{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2024,9,15]],"date-time":"2024-09-15T21:26:18Z","timestamp":1726435578783},"reference-count":26,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"4","content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":[],"published-print":{"date-parts":[[2013,6]]},"abstract":"<jats:title>Abstract<\/jats:title>\n          <jats:sec>\n            <jats:title>Objectives:<\/jats:title>\n            <jats:p>We report the findings of 20 patients with carpal tunnel syndrome (CTS) who had segmental motor studies to the second lumbrical (2L) and mixed nerve action potential (MNAP) across the carpal tunnel.<\/jats:p>\n          <\/jats:sec>\n          <jats:sec>\n            <jats:title>Methods:<\/jats:title>\n            <jats:p>This was a prospective study of 20 patients randomly selected who had clinical and electrophysiologic evidence of CTS using standard techniques. Six CTS patients had studies pre- and post-surgical release.<\/jats:p>\n          <\/jats:sec>\n          <jats:sec>\n            <jats:title>Results:<\/jats:title>\n            <jats:p>Mean 2L motor amplitude reduction across the carpal tunnel was 55.19% \u00b1 6.6% in patients (controls = 15.9% \u00b1 9.4%). Mean motor velocity across the carpal tunnel was 23.4 \u00b1 7.05 m\/s versus 46.45 \u00b1 6 m\/s in controls. Mean reduction of the MNAP amplitudes was 79.0% \u00b1 23% versus 20% \u00b1 15% in controls. The mean MNAP velocity was 12.3 \u00b1 13.1 m\/s versus 48.35 \u00b1 5.18 m\/s in controls. The 6 surgical cases showed improvement in amplitude reduction and velocity at 2\u20136 months consistent with preoperative severity.<\/jats:p>\n          <\/jats:sec>\n          <jats:sec>\n            <jats:title>Conclusions:<\/jats:title>\n            <jats:p>These studies show that segmental conduction studies to the 2L and MNAP can demonstrate conduction block that improves with decompression.<\/jats:p>\n          <\/jats:sec>","DOI":"10.1097\/cnd.0b013e31828a00b1","type":"journal-article","created":{"date-parts":[[2013,5,23]],"date-time":"2013-05-23T18:43:51Z","timestamp":1369334631000},"page":"169-175","update-policy":"http:\/\/dx.doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":1,"title":["Second Lumbrical and Mixed Nerve Segmental Conduction Studies in Carpal Tunnel Syndrome"],"prefix":"10.1097","volume":"14","author":[{"given":"Demetrios L.","family":"Kikas","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Lazarus D.","family":"Kikas","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Richard A.","family":"Lewis","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"276","reference":[{"key":"R1-2-20240808","doi-asserted-by":"crossref","first-page":"391","DOI":"10.1017\/S0317167100044292","article-title":"Percutaneous localization of conduction abnormalities in human entrapment neuropathies.","volume":"9","author":"Brown","year":"1982","journal-title":"Can J Neurol Sci"},{"key":"R2-2-20240808","doi-asserted-by":"crossref","first-page":"77","DOI":"10.1016\/S0363-5023(78)80119-1","article-title":"Intraoperative changes in motor nerve conduction latency in carpal tunnel syndrome.","volume":"3","author":"Eversmann","year":"1978","journal-title":"J Hand Surg Am"},{"key":"R3-2-20240808","doi-asserted-by":"crossref","first-page":"597","DOI":"10.1002\/mus.22208","article-title":"Electrodiagnostic evaluation of carpal tunnel syndrome.","volume":"44","author":"Werner","year":"2011","journal-title":"Muscle Nerve"},{"key":"R4-2-20240808","doi-asserted-by":"crossref","first-page":"243","DOI":"10.1136\/jnnp.34.3.243","article-title":"Sensory conduction from distal to palm and palm to wrist in carpal tunnel syndrome.","volume":"34","author":"Buchthal","year":"1971","journal-title":"J Neurol Neurosurg Psychiatry"},{"key":"R5-2-20240808","first-page":"133","article-title":"Percutaneous palmar nerve stimulation for carpal tunnel syndrome.","volume":"243","author":"Daube","year":"1977","journal-title":"Electrophysiol Clin Neurophysiol"},{"key":"R6-2-20240808","doi-asserted-by":"crossref","first-page":"63","DOI":"10.3109\/03009737509178994","article-title":"A new electrophysiological procedure for measuring sensory nerve conduction across the Carpal Tunnel.","volume":"80","author":"Ekland","year":"1975","journal-title":"Ups J Med Sci"},{"key":"R7-2-20240808","first-page":"635","article-title":"The carpal tunnel syndrome: localization of conduction abnormalities within the distal segment of the median nerve.","volume":"619-","author":"Kimura","year":"1979","journal-title":"Brain"},{"key":"R9-2-20240808","doi-asserted-by":"crossref","first-page":"321","DOI":"10.1016\/S0924-980X(97)00029-5","article-title":". 