5 stenosis (Intraspinal stenosis group (Group I); mean age: 74.7 years), and 5 cases with persistent symptoms caused by L5 foraminal stenosis despite L4-L5 decompression surgery (Double-crush group (Group D); mean age: 77.6 years) were targeted. One patient

2015 The Spine Journal

9. Double-Crush Syndrome

Double-Crush Syndrome Double-Crush Syndrome Toggle navigation Brain Head & Neck Chest Endocrine Abdomen Musculoskeletal Skin Infectious Disease Hematology & Oncology Cohorts Diagnostics Emergency Findings Procedures Prevention & Management Pharmacy Resuscitation Trauma Emergency Procedures Ultrasound Cardiovascular Emergencies Lung Emergencies Infectious Disease Pediatrics Neurologic Emergencies Skin Exposure Miscellaneous Abuse Cancer Administration 4 Double-Crush Syndrome Double-Crush (...) Syndrome Aka: Double-Crush Syndrome From Related Chapters II. Pathophysiology compression at two sites Cervical disc and Cervical compression predisposes to more susceptible to injury III. Causes Proximal Images: Related links to external sites (from Bing) These images are a random sampling from a Bing search on the term "Double-Crush Syndrome." Click on the image (or right click) to open the source website in a new browser window. Related Studies (from Trip Database) Related Topics in Wrist Disorders

2015 FP Notebook

10. Management of carpal tunnel syndrome evidence-based clinical practice guideline

physiologically by evidence of increased pressure within the carpal tunnel and decreased function of the nerve at that level. Carpal Tunnel Syndrome can be caused by many different diseases, conditions and events. It is characterized by patients as producing numbness, tingling, hand and arm pain and muscle dysfunction. The disorder is not restricted by age, gender, ethnicity, or occupation and is associated with or caused by systemic disease and local mechanical and disease factors. Goals and Rationale (...) by compression of the median nerve under the transverse carpal ligament. Although pressure on the median nerve is clearly the pathophysiologic basis for the symptoms observed clinically, the etiology of elevated pressure within the carpal canal is unknown. Risk Factors Conditions which occupy volume within the carpal canal may increase the risk of symptomatic compression of the median nerve. Diseases affecting the synovium of the flexor tendons, such as rheumatoid arthritis, or rare tumors or anomalous

2016 American Academy of Orthopaedic Surgeons

11. Health-Related Quality of Life in Cases of Cubital Tunnel Syndrome

: McMaster University Information provided by (Responsible Party): McMaster University Study Details Study Description Go to Brief Summary: This study aims to determine the Health Related Quality of life (HRQOL) (the physical, mental, emotional and social functioning) of patients with cubital tunnel syndrome following anterior intramuscular transposition, after one year. Condition or disease Intervention/treatment Phase Cubital Tunnel Syndrome Procedure: Anterior Intramuscular Transposition (...) Healthy Volunteers: No Criteria Inclusion Criteria: Diagnosis of cubital tunnel syndrome confirmed with Electromyography (EMG) testing or Ultrasound imaging Ability to comprehend English and complete health related quality of life questionnaires Willing to provide informed consent Age > 18 years Not pregnant Exclusion Criteria: Prior ipsilateral cubital tunnel release Evidence of symptomatic clinical double crush syndrome confirmed by EMG/Nerve Conduction Study (NCS) Patients with rheumatoid arthritis

2016 Clinical Trials

12. Carpel Tunnel Syndrome and Physical Therapy Modalities

median sensory distal latency above 3.5 ms . Positive Phalen and Tinel test. Subjects scored pain intensity more than 5 in visual analogue scale (VAS). Exclusion Criteria: severe cases with delayed motor distal latency > 6ms. Orthopedic or neurological disorders of neck or the upper limb as cervical radiculopathy. Pronator teres syndrome or double crush syndrome. Pre- existing CTS before their last pregnancy, current pregnancy. Diabetic neuropathy and Thoracic outlet syndrome. Wasting of thenar (...) Description Go to Brief Summary: Carpel tunnel syndrome (CTS) is very common complain during pregnancy with high percentage to continue postnatal. Conservative treatment is more recommended in these cases. There are many physical therapy modalities proposed to treat CTS without knowing which modality is better than the other. So the aim of this study to compare the effect of two modalities in treating CTS in postnatal females. Condition or disease Intervention/treatment Phase Carpal Tunnel Syndrome Device

