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Double-Crush Syndrome

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41. Ulnar Neuropathy at the Wrist

(trastorno) Norwegian Entrapment av ulnarisnerven Italian Intrappolamento del nervo ulnare , Sindrome da intrappolamento del nervo ulnare Dutch neuropathie; inklemming, nervus, ulnaris Derived from the NIH UMLS ( ) Ontology: Ulnar neuropathy at wrist (C3662056) Concepts Disease or Syndrome ( T047 ) SnomedCT 68861000119103 English Ulnar neuropathy at wrist (disorder) , Ulnar neuropathy at wrist Spanish neuropatía cubital a nivel de la muñeca (trastorno) , neuropatía cubital a nivel de la muñeca Derived (...) into the 4th and 5th fingers Phalen Sign (maximal passive wrist flexion for >1 minute) s into the 4th and 5th fingers VIII. Differential Diagnosis See is in distribution ( ) Affects ulnar innervation over Affects dorsal 1.5 fingers in ulnar distribution (or Brachial Plexopathy) Upper arm pain or weakness (C7, C8, T1) Double crush injury may also occur (cervical root and injury) Especially consider when bilateral symptoms are present IX. Imaging (first line) See Evaluate for or dislocation

2018 FP Notebook

42. Open Anterior Release of the Superior Transverse Scapular Ligament for Decompression of the Suprascapular Nerve During Brachial Plexus Surgery. (Abstract)

a possible double crush syndrome. For that reason, the authors perform a release of the superior transverse scapular ligament at the suprascapular notch in all patients undergoing reconstruction of the upper trunk of the brachial plexus. Performing the release through a standard anterior open supraclavicular approach to the brachial plexus avoids the need for an additional posterior incision or arthroscopic procedure. Copyright © 2016 American Society for Surgery of the Hand. Published by Elsevier Inc

2016 Journal of Hand Surgery - American

43. Incremental value of magnetic resonance neurography of Lumbosacral plexus over non-contributory lumbar spine magnetic resonance imaging in radiculopathy: A prospective study Full Text available with Trip Pro

(ADC) of L4-S2 nerve roots, sciatic and femoral nerves were recorded.All anatomic studies and 80% of DTI imaging received a good-excellent imaging quality grading. In a blinded evaluation, all 10 examinations demonstrated neural and/or neuromuscular abnormality corresponding to the site of radiculopathy. A number of contributory neuropathy findings including double crush syndrome were observed. On DTI tensor maps, nerve signal and caliber alterations were more conspicuous. Although individual

2016 World journal of radiology

44. Chemotherapy Induced Peripheral Neuropathy. Could Physical Therapy Help Treat Symptoms?

will experience lasting symptoms affecting function for years post-treatment. Research on nerve disorders identifies that a nerve already entrapped/damaged at one site may be at greater risk when combined with chemotherapy (double crush syndrome). Physical therapy is an established, effective treatment for entrapped nerves and neuropathic pain. This study seeks to identify additional risk factors and provide evidence for the role of physical therapy in the treatment of CIPN. Hypotheses Physical therapy (...) must be able to communicate in english or be able to have a translator present at all appointments. Exclusion Criteria: Patients diagnosed with stage IV breast cancer or who have co-morbid conditions that are known to cause peripheral neuropathic symptoms, including previous chemotherapy, exposure to toxins (such as lead), Diabetes, Shingles, B12 deficiency, Alcoholism, Lyme disease, Syphilis, HIV, Hereditary disorders such as Charcot-Marie Tooth. Patients not planned to receive Docetaxel therapy

2014 Clinical Trials

45. Ulnar Neuropathy (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.com

46. Median Neuropathy (Diagnosis)

. Most cases of CTS are considered idiopathic. Some patients have an inherited increased susceptibility of the nerve to pressure, and on rare occasions CTS may be familial. The concept of double crush syndrome was introduced in 1973 by Upton and McComas. [ ] They proposed that focal compression of the nerve proximally predisposes it to injury at a more distal site along its course through impaired axoplasmic flow. The hypothesis remains of uncertain validity; there is no clear association between (...) . . Gelberman RH, Hergenroeder PT, Hargens AR, Lundborg GN, Akeson WH. The carpal tunnel syndrome. A study of carpal canal pressures. J Bone Joint Surg Am . 1981 Mar. 63(3):380-3. . Rydevik B, Lundborg G, Bagge U. Effects of graded compression on intraneural blood blow. An in vivo study on rabbit tibial nerve. J Hand Surg Am . 1981 Jan. 6(1):3-12. . Upton AR, McComas AJ. The double crush in nerve entrapment syndromes. Lancet . 1973 Aug 18. 2(7825):359-62. . Kwon HK, Hwang M, Yoon DW. Frequency and severity

