Evidence map›Paper›PMID 40012667›Full record

ArticleJournal of the American College of Emergency Physicians open2025

Acute Carpal Tunnel Syndrome Secondary to Handcuffs Necessitating Emergency Orthopedic Consultation and Operative Intervention.

Fabian Jano, Kelly MacKenzie, Vivek K Bilolikar, David Goldberger, Andrei Tuluca

Abstract readCase Reports
In one paragraph

Article in Journal of the American College of Emergency Physicians open, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Diagnostic Musculoskeletal Ultrasound in the Evaluation of the Median Nerve.International journal of sports physical therapy · 2025
    Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors.

Fabian JanoDepartment of Emergency Medicine, Emergency Medicine Residency Program, Jefferson Einstein Philadelphia Medical Center, Philadelphia, Pennsylvania, USA.
Kelly MacKenzieDepartment of Emergency Medicine, Emergency Medicine Residency Program, Jefferson Einstein Philadelphia Medical Center, Philadelphia, Pennsylvania, USA.
Vivek K BilolikarSidney Kimmel Medical College, Thomas Jefferson University, Philadelphia, Pennsylvania, USA.
David GoldbergerDepartment of Emergency Medicine, Emergency Medicine Residency Program, Jefferson Einstein Philadelphia Medical Center, Philadelphia, Pennsylvania, USA.
Andrei TulucaSidney Kimmel Medical College, Thomas Jefferson University, Philadelphia, Pennsylvania, USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

We present a case of acute carpal tunnel syndrome secondary to tight handcuffs in a detained patient. The severity of the motor and sensory deficits prompted consultation with orthopedic specialists and admission for an observation period with ultimate emergency operative intervention. Handcuff neuropathies are well documented in the literature, mainly involving the superficial branch of the radial nerve, which has strict sensory input into the dorsum of the hand. Less common median nerve neuropathies have also been documented following handcuff injury; however, none have required emergency intervention. We aim to highlight this unusual presentation and the emergency nature of the condition, as well as advocate for increased caution when caring for detained patients in the emergency department.

Indexed as

acute carpal tunnel syndromecarpal tunnel syndromehandcuff injuryhandcuff neuropathymedian nerve injuryradial nerve injury

Identifiers

PMID40012667
PMCPMC11853353

What OpenQuestion holds

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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.