Princess Anne visiting the Leicester Hospital and following hand surgery performed by Malcolm Clarke.
Hi Helge, Princess Anne visiting "CTS One-Stop Clinic" by Blue Sky Orthopaedic ( Operating Nurse Malcolm Clarke, Mr Timothy Green and Mr Pankaj Pathak with Mediracer Device, in picture 2778)
Malcolm wrote 9.3.2008: "Have enclosed some photographs of the recent Royal Visit to Syston.
Hope you like them best wishes Malcolm."
BRITISH SOCIETY FOR SURGERY OF THE HAND ABSTRACT SUBMISSION
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Measurement of sensory latencies across the wrist in carpal tunnel syndrome can now be performed by non specialists using commercially available devices. One such device, (Mediracer) has been suggested by the UK Department of Health as being worthy of further assessment. (Transforming clinical neurophysiology diagnostic services to deliver 18 weeks - DoH 2007)
Our study compared this device against standard neurophysiological measurements.
Sixty three subjects were recruited. All were referred complaining of symptoms in one or both hands such that it was thought they might have carpal tunnel syndrome. They were consented to receive bilateral traditional nerve conduction studies carried out by neurophysiologists and new device measurements carried out by Orthopaedic staff. The study was approved by the ethics committee.
The latency differences between ring finger stimulation evoked median nerve peak latency (4PM) and ulnar nerve peak latency (4PU) were compared using regression analysis. The latency differences between index finger stimulation evoked median nerve peak latency (2PM) and ring finger stimulation evoked ulnar nerve peak latency (4PU) were compared using the same analysis.
4PM-4PU latency difference between traditional studies and the new Mediracer device had a correlation coefficient of 0.88 (p<0.0001), and 2PM-4PU latency difference 0.95 (p<0.0001)
The new device produced comparable results in 119 out of 126 hands tested. (Sensitivity 94%) If only symptomatic hands were tested, the sensitivity rose to 97%. There were no false positives.
We conclude that the Mediracer device demonstrates a high degree of concordance with currently available nerve conduction testing.
THANK YOU TIMO!
THE BRITISH SOCIETY FOR SURGERY OF THE HAND SPRING MEETING: 1/2 MAY 2008 LEICESTER CITY FOOTBALL CLUB LEICESTER
7 Carpal Tunnel Syndrome: Validation of a Clinic Based Nerve Conduction Measurement Device Mr T Green, Dr M Kallio, Dr V Lesonen, Professor U Tolonen, Mr M Clarke, Mr P Pathak (Leicester/Oulu)
POSTER PRESENTATIONS AND POSTER PRIZE
Posters will be displayed in the Foyer area of the Great Hall.
Authors of posters are asked to ‘man’ their posters during the second half of lunchtime on Thursday and/or Friday in order to provide opportunity for discussion between delegates and authors. A prize of £250 will be awarded to the best poster.
MEDICAL AND TECHNICAL EXHIBITION
Firms supplying instruments, appliances, materials and books will be exhibiting throughout the two days in the Keith Weller Lounge, where refreshments and luncheon will be taken. It is hoped that everyone will support this exhibition.
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