The aim of this study was to determine the frequency and significance of overstretching of the lower limbs in working population. Occupational etiopathogenic factors are often similar to those in sports and involve frequent repetition of single movements which cause microtraumas to the bone/joint/muscular system including the lower limbs. The resulting pain is described as the overuse syndrome. Literature reports significantly less data on working population than on athletes. This retrospective epidemiological study investigated two groups of patients. The first group consisted of 120 workers who had been on sick leave for a longer time and underwent disability review within the period of one year. The second group consisted of 86 patients in general practice who were on sick leave in one month. One third of the patients on sick leave were found one or more diseases of bone/joint/muscular system. Of patients with the overuse syndrome two were found in the first group, and two in the second. In both groups, the overuse syndrome came fourth in incidence. The results are lower than expected, particularly in athletes. The paper discusses possible reasons for these results, such as test sensitivity and criteria.
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Int Orthop
January 2025
Physical Medicine and Rehabilitation Division, Department of Orthopaedic Surgery, Stanford University, Redwood City, CA, USA.
Purpose: This narrative review identifies and summarizes current evidence for diagnostic ultrasonographic evaluation of upper extremity dynamic compressive neuropathies affecting athletes.
Methods: Relevant literature was identified using the PubMed database and then summarized.
Results: The compressive neuropathies affecting athletes we identified included: neurogenic thoracic outlet syndrome, pectoralis minor syndrome, quadrilateral space syndrome, suprascapular nerve entrapment, proximal median nerve entrapment or bicipital aponeurosis/lacertus fibrosus (lacertus syndrome), radial tunnel syndrome, and cubital tunnel syndrome.
PLoS One
January 2025
Department of Orthopedic Surgery, Asan Medical Center, University of Ulsan College of Medicine, Songpa-gu, Seoul, Republic of Korea.
Objective: Cubital tunnel syndrome is a common peripheral neuropathy of the upper extremity. Anterior transposition of the ulnar nerve is an established surgical treatment option for this condition. This study aimed to introduce a novel musculofascial lengthening technique that uses only a portion of the flexor-pronator muscle mass for submuscular anterior transposition of the ulnar nerve and investigate its clinical outcomes.
View Article and Find Full Text PDFWiad Lek
January 2025
DEPARTAMENT OF GENERAL NAD HAND SURGERY, STUDENT'S SCIENTIFIC CIRCLE, POMERANIAN MEDICAL UNIVERSITY, SZCZECIN, POLAND.
Carpal tunnel syndrome (CTS) can be treated with several methods, including surgical and non-surgical techniques. Non-surgical methods include wrist splinting, systemic pharmacotherapy, intracarpal injections of steroids hydrodissection, acupuncture, nerve and tendon mobilization, osteopathy, taping, topical application of ointments, laser, ultrasound and shock-wave therapies. These treatments are generally less effective than surgery, and provide only short-lived effect, but it may be quite sufficient for a certain category of patients, particularly those suffering from mild symptoms.
View Article and Find Full Text PDFJ Am Podiatr Med Assoc
January 2025
‖Pain Therapy Associates, Schaumburg, IL.
Background: Although an association between peripheral nerve entrapment issues and rheumatoid arthritis (RA) has been found, research has generally focused solely on nerve entrapment in the upper or lower extremity individually rather than on the consideration of nerve entrapment simultaneously in the upper and lower extremities. In addition, most of these studies have used small sample sizes. The aim of this study was to evaluate the incidence of carpal tunnel syndrome (CTS) and tarsal tunnel syndrome (TTS) concurrently in patients with RA using a relatively large sample size.
View Article and Find Full Text PDFAdv Rheumatol
January 2025
Reumavance Group, Department of Internal Medicine, School of Medicine, Universidad Nacional de Colombia, Bogota, Colombia.
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