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Double-Crush Syndrome

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61. Characterization of a First Thoracic Rib Ligament: Anatomy and Possible Clinical Relevance. (Abstract)

Characterization of a First Thoracic Rib Ligament: Anatomy and Possible Clinical Relevance. Cadaver dissection and measurement.To describe a previously undocumented intracostal ligament that limits the potential space through which the T1 ventral ramus passes before joining the C8 ventral ramus.Preclavicular entrapment of the T1 ventral ramus can lead to radiculopathy, neurogenic thoracic outlet syndrome, or both, the so called "double crush" phenomenon. The usual sites of entrapment include

2010 Spine

62. Neurophysiological study to assess the severity of each site through the motor neuron fiber in entrapment neuropathy Full Text available with Trip Pro

Neurophysiological study to assess the severity of each site through the motor neuron fiber in entrapment neuropathy The double crush hypothesis (DCH) that had been widely accepted seems to have been dismissed recently. Prior to the DCH, retrograde changes in the proximal median nerve in carpal tunnel syndrome (CTS) were reported. There has been no report of quantitative analyzing about the effect of one site's compression on another site all through the same peripheral nerve in CTS patients.We (...) of each lesion. If the DCH term presented to an unexpectedly exaggerated degree, the cases of double crush syndrome in the CTS patients were rare, but if the term DCH refers to only this linear relationship, the DCH should not be dismissed.

2009 Journal of brachial plexus and peripheral nerve injury

63. Utility of surgical decompression for treatment of diabetic neuropathy

of diabetes, behind macrovascular disease and nephropathy. Several evidence-based reviews for treatment modalities for DPN are available. Surgical decompression of multiple peripheral nerves is being utilized as an alternative approach to treatment of symptomatic diabetic neuropathy. This is based on the hypothesis that diabetic nerves are more vulnerable to compressive injury at potential sites for entrapment. This forms the “double crush” or “double pathology” hypothesis, a term originally coined (...) to restore sensation to feet in diabetic and non diabetic neuropathy. J Reconstr Micro 2003 ; 19 : 355 . 17. Upton ARM, McComas AJ. The double crush in nerve-entrapment syndromes. Lancet 1973 ; ii : 359 –362. 18. Dellon AL, MacKinnon SE, Seiler WA. Susceptibility of the diabetic nerve to chronic compression. Ann Plast Surg 1988 ; 20 : 117 –119. 19. Dellon AL, MacKinnon SE. Chronic nerve compression model for the double crush hypothesis 10. Ann Plast Surg 1991 ; 26 : 259 –264. 20. Medori R, Jenich H

2006 American Academy of Neurology

64. Clinical Guideline on the Treatment of Carpal Tunnel Syndrome

. The clinical objective in the more damaged group has lesser expectations and anticipated outcomes by definition. INCIDENCE AND PREVALENCE Carpal tunnel syndrome incidence in the United States has been estimated at 1-3 cases per 1000 persons per year. 1 Prevalence is approximately 50 cases per 1000 persons in the general population. 1 BURDEN OF DISEASE Many Americans experience symptoms of carpal tunnel syndrome and they also expect relief of the condition, which can be accomplished with proper treatment (...) tunnel syndrome. 6 According to the Burden of Musculoskeletal Diseases in the United States (2008, p.136), the National Health Interview Survey “is believed to underreport the incidence of injuries” and the Bureau of Labor Statistics only report work related data. 5 ETIOLOGY Carpal Tunnel Syndrome (CTS) is among the most common disorders of the upper extremity. It is related to many factors but is thought to be caused by increased pressure on the median nerve in the carpal tunnel at the wrist. 7

