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Double-Crush Syndrome

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21. 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

22. Hand, Nerve Compression Syndromes: Upper Extremity

blood flow. The relative ischemia decreases axonal transport and, in turn, the nerve's ability to conduct impulses. Long-standing disease can produce irreversible damage, in the form of scarring or fibrosis, and loss of motor endplates, causing muscle atrophy. The double-crush theory predicts that a compressive lesion at one point along a peripheral nerve lowers the threshold for occurrence of compression at another site secondary to internal derangement of nerve cell metabolism. Examples of some (...) ? Sections Nerve Compression Syndromes of the Hand Find Us On About Membership WebMD Network Editions All material on this website is protected by copyright, Copyright © 1994-2019 by WebMD LLC. This website also contains material copyrighted by 3rd parties. Close encoded search term (Nerve Compression Syndromes of the Hand) and Nerve Compression Syndromes of the Hand What to Read Next on Medscape Related Conditions and Diseases Medscape Consult News & Perspective Tools Slideshow Most Popular Articles

2014 eMedicine Surgery

23. Carpal Tunnel Syndrome (Diagnosis)

increases lead to increasing sensory and motor block. At 60-80 mm Hg, intraneural blood flow ceases completely. In one study, the carpal canal pressures in patients with CTS averaged 32 mm Hg, compared with only about 2 mm Hg in control subjects. [ ] The double-crush syndrome, in which there is pressure on the median nerve at a second site (remote from the wrist), can further lower the median nerve's pressure threshold for producing symptoms of CTS. If a nerve is compressed at multiple sites, traction (...) would you like to print? Sections Orthopedic Surgery for Carpal Tunnel Syndrome Find Us On About Membership WebMD Network Editions All material on this website is protected by copyright, Copyright © 1994-2019 by WebMD LLC. This website also contains material copyrighted by 3rd parties. Close encoded search term (Orthopedic Surgery for Carpal Tunnel Syndrome) and Orthopedic Surgery for Carpal Tunnel Syndrome What to Read Next on Medscape Related Conditions and Diseases Medscape Consult News

2014 eMedicine Surgery

24. Nerve Entrapment Syndromes of the Lower Extremity (Diagnosis)

also be injured during childbirth in the squatting position. Other less common causes of common peroneal nerve entrapment include lower-limb lengthening procedures, anorexia nervosa, and paraneoplastic syndromes. Also, peroneal nerve mononeuropathies can occur in hyperthyroidism, diabetes mellitus, vasculitic disorders, and leprosy. Often, no underlying etiology can be definitively identified, and the condition is termed idiopathic. Superficial peroneal nerve entrapment Local trauma or compression (...) Bone Joint Surg Br . 1989 Jan. 71(1):131-5. . Oh SJ, ed. Clinical Electromyography: Nerve Conduction Studies . 3rd ed. Philadelphia: Lippincott Williams & Wilkins; 2003. Kaplan PE, Kernahan WT Jr. Tarsal tunnel syndrome: an electrodiagnostic and surgical correlation. J Bone Joint Surg Am . 1981 Jan. 63(1):96-9. . Golovchinsky V. Double crush syndrome in lower extremities. Electromyogr Clin Neurophysiol . 1998 Mar. 38(2):115-20. . Kankanala G, Jain AS. The operational characteristics

2014 eMedicine Surgery

25. Cubital Tunnel Syndrome (Diagnosis)

Acad Orthop Surg . 1998 Sep-Oct. 6(5):289-97. . Upton AR, McComas AJ. The double crush in nerve entrapment syndromes. Lancet . 1973 Aug 18. 2(7825):359-62. . Seddon HJ. Surgical Disorders of the Peripheral Nerves . Edinburgh, Scotland: Churchill Livingstone; 1972. Sunderland S. Nerves and Nerve Injuries . 2nd ed. London, England: Churchill Livingstone; 1978. 780-95. McGOWAN AJ. The results of transposition of the ulnar nerve for traumatic ulnar neuritis. J Bone Joint Surg Br . 1950 Aug. 32-B(3):293 (...) compression of a nerve trunk, such as occurs with cervical radiculopathy, may lead to increased vulnerability to nerve compression in a distal segment. This "double crush" condition can affect the ulnar nerve and results from disruption of normal axonal transport. [ ] The nerve, axon, and myelin can be affected. Within the axon, fascicles to individual muscles may be involved selectively. Axonal involvement leads to motor unit loss and amplitude/area reduction. Conduction block implies impaired