2016 Clinical Trials

13. The Role of the Cervical Spine in Carpal Tunnel Syndrome

including manual therapies targeted to those areas related to the median nerve or after endoscopic surgery in women with CTS at medium and long-term follow-up. The hypothesis is that manual therapy is more effective for increasing cervical range of motion and pinch grip force, but similarly effective for improving function, than surgical treatment in women with CTS. Condition or disease Intervention/treatment Phase Carpal Tunnel Syndromes Other: Physical Therapy Group Procedure: Surgical Group (...) Not Applicable Detailed Description: There is some evidence suggesting that CTS is associated with restricted cervical range of motion and deficits in pinch grip force. In fact, restricted cervical range of motion and deficits in pinch grip force seems to be independent of electro-diagnostic findings. These findings would be associated with the proposed "double crush syndrome" theory. However no longitudinal studies have been conducted. Further it has been demonstrated that hand function is associated

2014 Clinical Trials

14. Thoracic Outlet Syndrome (Overview)

. Clin Sports Med . 1999 Apr. 18(2):361-78. . Roos DB. Congenital anomalies associated with thoracic outlet syndrome. Anatomy, symptoms, diagnosis, and treatment. Am J Surg . 1976 Dec. 132(6):771-8. . Roos DB. Thoracic outlet syndrome is underdiagnosed. Muscle Nerve . 1999 Jan. 22(1):126-9; discussion 137-8. . Sucher BM. Palpatory diagnosis and manipulative management of carpal tunnel syndrome: Part 2. 'Double crush' and thoracic outlet syndrome. J Am Osteopath Assoc . 1995 Aug. 95(8):471-9. . Sucher (...) AJ. Thoracic outlet syndrome surgery causing severe brachial plexopathy. Muscle Nerve . 1988 Jan. 11(1):66-74. . Wood VE, Biondi J. Double-crush nerve compression in thoracic-outlet syndrome. J Bone Joint Surg Am . 1990 Jan. 72(1):85-7. . Woods WW. Thoracic outlet syndrome after trauma, diagnosis is elusive. Modern Medicine . 1978. 46:147. Media Gallery Progressive postural decompensation with neurovascular compression. A: Normal resting posture. B: Shoulder protraction beginning

2014 eMedicine.com

15. Thoracic Outlet Syndrome (Overview)

as a result of work or physical conditioning. Baseball players, whose sport requires repetitive throwing motions, are at increased risk for arterial thoracic outlet syndrome in their dominant arm. Previous References Arthur LG, Teich S, Hogan M, Caniano DA, Smead W. Pediatric thoracic outlet syndrome: a disorder with serious vascular complications. J Pediatr Surg . 2008 Jun. 43(6):1089-94. . Sadat U, Weerakkody R, Varty K. Thoracic outlet syndrome: an overview. Br J Hosp Med (Lond) . 2008 May. 69(5):260-3 (...) , and thoracic outlet syndrome. Muscle Nerve . 2003 Sep. 28(3):383-5. . Fujita K, Matsuda K, Sakai Y, Sakai H, Mizuno K. Late thoracic outlet syndrome secondary to malunion of the fractured clavicle: case report and review of the literature. J Trauma . 2001 Feb. 50(2):332-5. . Upton AR, McComas AJ. The double crush in nerve entrapment syndromes. Lancet . 1973 Aug 18. 2(7825):359-62. . Urschel HC Jr, Razzuk MA. Neurovascular compression in the thoracic outlet: changing management over 50 years. Ann Surg

2014 eMedicine.com

16. Thoracic Outlet Syndrome (Diagnosis)

as a result of work or physical conditioning. Baseball players, whose sport requires repetitive throwing motions, are at increased risk for arterial thoracic outlet syndrome in their dominant arm. Previous References Arthur LG, Teich S, Hogan M, Caniano DA, Smead W. Pediatric thoracic outlet syndrome: a disorder with serious vascular complications. J Pediatr Surg . 2008 Jun. 43(6):1089-94. . Sadat U, Weerakkody R, Varty K. Thoracic outlet syndrome: an overview. Br J Hosp Med (Lond) . 2008 May. 69(5):260-3 (...) , and thoracic outlet syndrome. Muscle Nerve . 2003 Sep. 28(3):383-5. . Fujita K, Matsuda K, Sakai Y, Sakai H, Mizuno K. Late thoracic outlet syndrome secondary to malunion of the fractured clavicle: case report and review of the literature. J Trauma . 2001 Feb. 50(2):332-5. . Upton AR, McComas AJ. The double crush in nerve entrapment syndromes. Lancet . 1973 Aug 18. 2(7825):359-62. . Urschel HC Jr, Razzuk MA. Neurovascular compression in the thoracic outlet: changing management over 50 years. Ann Surg

