Double Crush Syndrome: Difference between revisions

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== Hypothesis ==
== Hypothesis ==
 
*It is suggested that&nbsp;compression of an axon at one location makes it more&nbsp;sensitive to effects of compression in another location,because of impaired axoplasmic flow.
*Hypothetically, two&nbsp;lesions with little or no independent clinical ramifications, when combined, lead to appearance or magnification of symptoms


*It is suggested that&nbsp;compression of an axon at one location makes it more&nbsp;sensitive to effects of compression in another location,because of impaired axoplasmic flow.
*Hypothetically, two&nbsp;lesions with little or no independent clinical ramifications, when combined, lead to appearance or magnification of symptoms
*Two areas of compression affecting&nbsp;the same axons do not, alone, meet the criteria of the&nbsp;hypothesis.
*By definition, a first lesion must render axons&nbsp;more susceptible to effects of a second, leading to more&nbsp;than just the combined, independent effects of two&nbsp;lesions


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== References  ==
== References  ==

Revision as of 13:44, 1 May 2014

Introduction[edit | edit source]

  • The double crush hypothesis was first formulated in 1973 and states that axons that have been compressed at one site become especially susceptible to damage at another site.
  • This theory was originally described by Upton (1973) in a study of 115 patients.
  • The existence of double crush syndrome was further substantiated by Massey's (1981) study of nineteen cases of carpal tunnel syndrome co-existing with a cervical radiculopathy. 


Hypothesis[edit | edit source]

  • It is suggested that compression of an axon at one location makes it more sensitive to effects of compression in another location,because of impaired axoplasmic flow.
  • Hypothetically, two lesions with little or no independent clinical ramifications, when combined, lead to appearance or magnification of symptoms
  • Two areas of compression affecting the same axons do not, alone, meet the criteria of the hypothesis.
  • By definition, a first lesion must render axons more susceptible to effects of a second, leading to more than just the combined, independent effects of two lesions


References[edit | edit source]