State Of The Art: The proximal median nerve compression syndrome includes the pronator teres and the Kiloh-Nevin syndrome. This article presents a new surgical technique of endoscopic assisted median nerve decompression.
Material And Surgical Technique: Endoscopic scissor decompression of the median nerve is always performed under plexus anaesthesia. It includes 6 key steps documented in this article. We review the indications and limitations of the surgical technique.
Results: Since 2011, three clinical series have highlighted the advantages of this technique. Functional and subjective results are discussed. We also review the limitations of the technique and its potential for future development.
Conclusion: Although clinical results after endoscopic assisted decompression of the median nerve appear excellent they still need to be compared with conventional techniques. Clinical studies are likely to develop primarily due to the mini-invasive nature of this new surgical technique.
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http://dx.doi.org/10.1016/j.neuchi.2013.11.004 | DOI Listing |
Brain Behav
January 2025
Department of Neurology, Chang Gung Memorial Hospital, Keelung, Taiwan.
Background And Objectives: Guillain-Barré syndrome (GBS), an acute inflammatory disorder of the peripheral nervous system, is characterized by muscle weakness and paralysis. Prompt identification of patients at a high risk of poor outcomes is crucial for timely intervention. In this study, we combined clinical data with nerve conduction study and electromyography data to identify the predictors of GBS outcomes.
View Article and Find Full Text PDFJ Hand Surg Am
January 2025
Upper Extremity Unit, Orthopedic Surgery Department, Hospital del Trabajador, Santiago, Chile; Hand Surgery Unit, Orthopedic Department, Clinica Universidad de los Andes, Santiago, Chile.
Purpose: The purpose of this study was to report a timeframe for neurologic recovery of complete radial nerve palsies in patients with humeral shaft fractures treated with internal fixation.
Methods: We retrospectively analyzed the data of patients who underwent surgical treatment of a humeral shaft fracture between 2016 and 2021 at a level I trauma center. Patients with complete sensory and motor radial nerve palsy were identified.
variants cause a range of epilepsy syndromes, including Dravet syndrome, leading to early cognitive and functional impairment. Despite advances in medical management, drug-resistant epilepsy remains common. Vagal nerve stimulation (VNS) has been suggested reducing seizure frequency in these patients but there is a lack of long-term follow-up, quantitative analysis that corrected for confounding factors such as antiseizure medications (ASMs) and the impact of VNS settings on response.
View Article and Find Full Text PDFReg Anesth Pain Med
January 2025
Anesthesia and Intensive Care Unit, Padua University Hospital, University-Hospital of Padova, Padova, Italy.
Background: This study evaluated the effectiveness of large language models (LLMs), specifically ChatGPT 4o and a custom-designed model, Meta-Analysis Librarian, in generating accurate search strings for systematic reviews (SRs) in the field of anesthesiology.
Methods: We selected 85 SRs from the top 10 anesthesiology journals, according to Web of Science rankings, and extracted reference lists as benchmarks. Using study titles as input, we generated four search strings per SR: three with ChatGPT 4o using general prompts and one with the Meta-Analysis Librarian model, which follows a structured, Population, Intervention, Comparator, Outcome-based approach aligned with Cochrane Handbook standards.
Arthroscopy
January 2025
Department of Orthopaedics and Rehabilitation, Yale School of Medicine, New Haven, CT, 06519. Electronic address:
Purpose: To provide an aggregate review of literature on 1) outcomes related to the quality of intercourse (frequency, postoperative pain during intercourse, postoperative sexual dysfunction) after hip arthroscopy and 2) patient-reported outcomes regarding postoperative sexual function after hip arthroscopy.
Methods: This systematic review followed The Preferred Reporting Items for Systematic Reviews and Meta-analyses (PRISMA) guidelines. PubMed, Cochrane Controlled Register of Trials (CENTRAL), and Scopus were queried in March 2024.
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