2014 eMedicine Surgery

26. Cubital Tunnel Syndrome (Overview)

Acad Orthop Surg . 1998 Sep-Oct. 6(5):289-97. . Upton AR, McComas AJ. The double crush in nerve entrapment syndromes. Lancet . 1973 Aug 18. 2(7825):359-62. . Seddon HJ. Surgical Disorders of the Peripheral Nerves . Edinburgh, Scotland: Churchill Livingstone; 1972. Sunderland S. Nerves and Nerve Injuries . 2nd ed. London, England: Churchill Livingstone; 1978. 780-95. McGOWAN AJ. The results of transposition of the ulnar nerve for traumatic ulnar neuritis. J Bone Joint Surg Br . 1950 Aug. 32-B(3):293 (...) with cervical radiculopathy, may lead to increased vulnerability to nerve compression in a distal segment. This "double crush" condition can affect the ulnar nerve and results from disruption of normal axonal transport. [ ] The nerve, axon, and myelin can be affected. Within the axon, fascicles to individual muscles may be involved selectively. Axonal involvement leads to motor unit loss and amplitude/area reduction. Conduction block implies impaired transmission through a segment of nerve. In the absence

2014 eMedicine Surgery

27. Carpal Tunnel Syndrome (Overview)

increases lead to increasing sensory and motor block. At 60-80 mm Hg, intraneural blood flow ceases completely. In one study, the carpal canal pressures in patients with CTS averaged 32 mm Hg, compared with only about 2 mm Hg in control subjects. [ ] The double-crush syndrome, in which there is pressure on the median nerve at a second site (remote from the wrist), can further lower the median nerve's pressure threshold for producing symptoms of CTS. If a nerve is compressed at multiple sites, traction (...) would you like to print? Sections Orthopedic Surgery for Carpal Tunnel Syndrome Find Us On About Membership WebMD Network Editions All material on this website is protected by copyright, Copyright © 1994-2019 by WebMD LLC. This website also contains material copyrighted by 3rd parties. Close encoded search term (Orthopedic Surgery for Carpal Tunnel Syndrome) and Orthopedic Surgery for Carpal Tunnel Syndrome What to Read Next on Medscape Related Conditions and Diseases Medscape Consult News

2014 eMedicine Surgery

28. Tarsal Tunnel Syndrome (Diagnosis)

canal. The tarsal canal is formed by the flexor retinaculum, which extends posteriorly and distally to the medial malleolus. The symptoms of compression and tension neuropathies are similar; therefore, differences in these conditions cannot be simply identified by the symptoms alone. In certain instances, compression and tension neuropathies may coexist. The double-crush phenomenon originates from work published by Upton and McComas in 1973. The hypothesis behind this phenomenon may be stated (...) copyrighted by 3rd parties. Close encoded search term (Tarsal Tunnel Syndrome) and Tarsal Tunnel Syndrome What to Read Next on Medscape Related Conditions and Diseases Medscape Consult News & Perspective Tools Most Popular Articles According to Orthopedists Recommended 2002 1236852-overview Procedures Procedures 2002 2225774-overview Procedures Procedures 2002 334141-overview Diseases & Conditions Diseases & Conditions 2002 1458606-overview Procedures Procedures Need a Curbside Consult? Share cases