2014 eMedicine.com

47. Ulnar Neuropathy (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 (...) 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.com

48. Median Neuropathy (Follow-up)

. . Gelberman RH, Hergenroeder PT, Hargens AR, Lundborg GN, Akeson WH. The carpal tunnel syndrome. A study of carpal canal pressures. J Bone Joint Surg Am . 1981 Mar. 63(3):380-3. . Rydevik B, Lundborg G, Bagge U. Effects of graded compression on intraneural blood blow. An in vivo study on rabbit tibial nerve. J Hand Surg Am . 1981 Jan. 6(1):3-12. . Upton AR, McComas AJ. The double crush in nerve entrapment syndromes. Lancet . 1973 Aug 18. 2(7825):359-62. . Kwon HK, Hwang M, Yoon DW. Frequency and severity (...) of carpal tunnel syndrome according to level of cervical radiculopathy: double crush syndrome?. Clin Neurophysiol . 2006 Jun. 117(6):1256-9. . Gelfman R, Melton LJ 3rd, Yawn BP, Wollan PC, Amadio PC, Stevens JC. Long-term trends in carpal tunnel syndrome. Neurology . 2009 Jan 6. 72(1):33-41. . . Mondelli M, Giannini F, Giacchi M. Carpal tunnel syndrome incidence in a general population. Neurology . 2002 Jan 22. 58(2):289-94. . Gelberman RH, Rydevik BL, Pess GM, Szabo RM, Lundborg G. Carpal tunnel

2014 eMedicine.com

49. Ulnar Neuropathy (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.com

50. Median Neuropathy (Treatment)

of graded compression on intraneural blood blow. An in vivo study on rabbit tibial nerve. J Hand Surg Am . 1981 Jan. 6(1):3-12. . Upton AR, McComas AJ. The double crush in nerve entrapment syndromes. Lancet . 1973 Aug 18. 2(7825):359-62. . Kwon HK, Hwang M, Yoon DW. Frequency and severity of carpal tunnel syndrome according to level of cervical radiculopathy: double crush syndrome?. Clin Neurophysiol . 2006 Jun. 117(6):1256-9. . Gelfman R, Melton LJ 3rd, Yawn BP, Wollan PC, Amadio PC, Stevens JC. Long (...) . Proximal median neuropathies. Neurol Clin . 1999 Aug. 17(3):425-45, v. . Lama M. Carpal tunnel release in patients with negative neurophysiological examinations: clinical and surgical findings. Neurosurgery . 2009 Oct. 65(4 Suppl):A171-3. . Levine BP, Jones JA, Burton RI. Nerve entrapments of the upper extremity: A surgical perspective. Neurol Clin . 1999 Aug. 17(3):549-65, vii. . Morgan G, Wilbourn AJ. Cervical radiculopathy and coexisting distal entrapment neuropathies: double-crush syndromes

2014 eMedicine.com

51. Median Neuropathy (Overview)

. Most cases of CTS are considered idiopathic. Some patients have an inherited increased susceptibility of the nerve to pressure, and on rare occasions CTS may be familial. The concept of double crush syndrome was introduced in 1973 by Upton and McComas. [ ] They proposed that focal compression of the nerve proximally predisposes it to injury at a more distal site along its course through impaired axoplasmic flow. The hypothesis remains of uncertain validity; there is no clear association between (...) . . Gelberman RH, Hergenroeder PT, Hargens AR, Lundborg GN, Akeson WH. The carpal tunnel syndrome. A study of carpal canal pressures. J Bone Joint Surg Am . 1981 Mar. 63(3):380-3. . Rydevik B, Lundborg G, Bagge U. Effects of graded compression on intraneural blood blow. An in vivo study on rabbit tibial nerve. J Hand Surg Am . 1981 Jan. 6(1):3-12. . Upton AR, McComas AJ. The double crush in nerve entrapment syndromes. Lancet . 1973 Aug 18. 2(7825):359-62. . Kwon HK, Hwang M, Yoon DW. Frequency and severity

