Time course and predictors of median nerve conduction after carpal tunnel release.

Purpose: To identify predictors of outcome and of electrophysiologic recovery in patients with carpal tunnel syndrome (CTS) treated by endoscopic carpal tunnel release using a nerve conduction testing system (NC-Stat; NEUROMetrix, Inc, Waltham, MA).

Methods: Validity of the automated nerve conduction testing system was shown by comparing presurgical distal motor latencies (DMLs) against a reference obtained by referral to an electromyography laboratory. The DML was evaluated in 48 patients with CTS.

Practical anatomy of the carpal tunnel.

The carpal tunnel is most narrow at the level of the hook of the hamate. The median nerve is the most superficial structure. It has specific relationships to surrounding structures within the carpal tunnel to the ulnar bursa, flexor tendons, and endoscopic devices placed inside the canal.

Scaphocapitolunate arthrodesis for idiopathic avascular necrosis of the capitate: a case report.

Idiopathic avascular necrosis of the capitate is a disorder of unknown etiology that causes wrist pain and limitation of function. Many different treatments have been presented in the literature with varying clinical results and levels of patient satisfaction. We present a case of a 23-year-old woman successfully treated with scaphocapitolunate arthrodesis.