2014 eMedicine Surgery

29. Nerve Entrapment Syndromes of the Lower Extremity (Treatment)

Bone Joint Surg Br . 1989 Jan. 71(1):131-5. . Oh SJ, ed. Clinical Electromyography: Nerve Conduction Studies . 3rd ed. Philadelphia: Lippincott Williams & Wilkins; 2003. Kaplan PE, Kernahan WT Jr. Tarsal tunnel syndrome: an electrodiagnostic and surgical correlation. J Bone Joint Surg Am . 1981 Jan. 63(1):96-9. . Golovchinsky V. Double crush syndrome in lower extremities. Electromyogr Clin Neurophysiol . 1998 Mar. 38(2):115-20. . Kankanala G, Jain AS. The operational characteristics (...) Am . 1998 Jan. 80(1):47-53. . Styf J, Morberg P. The superficial peroneal tunnel syndrome. Results of treatment by decompression. J Bone Joint Surg Br . 1997 Sep. 79(5):801-3. . Sridhara CR, Izzo KL. Terminal sensory branches of the superficial peroneal nerve: an entrapment syndrome. Arch Phys Med Rehabil . 1985 Nov. 66(11):789-91. . Johnston EC, Howell SJ. Tension neuropathy of the superficial peroneal nerve: associated conditions and results of release. Foot Ankle Int . 1999 Sep. 20(9):576-82

2014 eMedicine Surgery

30. Cubital Tunnel Syndrome (Treatment)

fracture, severe arthritis, or previous excisional arthroplasty Medial epicondylectomy - This procedure is not used when double-crush syndrome with entrapment at the distal end of the cubital tunnel or soft-tissue masses in the epicondylar groove are suspected A Cochrane review examined two meta-analyses of five randomized, controlled clinical trials of surgery for idiopathic ulnar neuropathy at the elbow, [ ] four of which compared simple decompression with decompression plus transposition (...) -to-excellent results is 85-90%. Previous Next: Complications of Surgical Intervention The most serious complications of surgical decompression of the ulnar nerve are the following [ ] : Failure to decompress the nerve adequately, causing a new area of entrapment with the decompression Injury to the nerve during decompression or transposition Neuromata of the medial antebrachial cutaneous nerve Failure to recognize a double-crush syndrome Infection, failure to heal, thrombophlebitis, atelectasis

2014 eMedicine Surgery

31. Tarsal Tunnel Syndrome (Overview)

canal. The tarsal canal is formed by the flexor retinaculum, which extends posteriorly and distally to the medial malleolus. The symptoms of compression and tension neuropathies are similar; therefore, differences in these conditions cannot be simply identified by the symptoms alone. In certain instances, compression and tension neuropathies may coexist. The double-crush phenomenon originates from work published by Upton and McComas in 1973. The hypothesis behind this phenomenon may be stated (...) copyrighted by 3rd parties. Close encoded search term (Tarsal Tunnel Syndrome) and Tarsal Tunnel Syndrome What to Read Next on Medscape Related Conditions and Diseases Medscape Consult News & Perspective Tools Most Popular Articles According to Orthopedists Recommended 2002 1236852-overview Procedures Procedures 2002 2225774-overview Procedures Procedures 2002 334141-overview Diseases & Conditions Diseases & Conditions 2002 1458606-overview Procedures Procedures Need a Curbside Consult? Share cases

2014 eMedicine Surgery

32. Nerve Entrapment Syndromes of the Lower Extremity (Overview)

also be injured during childbirth in the squatting position. Other less common causes of common peroneal nerve entrapment include lower-limb lengthening procedures, anorexia nervosa, and paraneoplastic syndromes. Also, peroneal nerve mononeuropathies can occur in hyperthyroidism, diabetes mellitus, vasculitic disorders, and leprosy. Often, no underlying etiology can be definitively identified, and the condition is termed idiopathic. Superficial peroneal nerve entrapment Local trauma or compression (...) Bone Joint Surg Br . 1989 Jan. 71(1):131-5. . Oh SJ, ed. Clinical Electromyography: Nerve Conduction Studies . 3rd ed. Philadelphia: Lippincott Williams & Wilkins; 2003. Kaplan PE, Kernahan WT Jr. Tarsal tunnel syndrome: an electrodiagnostic and surgical correlation. J Bone Joint Surg Am . 1981 Jan. 63(1):96-9. . Golovchinsky V. Double crush syndrome in lower extremities. Electromyogr Clin Neurophysiol . 1998 Mar. 38(2):115-20. . Kankanala G, Jain AS. The operational characteristics

