Navigation Links
Is housework a health hazard? Sheet-Fitting palsy described by wake forest baptist physicians
Date:11/8/2012

WINSTON-SALEM, N.C. Nov. 8, 2012 What do a tight, fitted bed sheet and a blood clot in the wrist have in common? Both are associated with a condition called sheet fitting palsy. True to its name, the palsy is reported in those who spend a long period of time repeatedly trying to pull a fitted bed sheet over the corner of a mattress. But it has also been reported in basketball players and in those who do push-ups as exercise.

The injury is caused by the continuous flexing movement of the wrist and results in a tiny stroke in the artery to the hand. The resulting clot cuts off blood flow to the median nerve and produces symptoms that include numbness or weakness.

A case study was described recently by Wake Forest Baptist Medical Center neurologist Francis O. Walker, M.D., and colleagues, and published in the September edition of the journal, Clinical Neuromuscular Disease.

The case involved a fit and active 73-year-old woman, who was a bit miffed last fall when she had to depend on her granddaughter to help her with some housework. No matter how hard she tried, she couldn't slip the last corner of a fitted sheet over a mattress. Sometimes she noticed a 'pins and needles' feeling in her hand, but didn't think anything of it. After shaking her hand for a while, the numbness would go away.

A few weeks later, facing the fitted sheet task without her granddaughter to help her, the woman tried for some time to move the sheet over the mattress without success. When she moved her hand from the sheet her thumb dropped down, limp. That's when she called her doctor, Mary F. Lyles, M.D.

On examination, Lyles saw that her patient had lost most of the ability to perform simple tasks such as tying a shoelace or buttoning a sleeve with her right hand. Suspecting acute carpel tunnel syndrome, Lyles called on neurologist Walker to perform nerve conduction studies and image the hand using ultrasound. Few physicians have seen what Walker saw in the study. "High resolution color flow Doppler showed a rare persistent median artery that had blood flow in it in the forearm, but not at the wrist where it was next to a swollen, injured, median nerve." The patient is among the five percent of people who have persistent median artery, a vessel that usually disappears after birth.

Shortly after her tests, the patient underwent surgery to relieve some of the pressure on the nerve, but her limp thumb persisted. The woman's surgeon advised her to strengthen the thumb by going through the motions of performing her everyday activities. Even if a patient can't do them, trying the daily tasks can help. Little by little, the strategy worked. At first she was successful picking up a paper clip. When she could open and close a chip clip, she knew she was back to normal. It had taken nearly a year for the nerve in the wrist to grow the new pathways that allowed her thumb to function.

For those with persistent median artery, repetitive motion can mean trauma to the wrist and lead to severe symptoms of carpal tunnel syndrome. And something as simple as making a bed can be a hazard, especially if the fitted sheet does not fit.


'/>"/>

Contact: Paula Faria
pfaria@wakehealth.edu
336-716-1279
Wake Forest Baptist Medical Center
Source:Eurekalert

Related medicine news :

1. Sports 1, housework, 0
2. Latest coffee and health research to be debated at the World Congress on Prevention of Diabetes
3. Study: Education levels in Asian American neighborhoods affect residents health
4. National nursing conference to address veterans health needs
5. Interventions needed to promote healthy behaviors among perinatally HIV-infected youth
6. Setting national goals to bolster patient safety with electronic health records
7. Could an Aging Face Reflect an Unhealthy Heart?
8. Hispanics More Heart-Healthy Than Other Americans: Study
9. Umeå University hosts new World Health Organization Collaborating Centre
10. 2 NIH studies show power of epidemiology research; Underscore need to address health disparities
11. Healthcare ethics consultants share lessons learned
Post Your Comments:
*Name:
*Comment:
*Email:
(Date:3/24/2017)... ... ... “Finding Christ Through Social Media: Year One #A365DayJourney to ... path toward true communion with God. “Finding Christ Through Social Media: Year One ... published author Lea Michelle Johnson, a follower of Christ, wife and mother who ...
(Date:3/24/2017)... ... March 24, 2017 , ... “The Communion of Saints: ... of God in congregations across the United States. “The Communion of Saints” ... 1964 who has served congregations in seven states throughout his long career of ...
(Date:3/23/2017)... ... ... A recent report from the National Council on Teacher Quality (NCTQ) advocates ... based on a review of GPA and SAT/ACT requirements at 221 institutions in 25 ... argues that this higher bar should be set by states, by the Council for ...
(Date:3/23/2017)... Braunfels, TX (PRWEB) , ... March 23, 2017 , ... ... new clinic, located at 960 Gruene Road in Building 2. The clinic is the ... Dr. Andrew Bennett, PT, says opening the company’s second New Braunfels location brings things ...
(Date:3/23/2017)... ... ... The MBI “Hall of Fame” recognizes the contributions of those whose careers are or were ... careers of all others involved. , On Monday, March 21st, 2017 Laurie Robert, ... Fame. The induction took place during the World of Modular – Award Gala in ...
Breaking Medicine News(10 mins):
(Date:3/24/2017)... YORK , March 24, 2017 ... and Equipment stocks, which are: Neovasc Inc. (NASDAQ: NVCN), Hologic ... Heart Inc. (NASDAQ: SSH ). These companies are ... its prior gains on Thursday, March 23 rd , 2017, ... afternoon, while shares of health care companies in the S&P ...
(Date:3/24/2017)... 2017  HealthMine surveys with 9,250 insured consumers fielded ... plan members want help from their plans in five ... their health, 2) help closing gaps in care, 3) ... and 5) relevant, real-time guidance. Meeting these needs is ... A Reason to Stay Engaged ...
(Date:3/24/2017)... The Board of Directors of Nordic Nanovector ASA (OSE: ... complete 2016 Annual Accounts with notes. The report is attached ... the section Investor Relations/Reports and presentations/Annual Reports. ... For further information, please ... Cell: +47-91-51-95-76 Email: ir@nordicnanovector.com Media enquiries: ...
Breaking Medicine Technology: