MARC details
| 000 -LEADER |
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| fixed length control field |
03402nam a22004097a 4500 |
| 008 - FIXED-LENGTH DATA ELEMENTS--GENERAL INFORMATION |
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| fixed length control field |
231004s20232023 xxu||||| |||| 00| 0 eng d |
| 022 ## - INTERNATIONAL STANDARD SERIAL NUMBER |
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| International Standard Serial Number |
2589-5141 |
| 024 ## - OTHER STANDARD IDENTIFIER |
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| Standard number or code |
10.1016/j.jhsg.2023.03.013 [doi] |
| 024 ## - OTHER STANDARD IDENTIFIER |
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| Standard number or code |
PMC10382869 [pmc] |
| 024 ## - OTHER STANDARD IDENTIFIER |
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| Standard number or code |
S2589-5141(23)00053-1 [pii] |
| 040 ## - CATALOGING SOURCE |
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| Original cataloging agency |
Ovid MEDLINE(R) |
| 099 ## - LOCAL FREE-TEXT CALL NUMBER (OCLC) |
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| PMID |
37521560 |
| 245 ## - TITLE STATEMENT |
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| Title |
Utility of Ultrasound for Identifying Median Nerve Changes Indicative of Acute Carpal Tunnel Syndrome After Distal Radius Fracture. |
| 251 ## - Source |
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| Source |
Journal of Hand Surgery Global Online. 5(4):430-434, 2023 Jul. |
| 252 ## - Abbreviated Source |
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| Abbreviated source |
J Hand Surg Glob Online. 5(4):430-434, 2023 Jul. |
| 253 ## - Journal Name |
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| Journal name |
Journal of hand surgery global online |
| 260 ## - PUBLICATION, DISTRIBUTION, ETC. |
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| Year |
2023 |
| 260 ## - PUBLICATION, DISTRIBUTION, ETC. |
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| Manufacturer |
FY2024 |
| 260 ## - PUBLICATION, DISTRIBUTION, ETC. |
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| Publication date |
2023 Jul |
| 265 ## - SOURCE FOR ACQUISITION/SUBSCRIPTION ADDRESS [OBSOLETE] |
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| Publication status |
epublish |
| 265 ## - SOURCE FOR ACQUISITION/SUBSCRIPTION ADDRESS [OBSOLETE] |
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| Medline status |
PubMed-not-MEDLINE |
| 266 ## - Date added to catalog |
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| Date added to catalog |
2023-10-04 |
| 520 ## - SUMMARY, ETC. |
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| Abstract |
Conclusions: ACTS should be suspected in patients with median nerves demonstrating increased CSA and adopting a more circular shape. Fracture positioning impacts median nerve CSA with wrist extension, causing the greatest change. Median nerve HWR may offer an easier ultrasonographic alternative to CSA. |
| 520 ## - SUMMARY, ETC. |
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| Abstract |
Methods: We used 10 upper-extremity specimens. We induced ACTS (carpal tunnel pressure >40 mm Hg) in a distraction-only model and then used a DRF model as a neutral position, under traction, or wrist extension. We measured the median nerve cross-sectional area (CSA), height, and width with ultrasound in each model. We used a novel calculation, height-width ratio (HWR), to describe nerve shape. A low HWR indicates an elliptical shape; as the HWR increases toward one, the shape becomes more circular. The CSA measurements and HWR at pressures >40 mm Hg were used to calculate a 95% confidence interval, which defined the threshold for ACTS. |
| 520 ## - SUMMARY, ETC. |
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| Abstract |
Purpose: Ultrasound offers a fast and inexpensive way to evaluate the median nerve. However, there is a paucity of data assessing ultrasound in acute trauma. Our study aimed to characterize median nerve changes indicative of acute carpal tunnel syndrome (ACTS) in a cadaveric distal radius fracture (DRF) model. |
| 520 ## - SUMMARY, ETC. |
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| Abstract |
Results: Wrist distraction created carpal tunnel pressures >40 mm Hg in all specimens. Distraction increased CSA compared with baseline (9.1 +/- 0.9 mm2 vs 6.3 +/- 1.2 mm2, P < .001). Under ACTS-level pressures, the thresholds for CSA and HWR were 8.5 mm2 and 0.41, respectively. HWR significantly increased with distraction compared with baseline (0.47 +/- 0.10 vs 0.28 +/- 0.09, P = .006). Most neutral DRF models (n = 8, 80%) met the CSA threshold for ACTS, whereas all specimens with a DRF extended or under traction had CSAs above the ACTS threshold. Compared to the baseline, the shape of the median nerve was more circular in all DRFs, including neutral (0.28 +/- 0.09 vs 0.39 +/- 0.13), under traction (0.43 +/- 0.09), and extended (0.45 +/- 0.09). |
| 520 ## - SUMMARY, ETC. |
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| Abstract |
Type of study/level of evidence: Diagnostic III. Copyright © 2023 The Authors. |
| 546 ## - LANGUAGE NOTE |
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| Language note |
English |
| 651 ## - SUBJECT ADDED ENTRY--GEOGRAPHIC NAME |
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| Institution |
Curtis National Hand Center |
| 657 ## - INDEX TERM--FUNCTION |
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| Medline publication type |
Journal Article |
| 700 ## - ADDED ENTRY--PERSONAL NAME |
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| Local Authors |
Casey, Peter M |
| Institution Code |
CURT |
| 700 ## - ADDED ENTRY--PERSONAL NAME |
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| Local Authors |
Giladi, Aviram M |
| Institution Code |
CURT |
| 700 ## - ADDED ENTRY--PERSONAL NAME |
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| Local Authors |
Ngaage, Ledibabari M |
| Institution Code |
CURT |
| 790 ## - Authors |
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| All authors |
Casey PM, Giladi AM, Ngaage LM |
| 856 ## - ELECTRONIC LOCATION AND ACCESS |
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| DOI |
<a href="https://dx.doi.org/10.1016/j.jhsg.2023.03.013">https://dx.doi.org/10.1016/j.jhsg.2023.03.013</a> |
| Public note |
https://dx.doi.org/10.1016/j.jhsg.2023.03.013 |
| 942 ## - ADDED ENTRY ELEMENTS (KOHA) |
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| Koha item type |
Journal Article |
| Item type description |
Article |