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Determining neuropraxia in CTS.","volume":"67","author":"Pease","year":"1988","journal-title":"Am J Phys Med Rehab"},{"key":"R12-2-20240808","doi-asserted-by":"crossref","first-page":"768","DOI":"10.1136\/jnnp.44.9.768","article-title":"Relative preservation of lumbrical versus thenar motor fibers in neurologic disorders.","volume":"44","author":"Yates","year":"1981","journal-title":"J Neurol Neurosurg Psychiatry"},{"key":"R13-2-20240808","doi-asserted-by":"crossref","first-page":"102","DOI":"10.1002\/mus.10002","article-title":". Lumbrical and interossei recording in severe carpal tunnel syndrome.","volume":"25","author":"Boonyapisit","year":"2002","journal-title":"Muscle Nerve"},{"key":"R14-2-20240808","doi-asserted-by":"crossref","first-page":"1499","DOI":"10.1212\/WNL.37.9.1499","article-title":". Lumbrical sparing in carpal tunnel syndrome: anatomic, physiologic, and diagnostic implications.","volume":"37","author":"Logigian","year":"1987","journal-title":"Neurology"},{"key":"R15-2-20240808","doi-asserted-by":"crossref","first-page":"530","DOI":"10.1007\/s004150070152","article-title":". Comparison of second lumbrical and interosseus latencies with standard measures of median nerve function across the carpal tunnel: a prospective study of 450 hands.","volume":"247","author":"Loscher","year":"2000","journal-title":"J Neurol"},{"key":"R16-2-20240808","doi-asserted-by":"crossref","first-page":"259","DOI":"10.1016\/j.apmr.2006.10.035","article-title":"Second lumbrical muscle recordings improve localization in severe carpal tunnel syndrome.","volume":"88","author":"Brannegan","year":"2007","journal-title":"Arch Phys Med Rehabil"},{"key":"R17-2-20240808","doi-asserted-by":"crossref","first-page":"691","DOI":"10.1097\/00002060-200209000-00009","article-title":"Value of the lumbrical-interosseous technique in carpal tunnel syndrome.","volume":"81","author":"Kaul","year":"2002","journal-title":"Am J Phys Med Rehabil"},{"key":"R18-2-20240808","doi-asserted-by":"crossref","first-page":"1253","DOI":"10.1002\/mus.880151106","article-title":"Lumbrical and interossei recording in carpal tunnel syndrome.","volume":"15","author":"Preston","year":"1992","journal-title":"Muscle and Nerve"},{"key":"R19-2-20240808","doi-asserted-by":"crossref","first-page":"289","DOI":"10.1002\/mus.20488","article-title":". 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Carpal tunnel syndrome: clinical, electrophysiological, and ultrasonographic ratio after surgery.","volume":"45","author":"Kim","year":"2012","journal-title":"Muscle Nerve"},{"key":"R24-2-20240808","first-page":"25","article-title":". Repeated electrophysiologic studies in patients with carpal tunnel syndrome following local corticosteroid injection using a novel approach.","volume":"13","author":"Bedamy","year":"2011","journal-title":"Isr Med Assoc J"},{"key":"R25-2-20240808","doi-asserted-by":"crossref","first-page":"367","DOI":"10.1016\/j.jhsa.2004.01.011","article-title":". Time course and predictors of median nerve conduction after carpal tunnel release.","volume":"29","author":"Rotman","year":"2004","journal-title":"J Hand Surg"},{"key":"R26-2-20240808","first-page":"223","article-title":". The effect of carpal tunnel release on median nerve flattening and nerve conduction.","volume":"45","author":"El-Karabaty","year":"2005","journal-title":"Electromyogr Clin Neurophysiol"},{"key":"R27-2-20240808","doi-asserted-by":"crossref","first-page":"198","DOI":"10.1111\/j.1600-0404.2008.01141.x","article-title":". The significance of second-lumbrical-interosseous latency comparison in the diagnosis of carpal tunnel syndrome.","volume":"120","author":"Argyriou","year":"2009","journal-title":"Acta Neurol Scand"},{"key":"R28-2-20240808","doi-asserted-by":"crossref","first-page":"84","DOI":"10.1097\/WNP.0b013e3182466def","article-title":". A new median motor test: comparison with conventional motor studies in carpal tunnel syndrome.","volume":"29","author":"Pardal-Fernandez","year":"2012","journal-title":"J Clin Neurophysiol"}],"container-title":["Journal of Clinical Neuromuscular Disease"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.lww.com\/00131402-201306000-00002","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2024,8,8]],"date-time":"2024-08-08T23:11:08Z","timestamp":1723158668000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.lww.com\/00131402-201306000-00002"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2013,6]]},"references-count":26,"journal-issue":{"issue":"4","published-print":{"date-parts":[[2013]]}},"URL":"https:\/\/doi.org\/10.1097\/cnd.0b013e31828a00b1","relation":{},"ISSN":["1522-0443"],"issn-type":[{"type":"print","value":"1522-0443"}],"subject":[],"published":{"date-parts":[[2013,6]]}}}