Symptoms affecting the upper extremities, particularly nocturnal paraesthesias and numbness, should be identified as manifestations of carpal tunnel syndrome. Reduction of physical load factors together with conservative treatment options (night splint) are the primary management strategies in association with mild symptoms and findings. Nonspecific treatment (e.g. unnecessary physiotherapy) should be avoided. If the sensory disturbance is prolonged and ENMG reveals severe nerve entrapment, or if motor weakness develops, surgical management should be considered.

This quick-reference guide is the first book written specifically for the many third- and fourth-year medical students rotating on an orthopedic surgery service. Organized anatomically, it focuses on the diagnosis and management of the most common pathologic entities. Each chapter covers history, physical examination, imaging, and common diagnoses. For each diagnosis, the book sets out the typical presentation, options for non-operative and operative management, and expected outcomes. Chapters include key illustrations, quick-reference charts, tables, diagrams, and bulleted lists. Each chapter is co-authored by a senior resident or fellow and an established academic physician and is concise enough to be read in two or three hours. Students can read the text from cover to cover to gain a general foundation of knowledge that can be built upon when they begin their rotation, then use specific chapters to review a sub-specialty before starting a new rotation or seeing a patient with a sub-specialty attending. Practical and user-friendly, Orthopedic Surgery Clerkship is the ideal, on-the-spot resource for medical students and practitioners seeking fast facts on diagnosis and management. Its bullet-pointed outline format makes it a perfect quick-reference, and its content breadth covers the most commonly encountered orthopedic problems in practice.

This book is a practical and evidence-based guide to performing clinical musculoskeletal ultrasound for patients suffering from various rheumatic diseases. It represents the best current thinking on the role of ultrasonography in the assessment of pathology, diagnosis and treatment of these disorders. Following introductory chapters covering fundamental techniques and pitfalls of musculoskeletal ultrasound, the book discusses the uses of ultrasound to identify and monitor different rheumatic conditions, including rheumatoid arthritis, ankylosing spondylitis, osteoarthritis, pediatric musculoskeletal disorders, carpal tunnel syndrome and inflammatory conditions. It concludes with a chapter dedicated to ultrasound-guided interventional procedures, with illustrations depicting patients and probe positioning. Featuring contributions from a large international group of leaders in musculoskeletal ultrasonography, Musculoskeletal Ultrasonography in Rheumatic Diseases is an authoritative reference for rheumatologists, sonographers, radiologists and orthopedic specialists.

Evidence-Based Orthopedics is an up-to-date review of the best evidence for the diagnosis, management, and treatment of orthopedic conditions. Covering orthopedic surgery as well as pre- and post-operative complications, this comprehensive guide provides recommendations for implementing evidence-based practice in the clinical setting. Chapters written by leading clinicians and researchers in the field are supported by tables of evidence that summarize systematic reviews and randomized controlled trials. In areas where evidence is insufficient to recommend a practice, summaries of the available research are provided to assist in decision-making. This fully revised new edition reflects the most recent evidence using the approved evidence-based medicine (EBM) guidelines and methodology. The text now places greater emphasis on GRADE—a transparent framework for developing and presenting summaries of evidence—to allow readers to easily evaluate the quality of evidence and the strength of recommendations. The second edition offers a streamlined presentation and an improved standardized format emphasizing how evidence in each chapter directly affects clinical decisions. Incorporating a vast amount of new evidence, Evidence-Based Orthopedics: Features thoroughly revised and updated content, including a new chapter on pediatric orthopedics and new X-ray images Provides the evidence base for orthopedic surgery as well as pediatric orthopedics and orthopedic conditions requiring medical treatment Covers the different methods for most orthopedic surgical procedures, such as hip replacements, arthroscopy, and knee replacements Helps surgeons and orthopedic specialists achieve a uniform optimum standard through a condition-based approach Aligns with internationally accepted guidelines and best health economic principles Evidence-Based Orthopedics is an invaluable resource for orthopedic specialists, surgeons, trauma surgeons, trainees, and medical students.

Unique case-based guide to generating diagnostic possibilities based on the patients' symptoms. Invaluable for psychiatrists and neurologists.

Carpal tunnel syndrome (CTS) is the most common compressive focal neuropathy of the upper limb. Patients usually have symptoms of numbness, and weakness in the hand, with or without the wrist pain, which may radiate up to the forearm, resulting from compression of the median nerve at the wrist beneath the transverse carpal ligament. The diagnosis is mostly clinical and electrodiagnostic studies are usually performed to confirm the diagnosis and to grade the severity. The most important risk factor for CTS recognized over the years is environmental including repetitive movements of wrist or prolonged positioning of the wrist in extreme flexion or extension position and exposure to vibration. Besides the environmental factors, compression of the nerve can be due to external compression such as a tumor or osteoarthritic changes. Other medical factors that affect the volume of the tunnel also are important risk factors. Treatment of CTS falls under two categories: conservative or surgical. The objective of this book is to provide an overview of carpal tunnel syndrome with emphasis on the risk factors, clinical symptoms and evidence-based overview of treatments options for this common and disabling condition.

Diagnostic sonography of the peripheral nervous system is an evolving specialty of musculoskeletal ultrasound. This book provides an in-depth description of sonographic examination technique - how to access an individual nerve with sonography and how to interpret local findings. A particular focus is on sonographic-anatomic correlations. All currently possible clinical applications are addressed, including the evaluation of nerve compression syndromes, traumatic lesions, tumors, and postoperative complications. The book contains a huge number of high-quality patient sonograms, all derived from cases with clinical and in many instances surgical correlation.