2014 eMedicine Surgery

33. Cubital Tunnel Syndrome (Follow-up)

fracture, severe arthritis, or previous excisional arthroplasty Medial epicondylectomy - This procedure is not used when double-crush syndrome with entrapment at the distal end of the cubital tunnel or soft-tissue masses in the epicondylar groove are suspected A Cochrane review examined two meta-analyses of five randomized, controlled clinical trials of surgery for idiopathic ulnar neuropathy at the elbow, [ ] four of which compared simple decompression with decompression plus transposition (...) -to-excellent results is 85-90%. Previous Next: Complications of Surgical Intervention The most serious complications of surgical decompression of the ulnar nerve are the following [ ] : Failure to decompress the nerve adequately, causing a new area of entrapment with the decompression Injury to the nerve during decompression or transposition Neuromata of the medial antebrachial cutaneous nerve Failure to recognize a double-crush syndrome Infection, failure to heal, thrombophlebitis, atelectasis

2014 eMedicine Surgery

34. Nerve Entrapment Syndromes of the Lower Extremity (Follow-up)

Bone Joint Surg Br . 1989 Jan. 71(1):131-5. . Oh SJ, ed. Clinical Electromyography: Nerve Conduction Studies . 3rd ed. Philadelphia: Lippincott Williams & Wilkins; 2003. Kaplan PE, Kernahan WT Jr. Tarsal tunnel syndrome: an electrodiagnostic and surgical correlation. J Bone Joint Surg Am . 1981 Jan. 63(1):96-9. . Golovchinsky V. Double crush syndrome in lower extremities. Electromyogr Clin Neurophysiol . 1998 Mar. 38(2):115-20. . Kankanala G, Jain AS. The operational characteristics (...) Am . 1998 Jan. 80(1):47-53. . Styf J, Morberg P. The superficial peroneal tunnel syndrome. Results of treatment by decompression. J Bone Joint Surg Br . 1997 Sep. 79(5):801-3. . Sridhara CR, Izzo KL. Terminal sensory branches of the superficial peroneal nerve: an entrapment syndrome. Arch Phys Med Rehabil . 1985 Nov. 66(11):789-91. . Johnston EC, Howell SJ. Tension neuropathy of the superficial peroneal nerve: associated conditions and results of release. Foot Ankle Int . 1999 Sep. 20(9):576-82

2014 eMedicine Surgery

35. Proximal stimulus confirms carpal tunnel syndrome--a new test? --a clinical and electrophysiologic, multiple-blind, controlled study. (Abstract)

Proximal stimulus confirms carpal tunnel syndrome--a new test? --a clinical and electrophysiologic, multiple-blind, controlled study. In patients with carpal tunnel syndrome (CTS), a proximal stimulus can sometimes evoke typical symptoms. Explanations for this phenomenon include local disturbance of arterial circulation, stimulation of trigger points, and the double crush syndrome (DCS). The aim of this study was to investigate the value of these hypotheses with a new provocation test performed

2012 Journal of clinical neurophysiology : official publication of the American Electroencephalographic Society Controlled trial quality: uncertain

36. Double Kissing Crush Versus Provisional Stenting for Left Main Distal Bifurcation Lesions: DKCRUSH-V Randomized Trial Full Text available with Trip Pro

crush 2-stent strategy resulted in a lower rate of TLF at 1 year than a PS strategy. (Double Kissing and Double Crush Versus Provisional T Stenting Technique for the Treatment of Unprotected Distal Left Main True Bifurcation Lesions: A Randomized, International, Multi-Center Clinical Trial [DKCRUSH-V]; ChiCTR-TRC-11001213).Copyright © 2017 American College of Cardiology Foundation. All rights reserved. (...) Double Kissing Crush Versus Provisional Stenting for Left Main Distal Bifurcation Lesions: DKCRUSH-V Randomized Trial Provisional stenting (PS) is the most common technique used to treat distal left main (LM) bifurcation lesions in patients with unprotected LM coronary artery disease undergoing percutaneous coronary intervention. The double kissing (DK) crush planned 2-stent technique has been shown to improve clinical outcomes in non-LM bifurcations compared with PS, and in LM bifurcations