2008 Congress of Neurological Surgeons

65. Treatment of Carpal Tunnel Syndrome With Dynamic Splinting

: Advanced Centers for Orthopaedic Surgery and Sports Medicine Collaborator: Dynasplint Systems, Inc. Information provided by: Advanced Centers for Orthopaedic Surgery and Sports Medicine Study Details Study Description Go to Brief Summary: The Purpose of this study is to examine the effect of using the Carpal Tunnel Dynasplint® System on patients diagnosed with CTS in a randomized, controlled, cross-over study. Condition or disease Intervention/treatment Phase Carpal Tunnel Syndrome Device: Dynamic (...) Patients that are currently undergoing manual, hand therapy Patients that have been previously diagnosed with cervical radiculopathy Patients whose examination shows evidence of a "Double Crush" syndrome Pregnancy Nerve Conduction study results as follows: Sensory conduction latency to peak less than 3.7ms when measured with ring pick up on the volar surface of the index finger measured 14cm from stimulation across the wrist at the median nerve Motor conduction latency to take off less than 4.2ms when

2007 Clinical Trials

66. The tarsal tunnel syndrome after a proximal lesion. Full Text available with Trip Pro

The tarsal tunnel syndrome after a proximal lesion. Three patients in whom the first symptoms of the tarsal tunnel syndrome (TTS) emerged after an acute event proximal to but not affecting the ankle are described. These patients suggest that a pre-existing asymptomatic TTS may become manifest after a mechanism akin to that described in the "double crush" syndrome.

1992 Journal of neurology, neurosurgery, and psychiatry

67. Double-crush syndrome after acetabular fractures. A sign of poor prognosis. (Abstract)

Double-crush syndrome after acetabular fractures. A sign of poor prognosis. Injury to the sciatic nerve is one of the more serious complications of acetabular fracture and traumatic dislocation of the hip, both in the short and long term. We have reviewed prospectively patients, treated in our unit, for acetabular fractures who had concomitant injury to the sciatic nerve, with the aim of predicting the functional outcome after these injuries. Of 136 patients who underwent stabilisation (...) (neck of fibula) nerve lesion, the double-crush syndrome. At the final follow-up, clinical examination and EMG studies showed full recovery in five of the ten patients with initial muscle weakness, and complete resolution in all four patients with sensory symptoms (burning pain and hyperaesthesia). There was improvement of functional capacity (motor and sensory) in two patients who presented initially with complete foot-drop. In the remaining 11 with foot-drop at presentation, including all nine

2005 The Journal of Bone and Joint Surgery British Volume

68. Entrapment of motor nerves in motor neuron disease: does double crush occur? Full Text available with Trip Pro

Entrapment of motor nerves in motor neuron disease: does double crush occur? To investigate whether "diseased nerves" are more prone to entrapment neuropathy than normal nerves. Nerve conduction studies of human neuropathies have shown that electrophysiological abnormalities are often most prominent at potential sites of nerve entrapment, and entrapments are more common in patients with radiculopathies--a concept designated as "double crush". As entrapment neuropathies commonly occur (...) casting doubt on the double crush hypothesis. Nerves with double pathology (amyotrophic lateral sclerosis and ulnar nerve entrapment), however, seem to undergo more rapid axonal loss than do nerves with single pathology (amyotrophic lateral sclerosis or ulnar nerve entrapment alone).

1997 Journal of neurology, neurosurgery, and psychiatry

69. The double crush syndrome: a common occurrence in cyclists with ulnar nerve neuropathy-a case-control study. Full Text available with Trip Pro

The double crush syndrome: a common occurrence in cyclists with ulnar nerve neuropathy-a case-control study. To evaluate the incidence of double crush syndrome in the upper limbs of cyclists with clinical diagnosis of ulnar nerve neuropathy.Case-control study.Outpatient clinics and university setting.Consecutive sampling of 70 cyclists (140 upper limbs) with a mean age of 36 years (+/-11.3). Seventy-two upper limbs were excluded, leaving 40 upper limbs with a clinical diagnosis of ulnar nerve (...) was 3, 5, and 12 times greater, respectively, in the ULNN (+) than the ULNN (-) group.A statistically significant greater number of the upper limbs of cyclists with clinical diagnosis of ulnar nerve neuropathy presented with proximal dysfunctions suggestive of double crush syndrome.

2008 Clinical Journal of Sport Medicine

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