Carpal Tunnel Syndrome

BOSTON — Adding sodium bicarbonate to steroid lidocaine injections for patients with certain hand conditions who also have high anxiety about undergoing hand injections may provide a less painful injection experience, results showed.

A significant percentage of patients would choose not to repeat surgery after undergoing routine hand procedures, according to published results.

A 23-year-old woman presented to clinic for evaluation of neck pain, right hand and ulnar forearm numbness and tingling. She reported several years of neck pain and right upper extremity “heaviness.”

A healthy 22-year-old right hand-dominant woman sustained an isolated, right lunate dislocation and ulnar styloid fracture after a fall while bicycling at an approximate speed of 5 miles per hour (Figure 1).

The world of competitive gaming, known as esports, has expanded over the years and is anticipated to continue growing, with viewership expected to increase from 435.9 million in 2020 to 577.2 million in 2024, according to market reports.

Results presented at the American Society for Surgery of the Hand Annual Meeting showed use of ibuprofen and acetaminophen may be as effective as opioids in managing pain after carpal tunnel release.

In-office ultrasound-guided carpal tunnel release is associated with no need for added sedation or analgesia, or conversion to mini-open carpal tunnel release, a speaker said at the American Society for Surgery of the Hand Annual Meeting.

Reversal of symptoms of sensibility and thenar atrophy after carpal tunnel release is possible based on a study of 36 patients whose 41 hands — most of which presented with both symptoms — were followed up for 12 months, a presenter said.

WAILEA, Hawaii — In this video from Orthopedics Today Hawaii 2021, Thomas F. Varecka, MD, spoke about the newest data on common hand and wrist injuries, such as distal radius fractures, carpal tunnel and scaphoid fractures.

Women who had a bilateral oophorectomy had an increased risk for de novo severe carpal tunnel syndrome vs. women who did not undergo the procedure, according to researchers.