An entry from the Cambridge Structural Database, the world’s repository for small molecule crystal structures. The entry contains experimental data from a crystal diffraction study. The deposited dataset for this entry is freely available from the CCDC and typically includes 3D coordinates, cell parameters, space group, experimental conditions and quality measures.
Ten patients with severe unilateral carpal tunnel syndrome treated with carpal tunnel release surgery and external neurolysis of the median nerve were reviewed. Subjects comprised 2 males and 8 females ranging in age from 42 to 71 years (mean 53.4). All patients had thenar muscle atrophy and no reaction to electrophysiologic testing of the median nerve including distal motor latencies preoperatively. various tests including the two-point discrimination, Semmes-Weinstein sensory test, muscle test of abductor pollicis brevis and opponens pollicis, measurement of distal motor latencies and test of ADL were done pre-and post-operatively.All patients regained some degree of useful hand function post-operatively despite the severity of the syndrome. We therefore concluded that we could achieve satisfactory results using external neurolysis for severe carpal tunnel syndrome without simultaneous opponoplasty.
Flexible synthetic casting tape (Scotchrap) has some interesting characteristics that other plastic casting tapes do not have. Scothrap has various flexibility from rigid to flexible by changing expansion of trimming and thickness of casting. It has elasticity, it can be restored to the original state, and it can be cut by scissors.We had made shoe inserts by using Scotchrap for some foot disorders (metatarsalgia, flat foot and painful heel syndrome) and we gained good results. It can support arches of feet, it can be fitted well and patients had good feeling.Trimming of shoe insert is easy and we could make shoe insert immediately. Scotchrap is a new material which is worthy of notice for conservative treatment of foot disorders.
The prevalence of idiopathic carpal tunnel syndrome among housewives at or near the time of menopause supports the hypothesis that some physiological changes may render the nerve susceptible to compression at this particular period of life. The syndrome may occur even in the elderly. We investigated the preoperative status and outcome in elderly to compare with the so-called normal aged carpal tunnel syndrome (control group).The outcome of carpal tunnel release was evaluated retrospectively in 17 hands of 13 patients followed up over three months. Ages ranged from 66 to 93 years, with a median of 75 years. Three (five hands) were males and ten (12 hands) were females. Prevalence among the elderly was 35.4% out of all idiopathic carpal tunnel syndrome. Preoperative status was worse than the control group. Although postoperative motor nerve conduction recovered, velocity was insufficient because age was a risk factor for slowing of nerve conduction, and carpal tunnel release was effective in many cases. In three severe cases with marked atrophy of the thenar muscle, simultaneous opponens plasty was selected with carpal tunnel release. Pathological findings including tenosynovitis, edema, fibrosis, and hyalinization of synovium were more orless the same between the groups.
