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Wheeless' Textbook of Orthopaedics
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Upper extremity entrapment neuropathy and tourniquet use in patients ³


undergoing hemodialysis. Semer NB. Goldberg NH. Cuono CB. Journal of Hand Surgery - St Louis. [JC:ia9] 14(5):897-900, 1989 Sep. Patients with end-stage renal disease, undergoing hemodialysis, have been shown to have an increased prevalence of carpal tunnel syndrome. From mid -1981 through 1986, 21 patients undergoing hemodialysis were operated on for 33 cases of clinically diagnosed entrapment of the median and/or ulnar nerves, including 14 extremities with functioning vascular access. All patients report improvement in symptoms and function in the affected extremity. Preoperative tourniquet use did not have a permanent adverse effect on any access site. Electrophysiologic studies were not reliable predictors of clinically resolvable nerve entrapment.



Original Text by Clifford R. Wheeless, III, MD.