2017 EvidenceUpdates

37. Non-invasive CTS Device Clinical Trial

Questionnaire) in mild to severe CTS-diagnosed patients. Subjects are randomized into the active device group or sham group for 8 weeks, then followed for 12 weeks post-treatment. Condition or disease Intervention/treatment Phase Carpal Tunnel Syndrome Device: Study Device Device: Sham Device Not Applicable Detailed Description: It is hypothesized that daily wear of the study device will result in significant improvements in patient-reported symptom severity. It is also hypothesized that the effects from (...) to and ability to use Internet, Wi-Fi, or mobile data through computers, mobile devices, laptops, and/or tablets Willing to abstain from any other treatment or therapies for CTS throughout the study Ability to read and write English, or has a reliable person to assist with reading and writing English Exclusion Criteria: Other upper extremity neuropathies (e.g., epicondylitis, radial nerve neuropathies, ulnar nerve neuropathies) Double crush syndrome Cervical stenosis Brachial plexopathy Wrist fractures

2018 Clinical Trials

38. CLINICAL DECISION MAKING AND DIFFERENTIAL DIAGNOSIS IN A CYCLIST WITH UPPER QUARTER PAIN, NUMBNESS, AND WEAKNESS: A CASE REPORT Full Text available with Trip Pro

CLINICAL DECISION MAKING AND DIFFERENTIAL DIAGNOSIS IN A CYCLIST WITH UPPER QUARTER PAIN, NUMBNESS, AND WEAKNESS: A CASE REPORT Differentiating between cervical nerve root and peripheral nerve injuries can be challenging. A phenomenon known as double crush syndrome may increase the susceptibility to injury and symptoms at other locations along the course of the nerve. The purpose of this case report is to describe the physical therapy differential diagnosis and management of a cyclist (...) . The ultimate incorporation of ulnar nerve mobilizations in various positions immediately decreased symptoms. In light of the subject's improvement after ulnar nerve mobilizations, imaging findings, and EMG/NCS findings, the subject's presentation was consistent with a double crush syndrome with C8 nerve root compression and distal ulnar nerve compression at the elbow.The subject demonstrated full resolution of all symptoms, 0% disability on the Neck Disability Index, 8.3% disability of the Disabilities

2018 International journal of sports physical therapy

39. Carpal tunnel syndrome Full Text available with Trip Pro

carpal tunnel syndrome. A genome-wide association study ( ) of carpal tunnel syndrome identified 16 genomic loci significantly associated with the disease, including several loci previously known to be associated with human height. Work related [ ] The international debate regarding the relationship between CTS and repetitive motion in work is ongoing. The (OSHA) has adopted rules and regulations regarding cumulative trauma disorders. Occupational risk factors of repetitive tasks, force, posture (...) ) to be diagnosed with CTS. Double-crush syndrome is a debated hypothesis that compression or irritation of nerve branches contributing to the median nerve in the neck, or anywhere above the wrist, increases sensitivity of the nerve to compression in the wrist. There is little evidence, however, that this syndrome really exists. Heterozygous mutations in the gene , associated with , confer susceptibility to , including the carpal tunnel syndrome. Pathophysiology [ ] Main article: The carpal tunnel

2012 Wikipedia

40. Investigation the Effect of Cervical Radiculopathy on Peripheral Nerves of the Upper Extremity with High-Resolution Ultrasonography. (Abstract)

. Peripheral nerves have also been shown to develop edema, fibrosis, and changes distal to the affected nerve as a result of mechanical compression. In addition according to "double-crush syndrome" hypothesis, the peripheral nerves are more sensitive to pressure, and a proximal nerve lesion makes the distal segment of the nerve more susceptible to anatomic deterioration by causing interruption in the axoplasmic conduction due to compression.Forty patients with chronic CR were included to the study. Both (...) performed from median, ulnar, and radial nerves at all measurement points.The results of the present study indicate that the changes in the CNR caused by CR do not have any effect on the peripheral nerves. We did not find any affection in peripheral nerve CSA that might have been suggestive of double-crush syndrome in CR.2.

2017 Spine

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