Carpal tunnel syndrome (CTS) is a condition brought on by increased pressure on the median nerve at the wrist. In effect, it is a pinched nerve at the wrist. Symptoms may include numbness, tingling, and pain in the arm, hand, and fingers. There is a space in the wrist called the carpal tunnel where the median nerve and nine tendons pass from the forearm into the hand. Carpal tunnel syndrome happens when pressure builds up from swelling in this tunnel and puts pressure on the nerve.
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The biceps muscle is the main muscle front of your arm. Like all muscles in the body it attaches to bone with tendons. Tendons attach the biceps muscle to the bone at both the shoulder and the elbow. When the tendon tears at the elbow is known as a distal biceps tendon rupture. It is fairly common for the biceps muscle to rupture at the elbow. When this happens it causes pain and weakness at the elbow.
The basal joint is the joint at the base of the thumb also known as the CMC (carpometacarpal) joint. This is one of the most important joints in our body as it gives the ability for the thumb to oppose to the other digits. Some opposition is what separates us from the animals. Because it is such a movable joint is prone to develop osteoarthritis even in younger people.
Once the decision has been made to have carpal tunnel surgery, there are generally two methods the surgey can be performed. There is the standard open approach or endoscopic. The open technique is used most often by surgeons and involves making an incision at the base of the palm about an inch long. The ligament over the nerve is found and cut to relieve pressure on the nerve.
Research performed at Maimonides Medical Center Department of Orthopedic Surgery recently won an award for best basic science research at the at the Brooklyn and Long Island chapter of the American College of Surgeons and the Brooklyn Surgical Society.
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Over the past two years, the department of Orthopaedic Surgery at Maimonides has experienced a tremendous growth in its research efforts. Laboratory space, grant funding and dedicated personnel in addition to a renewed commitment by department leadership to expand research efforts have led to the successful completion of over 25 projects in a variety of areas. Several projects have been recognized and awarded by national and international societies.
“Saturday at night palsy” is generally used to refer to a nerve compression that happens to people when they fall asleep inebriated or intoxicated on their arm. They wake up in the morning with numbness and weakness of the hand and wrist. This results from pressure on the nerves in the arm pushing against the solid surface. The condition usually involves the radial nerve that runs right along the humerus, which is the large upper bone in the arm.
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