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Screening of Axonal Degeneration in Carpal Tunnel Syndrome Using Ultrasonography and Nerve Conduction Studies
Published on: January 11, 2019
Carpal tunnel syndrome
1Gregory R. Zimmerman is Doctoral Candidate of Higher Education at Nova University, Ft. Lauderdale, FL, Coordinator of Rehabilitation at General Motors-Saginaw Division, Saginaw, MI 48601-9494.
Journal of Athletic Training
|March 1, 1994
Summary
Carpal tunnel syndrome, a common industrial neuropathy, involves median nerve compression. Diagnosis and treatment require careful consideration, especially in athletes, and may involve rest, modalities, exercise, and ergonomic changes.
Area of Science:
- Neurology
- Orthopedics
- Sports Medicine
Background:
- Carpal tunnel syndrome (CTS) is a prevalent peripheral entrapment neuropathy in industrial settings.
- Symptoms can mimic other upper extremity conditions, potentially masking CTS in athletes.
- Accurate diagnosis is crucial for effective management and preventing long-term complications.
Purpose of the Study:
- To highlight the significance of carpal tunnel syndrome in athletic populations.
- To discuss diagnostic challenges and differential considerations for upper extremity paralysis in athletes.
- To outline comprehensive treatment and management strategies for carpal tunnel syndrome.
Main Methods:
- Review of existing literature on carpal tunnel syndrome epidemiology, diagnosis, and treatment.
- Analysis of clinical presentations and diagnostic criteria for CTS.
- Discussion of conservative and therapeutic interventions, including ergonomic assessments.
Main Results:
- Carpal tunnel syndrome is frequently underestimated in sports medicine due to overlapping symptoms.
- Early and accurate diagnosis is essential for athletes experiencing upper extremity neurological deficits.
- A multimodal treatment approach, including rest, modalities, exercise, and ergonomic modifications, is effective.
Conclusions:
- Carpal tunnel syndrome should be considered in the differential diagnosis of upper extremity paralysis in athletes.
- Comprehensive management strategies are vital for successful recovery and return to sport.
- Ergonomic assessments play a key role in preventing recurrence and managing CTS in both athletic and industrial contexts.
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