Carpal tunnel syndrome. A scientific basis for clinical care.
The series of experimental studies reviewed in this article supports a classification of median nerve compression at the wrist into early, intermediate, advanced, and acute nerve compression. The findings correlate well with experimental studies on the pathophysiology of nerve compression. A patient-specific management approach is recommended based upon the clinical and electrophysiologic findings which can be correlated with previously demonstrated intraneural pathologic changes.
Gelberman
R H
RH
Harvard Medical School, Boston, Massachusetts.
Rydevik
B L
BL
Pess
G M
GM
Szabo
R M
RM
Lundborg
G
G
D002349:Carpal Tunnel Syndrome / Q000145:classification / Q000175:diagnosis* / Q000503:physiopathology / Q000628:therapy; D002370:Casts, Surgical; D006801:Humans; D008012:Lidocaine; D008475:Median Nerve / Q000503:physiopathology / Q000601:surgery; D009407:Nerve Block / Q000379:methods; D009431:Neural Conduction; D013165:Splints
D008012:Lidocaine