2014 eMedicine.com

52. Ulnar Neuropathy (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.com

53. Ulnar Nerve Entrapment (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

54. Foot Drop (Overview)

term (Foot Drop) and Foot Drop What to Read Next on Medscape Related Conditions and Diseases Medscape Consult News & Perspective Tools Slideshow Most Popular Articles According to Orthopedists Recommended 2002 1234607-overview Procedures Procedures 2002 399372-overview Diseases & Conditions Diseases & Conditions 2010 http://reference.medscape.com/slideshow/gait-disorders-6003199 Slideshow Slideshow 2002 1141734-overview Diseases & Conditions Diseases & Conditions Need a Curbside Consult? Share (...) depends on the continued supply of trophic substances synthesized in the neuronal perikaryon and transported down the axon (axoplasmic flow). A laceration interrupts axoplasmic flow; a crush injury may compromise it as well. A double-crush phenomenon occurs when a proximal insult in a nerve root diminishes axoplasmic flow, making it more susceptible to injury. A distal lesion further compromises axoplasmic flow, and clinical palsy results. This is the phenomenon thought to be responsible

2014 eMedicine Surgery

55. Ulnar Nerve Entrapment (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

56. Ulnar Nerve Entrapment (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 (...) 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

57. Foot Drop (Diagnosis)

term (Foot Drop) and Foot Drop What to Read Next on Medscape Related Conditions and Diseases Medscape Consult News & Perspective Tools Slideshow Most Popular Articles According to Orthopedists Recommended 2002 1234607-overview Procedures Procedures 2002 399372-overview Diseases & Conditions Diseases & Conditions 2010 http://reference.medscape.com/slideshow/gait-disorders-6003199 Slideshow Slideshow 2002 1141734-overview Diseases & Conditions Diseases & Conditions Need a Curbside Consult? Share (...) depends on the continued supply of trophic substances synthesized in the neuronal perikaryon and transported down the axon (axoplasmic flow). A laceration interrupts axoplasmic flow; a crush injury may compromise it as well. A double-crush phenomenon occurs when a proximal insult in a nerve root diminishes axoplasmic flow, making it more susceptible to injury. A distal lesion further compromises axoplasmic flow, and clinical palsy results. This is the phenomenon thought to be responsible

2014 eMedicine Surgery

58. Ulnar Nerve Entrapment (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

59. Ulnar Neuropathy at the Wrist

(trastorno) Norwegian Entrapment av ulnarisnerven Italian Intrappolamento del nervo ulnare , Sindrome da intrappolamento del nervo ulnare Dutch neuropathie; inklemming, nervus, ulnaris Derived from the NIH UMLS ( ) Ontology: Ulnar neuropathy at wrist (C3662056) Concepts Disease or Syndrome ( T047 ) SnomedCT 68861000119103 English Ulnar neuropathy at wrist (disorder) , Ulnar neuropathy at wrist Spanish neuropatía cubital a nivel de la muñeca (trastorno) , neuropatía cubital a nivel de la muñeca Derived (...) into the 4th and 5th fingers Phalen Sign (maximal passive wrist flexion for >1 minute) s into the 4th and 5th fingers VIII. Differential Diagnosis See is in distribution ( ) Affects ulnar innervation over Affects dorsal 1.5 fingers in ulnar distribution (or Brachial Plexopathy) Upper arm pain or weakness (C7, C8, T1) Double crush injury may also occur (cervical root and injury) Especially consider when bilateral symptoms are present IX. Imaging (first line) See Evaluate for or dislocation

2015 FP Notebook

60. Evaluation of Block Duration in Type 2 Diabetes Patients

at increased risk because of the possibility for double crush syndrome when a chronic axon lesion related to diabetes is associated with an unexpected distal nerve injury related to regional anaesthesia. Study Design Go to Layout table for study information Study Type : Interventional (Clinical Trial) Actual Enrollment : 70 participants Allocation: Non-Randomized Intervention Model: Parallel Assignment Masking: Double (Investigator, Outcomes Assessor) Primary Purpose: Treatment Official Title: Comparison (...) provided by (Responsible Party): Philippe Cuvillon, Centre Hospitalier Universitaire de Nīmes Study Details Study Description Go to Brief Summary: Diabete animal studies demonstrated a longer period recovery after local anesthetic injection (perineural administration). No clinical study demonstrated a prolonged nerve block duration in diabete type 2 patients after peripheral nerve block. The investigators hypothesized that block recovery is delayed in diabetic patients. Condition or disease

2012 Clinical Trials

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