Statements in which the resource exists as a subject.
PredicateObject
rdf:type
lifeskim:mentions
pubmed:issue
3
pubmed:dateCreated
1994-2-1
pubmed:abstractText
Forty-seven men with numbness and paresthesiae in their hands after long-term occupational exposure to vibrating hand-held tools were examined neurophysiologically and clinically. The vibration thresholds of the finger tips were assessed and fractionated neurography of the median nerve motor and sensory fibres carried out. They were compared with control groups of healthy subjects and patients with idiopathic carpal tunnel syndrome. The patients exposed to vibration had major increases in their finger vibration thresholds, shown with both the Goldberg-Lindblom vibrameter and the Lundborg vibrogram. They also had a moderately increased motor distal latency at the wrist, but significantly less than patients with idiopathic carpal tunnel syndrome. Similar changes were seen in the sensory conduction velocities from finger to wrist. Measurement of fractionated conduction velocity across the carpal tunnel showed a bimodal distribution; one group of patients exposed to vibration had a significant reduction in conduction velocity similar to that in the genuine carpal tunnel syndrome, and one group had no localised affection at the carpal tunnel, suggesting more distal dysfunction at the level of palm or finger, or at the receptor level. A careful neurophysiological assessment of these cases is necessary before treatment is planned. It is particularly important to confirm median nerve damage at the wrist level if the carpal tunnel ligament is to be sectioned.
pubmed:language
eng
pubmed:journal
pubmed:citationSubset
IM
pubmed:status
MEDLINE
pubmed:month
Sep
pubmed:issn
0284-4311
pubmed:author
pubmed:issnType
Print
pubmed:volume
27
pubmed:owner
NLM
pubmed:authorsComplete
Y
pubmed:pagination
209-16
pubmed:dateRevised
2006-11-15
pubmed:meshHeading
pubmed:year
1993
pubmed:articleTitle
Neurophysiological investigation of hands damaged by vibration: comparison with idiopathic carpal tunnel syndrome.
pubmed:affiliation
Department of Clinical Neurophysiology, University of Lund, Malmö General Hospital, Sweden.
pubmed:publicationType
Journal Article, Comparative Study