Journal of neurosurgery. Spine | 2011 | Hoover JM, Wenger DE, Eckel LJ, Krauss WE
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[Indexed for MEDLINE] 11. Orthop Clin North Am. 2022 Apr;53(2):197-203. doi: 10.1016/j.ocl.2021.11.005. Epub 2022 Mar 7. Acute Carpal Tunnel Syndrome and Median Nerve Neurapraxia: A Review. Holbrook HS(1), Hillesheim RA(1), Weller WJ(2). Author information: (1)Department of Orthopaedic Surgery and Biomedical Engineering, University of Tennessee-Campbell Clinic, Memphis, TN, USA. (2)Department of Orthopaedic Surgery and Biomedical Engineering, University of Tennessee-Campbell Clinic, Memphis, TN, USA. Electronic address: wjweller@campbellclinic.com. Prompt diagnosis and treatment of acute injury to the median nerve after wrist trauma are paramount to a successful outcome. Neuropathy can occur primarily at the time of injury, secondary to unreduced fracture fragments or callus, or from prolonged immobilization in palmar flexion. Acute carpal tunnel syndrome is a surgical emergency that requires decompression. Progressively worsening pain and sensory disturbances in the median nerve distribution are findings that will distinguish an acute carpal tunnel syndrome from the less severe median nerve neurapraxia. This article describes the key differences between neurapraxia and acute compartment syndrome and their respective treatment. Copyright © 2021 Elsevier Inc. All rights reserved. DOI: 10.1016/j.ocl.2021.11.005
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