2014 eMedicine.com

17. Thoracic Outlet Syndrome (Diagnosis)

. Clin Sports Med . 1999 Apr. 18(2):361-78. . Roos DB. Congenital anomalies associated with thoracic outlet syndrome. Anatomy, symptoms, diagnosis, and treatment. Am J Surg . 1976 Dec. 132(6):771-8. . Roos DB. Thoracic outlet syndrome is underdiagnosed. Muscle Nerve . 1999 Jan. 22(1):126-9; discussion 137-8. . Sucher BM. Palpatory diagnosis and manipulative management of carpal tunnel syndrome: Part 2. 'Double crush' and thoracic outlet syndrome. J Am Osteopath Assoc . 1995 Aug. 95(8):471-9. . Sucher (...) AJ. Thoracic outlet syndrome surgery causing severe brachial plexopathy. Muscle Nerve . 1988 Jan. 11(1):66-74. . Wood VE, Biondi J. Double-crush nerve compression in thoracic-outlet syndrome. J Bone Joint Surg Am . 1990 Jan. 72(1):85-7. . Woods WW. Thoracic outlet syndrome after trauma, diagnosis is elusive. Modern Medicine . 1978. 46:147. Media Gallery Progressive postural decompensation with neurovascular compression. A: Normal resting posture. B: Shoulder protraction beginning

2014 eMedicine.com

18. Thoracic Outlet Syndrome (Follow-up)

. . Fujita K, Matsuda K, Sakai Y, Sakai H, Mizuno K. Late thoracic outlet syndrome secondary to malunion of the fractured clavicle: case report and review of the literature. J Trauma . 2001 Feb. 50(2):332-5. . Upton AR, McComas AJ. The double crush in nerve entrapment syndromes. Lancet . 1973 Aug 18. 2(7825):359-62. . Urschel HC Jr, Razzuk MA. Neurovascular compression in the thoracic outlet: changing management over 50 years. Ann Surg . 1998 Oct. 228(4):609-17. . . Wood VE, Twito R, Verska JM. Thoracic (...) and Other Problems to Be Considered). may improve with the continued use of and a routine exercise and strengthening program. Previous References Arthur LG, Teich S, Hogan M, Caniano DA, Smead W. Pediatric thoracic outlet syndrome: a disorder with serious vascular complications. J Pediatr Surg . 2008 Jun. 43(6):1089-94. . Sadat U, Weerakkody R, Varty K. Thoracic outlet syndrome: an overview. Br J Hosp Med (Lond) . 2008 May. 69(5):260-3. . Kaymak B, Ozçakar L, Inanici F, et al. Forearm bone mineral

2014 eMedicine.com

19. Thoracic Outlet Syndrome (Follow-up)

; discussion 137-8. . Sucher BM. Palpatory diagnosis and manipulative management of carpal tunnel syndrome: Part 2. 'Double crush' and thoracic outlet syndrome. J Am Osteopath Assoc . 1995 Aug. 95(8):471-9. . Sucher BM. Thoracic outlet syndrome--a myofascial variant: Part 1. Pathology and diagnosis. J Am Osteopath Assoc . 1990 Aug. 90(8):686-96, 703-4. . Sucher BM. Thoracic outlet syndrome--a myofascial variant: Part 2. Treatment. J Am Osteopath Assoc . 1990 Sep. 90(9):810-2, 817-23. . Sucher BM, Glassman (...) . In: Derebery VJ, Kasdan ML, ed. Injuries and Rehabilitation of the Upper Extremity. 1998:243-262. Wilbourn AJ. Thoracic outlet syndrome is overdiagnosed. Muscle Nerve . 1999 Jan. 22(1):130-6; discussion 136-7. . Wilbourn AJ. Thoracic outlet syndrome surgery causing severe brachial plexopathy. Muscle Nerve . 1988 Jan. 11(1):66-74. . Wood VE, Biondi J. Double-crush nerve compression in thoracic-outlet syndrome. J Bone Joint Surg Am . 1990 Jan. 72(1):85-7. . Woods WW. Thoracic outlet syndrome after trauma

2014 eMedicine.com

20. Thoracic Outlet Syndrome (Treatment)

accessory neuropathy, droopy shoulder, and thoracic outlet syndrome. Muscle Nerve . 2003 Sep. 28(3):383-5. . Fujita K, Matsuda K, Sakai Y, Sakai H, Mizuno K. Late thoracic outlet syndrome secondary to malunion of the fractured clavicle: case report and review of the literature. J Trauma . 2001 Feb. 50(2):332-5. . Upton AR, McComas AJ. The double crush in nerve entrapment syndromes. Lancet . 1973 Aug 18. 2(7825):359-62. . Urschel HC Jr, Razzuk MA. Neurovascular compression in the thoracic outlet (...) by 3rd parties. Close encoded search term (Thoracic Outlet Syndrome) and Thoracic Outlet Syndrome What to Read Next on Medscape Related Conditions and Diseases Medscape Consult News & Perspective Tools Most Popular Articles According to Orthopedists Recommended 2002 96412-overview Diseases & Conditions Diseases & Conditions 2002 418670-overview Diseases & Conditions Diseases & Conditions 2002 1143532-overview Diseases & Conditions Diseases & Conditions 2002 760477-overview Diseases & Conditions

2014 eMedicine.com

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