Journal ArticleDOI
Evaluation of the clinical efficacy of multiple lower-extremity nerve decompression in diabetic peripheral neuropathy.
TLDR
High-resolution ultrasound, QST and NCV testing is suitable for early diagnosis of DPN, and abnormal QST is an indication of lower extremity nerve decompression for DPN.Abstract:
Objective. To evaluate the value of high-resolution ultrasonography and neural electrophysiology in early diagnosis, operative opportunity selection, and clinical effect assessment of DPN. Methods. Five hundred and sixty patients with diabetic peripheral neuropathy (DPN) were treated with DELLON surgical nerve decompression in our hospital in the past 5 years. Before and after 18 months surgery, the tests of the Toronto clinical scoring system, high-resolution ultrasonography, QST, and Nerve Conduction Velocity (NCV) were evaluated in all cases. The control group included 40 diabetic patients in the same age range but without DPN. Results. Ultrasonographic images revealed an apparently normal proximal common peroneal nerve, tibial nerve marked swelling, enlarged, and hypoechogeneity with loss fascicular pattern. The cross-sectional-area, anteroposterior and transverse diameter were measured preoperative and prooperative, and the differences had statistical significance（P < 0.01）. NCV-positive case...read more
Citations
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The epidemiology of diabetic foot problems
TL;DR: In this paper, the authors used NHDS data for seven foot ulcer related conditions from 1983 to 1990 to illustrate trends in inpatient hospitalization, showing an overall increase of approximately 50% in the age standardized proportion of hospital discharges listing diabetes and lower extremity ulcers during this interval.
Journal ArticleDOI
Carpal and cubital tunnel and other, rarer nerve compression syndromes.
TL;DR: Evidence-based diagnostic methods and treatment recommendations are now available for the two most common peripheral nerve compression syndromes, including cubital tunnel syndrome and carpal tunnel syndrome, with a high level of evidence.
Journal ArticleDOI
Value of surgical decompression of compressed nerves in the lower extremity in patients with painful diabetic neuropathy: a randomized controlled trial.
Joanne F.M. Macaré van Maurik,Mireille van Hal,Ruben P A van Eijk,Moshe Kon,Edgar J G Peters +4 more
TL;DR: Surgical decompression of the nerves of the lower extremity can be added as a therapeutic option for patients with painful diabetic neuropathy who show signs of chronic nerve compression by means of a positive Tinel or other diagnostic criteria, when pain medication fails to reduce pain to an acceptable standard.
Journal ArticleDOI
Vascular Surgery, Microsurgery and Supramicrosurgery for Treatment of Chronic Diabetic Foot Ulcers to Prevent Amputations
TL;DR: The evolution of microsurgery has extended the possibilities of limb salvage and perforator based flaps can minimize the donorsite morbidity in patients presenting Wagner 3D and 4D.
Journal ArticleDOI
Surgical decompression of painful diabetic peripheral neuropathy: the role of pain distribution
TL;DR: Efficacy of decompression of multiple lower-extremity peripheral nerves in patients with painful diabetic neuropathy was confirmed in this study and pain relief and morphological restoration could be better achieved in focal group.
References
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Journal ArticleDOI
The epidemiology of diabetic foot problems.
TL;DR: The age-standardized proportion of hospital discharges listing diabetes and lower extremity ulcers showed that diabetic foot ulcer rates were consistently high and high rates were observed in patients ages 45-64 years while the lowest rates documented were in patients aged 044 years.
Journal ArticleDOI
Validation of the Toronto Clinical Scoring System for diabetic polyneuropathy.
Vera Bril,Bruce A. Perkins +1 more
TL;DR: The results of the current study underscore the interrelationships between clinical deficits, electrophysiological findings, and morphological changes in DSP and suggest that the Toronto CSS may prove useful in documenting and monitoring DSP in the clinic and in clinical research trials.
Journal ArticleDOI
Technology literature review: quantitative sensory testing.
TL;DR: The development of the personal computer has simplified the process of quantitating sensory thresholds using various testing algorithms and the technical aspects and reproducibility of different methods to determine threshold for light touch‐pressure, vibration, thermal, and pain stimuli were reviewed.
The epidemiology of diabetic foot problems
TL;DR: In this paper, the authors used NHDS data for seven foot ulcer related conditions from 1983 to 1990 to illustrate trends in inpatient hospitalization, showing an overall increase of approximately 50% in the age standardized proportion of hospital discharges listing diabetes and lower extremity ulcers during this interval.
Journal ArticleDOI
Treatment of symptomatic diabetic neuropathy by surgical decompression of multiple peripheral nerves.
TL;DR: The results of this study suggest that symptoms of sensorimotor diabetic neuropathy may be due partly to compression of multiple peripheral nerves and that surgical decompression of such nerves may result in symptomatic improvement.
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