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:9/26/2017)... ... 26, 2017 , ... Dr. Kovatis, is a Hospital for ... and Foot Section of the Department of Orthopedic Surgery at Hackensack University Medical ... UMC performing total ankle replacements. Because of this, Dr. Kovatis is often referred ...
(Date:9/26/2017)... Milford, PA (PRWEB) , ... September 26, 2017 , ... ... month in Chicago, called “The Magic of Fat,” revealed not only the latest about ... might prove to be an evolution in cosmetic medicine. , “Fat really is magical, ...
(Date:9/26/2017)... ... September 26, 2017 , ... The Organizing Committee ... tactical plans for Pittcon 2018. As of July 1, Adrian C. Michael, Ph.D. ... named vice president, Charles Gardner, (ChemImage Corporation) and selected chairs. , ...
(Date:9/26/2017)... ... September 26, 2017 , ... “Good Morning Sunshine!: Finding Strength and Comfort ... “Good Morning Sunshine!: Finding Strength and Comfort in God” is the creation of published ... Hays Sate University, who has worked at a local mental health center for over ...
(Date:9/26/2017)... ... ... “Sound of My Song”: an intriguing and thought-provoking on love, life, and ... retired teacher with a passion for music and ancestral history. , Published by ... loss, living with depression, and finding love through the journey. There is powerful imagery ...
Breaking Medicine News(10 mins):
(Date:9/12/2017)... 12, 2017  ValGenesis Inc., the global leader ... pleased to announce the appointment of Dr. ... Board of Directors and Chairman of Advisory Board ... science companies to manage their entire validation lifecycle ... in this process. Furthermore, ValGenesis VLMS enables rigorous ...
(Date:9/9/2017)... Lilly and Company (NYSE: LLY ) will ... an investigational, oral, first-in-class molecule for the acute treatment ... placebo in the Phase 3 SPARTAN study. Detailed results ... the International Headache Society (IHC) in Vancouver ... lasmiditan,s potential to reduce pain and provide freedom from ...
(Date:9/7/2017)... IRVING, Texas , Sept. 7, 2017 /PRNewswire/ ... molecular science focused on fulfilling the promise of ... that further validate the benefits of its molecular ... Each study utilized comprehensive genomic profiling plus (CGP+) ... each individual patient,s tumor on a molecular level, ...
Breaking Medicine Technology: