Best Practice Case Studies-Carpal Tunnel Syndrome UL

Video Transcription

Video Summary

In this ultrasound case series, Doug Hoffman introduces Dr. Jay Smith, a pioneer in musculoskeletal ultrasound, who discusses and demonstrates techniques for diagnosing carpal tunnel syndrome using ultrasound. Smith emphasizes the role of ultrasound as an evidence-based tool that can effectively diagnose carpal tunnel syndrome by identifying median nerve enlargement, commonly accepted as over 10 millimeters squared in cross-sectional area. He explains his method for assessing the wrist and volar wrist region, including identifying key anatomical structures like the median nerve, its associated branches, and common pathologies like lumbrical muscle intrusion. Dr. Smith also highlights how ultrasound can efficiently evaluate the severity of conditions, identifying factors such as increased median nerve cross-sectional area and muscle atrophy, which may influence treatment strategies. He also demonstrates dissection techniques on an unembalmed cadaveric specimen to give viewers an in-depth understanding of the anatomy involved. Smith's detailed analytical approach aims to improve diagnostic accuracy and efficiency, potentially reducing the reliance on electrodiagnostic studies. The session concludes with an invitation to future presentations in the series.

Meta Tag

Edition 3rd Edition

Related Case 3rd Edition, CASE 58

Topic Wrist

Keywords

3rd Edition, CASE 58

3rd Edition

Wrist

musculoskeletal ultrasound

carpal tunnel syndrome

median nerve enlargement

ultrasound diagnosis

anatomical structures

muscle atrophy

electrodiagnostic studies