Document Detail


Location of impaired sensory conduction of the median nerve in carpal tunnel syndrome.
MedLine Citation:
PMID:  2307889     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Sensory conduction of the median nerve at the carpal tunnel for eight consecutive 1 cm segments of the nerve was evaluated in 217 hands of 153 of our patients with carpal tunnel syndrome. Impairment was found to be highly focal and often confined to a single 1 cm segment of the nerve. The section of the nerve at or just distal to the distal margin of the carpal tunnel was affected most frequently, the section within the tunnel was affected less often, and the section proximal to the tunnel at the level of the mid-carpal and radio-carpal joints was affected least. The greatest contrast between frequencies of slowing at adjacent segments occurred at the proximal and distal margins of the carpal tunnel. The distribution of the nerve impairment was similar between the sexes; however, among the men the segment affected most frequently was located 1 cm distal to the segment affected most frequently among the women. The general pattern of slowing which we found does not substantiate some commonly-held opinions about the aetiology of carpal tunnel syndrome.
Authors:
P A Nathan; H Srinivasan; L S Doyle; K D Meadows
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Journal of hand surgery (Edinburgh, Scotland)     Volume:  15     ISSN:  0266-7681     ISO Abbreviation:  J Hand Surg Br     Publication Date:  1990 Feb 
Date Detail:
Created Date:  1990-04-06     Completed Date:  1990-04-06     Revised Date:  2009-06-08    
Medline Journal Info:
Nlm Unique ID:  8403839     Medline TA:  J Hand Surg Br     Country:  SCOTLAND    
Other Details:
Languages:  eng     Pagination:  89-92     Citation Subset:  IM    
Affiliation:
Portland Hand Surgery & Rehabilitation Center, Oregon.
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MeSH Terms
Descriptor/Qualifier:
Adult
Age Factors
Carpal Tunnel Syndrome / diagnosis*,  etiology,  surgery
Female
Humans
Male
Median Nerve / anatomy & histology,  physiopathology*,  surgery
Neural Conduction*

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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