Predictors of rate of return to work after surgery for carpal tunnel syndrome

Aim of the study To evaluate the connection between the type of patient insurance and the time taken to return to work after carpal tunnel surgery. Patients and methods Two hundred and thirty-three patients in full-time work were operated on for carpal tunnel syndrome between 1 January and 30 June 1998. They were divided into three groups: independent workers ( n=87), wage earners in the private sector ( n=90) and civil servants ( n=56). Four categories were defined: manual workers, non-manual workers, patients with social security insurance and patients with workers compensation. The average return-to-work interval after surgery for each of the groups was evaluated and compared group by group. Results For independent workers the average time off work is 17 days, for those in the private sector it is 35 days, and for civil servants it is 56 days. Patients with social security insurance were off work for 32 days and those with workers compensation for 49 days. Discussion The comparison shows significant differences with regard to social security insurance: the return-to-work interval in civil servants is larger than for private sector workers, and this is higher than in independent workers. The difference between patients with workers compensation and those with social security insurance is 17 days and significant. There is a significant difference between manual and non-manual workers in independent and private sector workers. There is no significant difference between the sub-groups in the civil servants. These cross references enable us to work out the influence that social security status has on the return-to-work time following surgery.

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Prognostic factors for return-to-work following surgery for carpal tunnel syndrome

The JBI Database of Systematic Reviews and Implementation Reports ◽

10.11124/jbisrir-2016-003099 ◽

2016 ◽

Vol 14 (9) ◽

pp. 135-216 ◽

Cited By ~ 17

Author(s):

Susan Peters ◽

Venerina Johnston ◽

Sonia Hines ◽

Mark Ross ◽

Michel Coppieters

Keyword(s):

Prognostic Factors ◽

Carpal Tunnel Syndrome ◽

Return To Work ◽

Carpal Tunnel ◽

Tunnel Syndrome

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Carpal Tunnel Syndrome: Grip Strength Recovery and Return to Work after Endoscopic Treatment in Manual Workers

Journal of Hand Surgery (European Volume) ◽

10.1016/0266-7681(94)90307-7 ◽

1994 ◽

Vol 19 (1_suppl) ◽

pp. 13-13

Author(s):

M. Forcada ◽

A. Gilbert

Keyword(s):

Carpal Tunnel Syndrome ◽

Return To Work ◽

Grip Strength ◽

Carpal Tunnel ◽

Endoscopic Treatment ◽

Strength Recovery ◽

Tunnel Syndrome

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Comparative Analysis of Efficacy of Endoscopic versus Open Carpal Tunnel Release

Pakistan Journal of Surgery and Medicine ◽

10.37978/pjsm.v1i2.181 ◽

2020 ◽

Vol 1 (2) ◽

pp. 113-117

Author(s):

Ali Niyaf ◽

Kiran Niraula ◽

Aishath Sofia Shareef ◽

Mohamed Sajuan Mushrif

Keyword(s):

Carpal Tunnel Syndrome ◽

Return To Work ◽

Carpal Tunnel ◽

Endoscopic Surgery ◽

Open Surgery ◽

Carpal Tunnel Release ◽

Operative Duration ◽

Chronic Regional Pain Syndrome ◽

Tunnel Syndrome ◽

Open Carpal Tunnel Release

Objectives: To compare the efficacy between endoscopic and open carpal tunnel release procedures for carpal tunnel syndrome patients. Design and setting: Randomised control study in a single neurosurgery department Participants: 30 patients aged 35-69 years with clinically diagnosed carpal tunnel syndrome Main outcome measures: Primarily - operative duration, bleeding, pain score on day one, requirement of non-steroidal anti-inflammatory drugs (NSAIDs), time spent in hospital and days taken to return to work. Other outcomes include infection, wound status/cosmesis, injury to median nerve, chronic regional pain syndrome and patient satisfaction. Results: 15 patients were allocated to open surgery, and the other 15 for endoscopic. The average operative duration for open surgery was 9.9 minutes compared to 52 minutes spent for the endoscopic procedure. Cauterization had to be performed 4:1 times in endoscopic compared to open. Pain scores rated 3x higher after open surgery and resulted in increased NSAIDs use. Time spent in hospital after open surgery was 0.7 hours compared to 2.2 in endoscopic, however patients were able to return to work an average of 10.6 days earlier after endoscopic surgery. Conclusions: In carpal tunnel syndrome, endoscopic surgery allowed patients to experience less post-operative pain and return to work several days sooner than in open surgery.

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Comparison of open and endoscopic carpal tunnel surgery regarding clinical outcomes, complication and return to daily life: A prospective comparative study

Pakistan Journal of Medical Sciences ◽

10.12669/pjms.35.6.967 ◽

2019 ◽

Vol 35 (6) ◽

Author(s):

Tahsin Gürpınar ◽

Barış Polat ◽

Ayşe Esin Polat ◽

Engin Carkçı ◽

Ahmet Sinan Kalyenci ◽

...

Keyword(s):

Carpal Tunnel Syndrome ◽

Return To Work ◽

Carpal Tunnel ◽

Daily Life ◽

Carpal Tunnel Release ◽

Incision Length ◽

Early Return ◽

Carpal Tunnel Surgery ◽

Prospective Comparative Study ◽

Tunnel Syndrome

Objective: This study aimed to compare the clinical results and complications as well as patient satisfaction in patients with carpal tunnel syndrome operated with open carpal tunnel release (OCTR) or endoscopic carpal tunnel release (ECTR) techniques. Methods: This study conducted in Istanbul Training and Research Hospital between August 2016 and January 2018. A total of 54 patients were operated with the ECTR technique and 50 patients were operated with the OCTR technique after failing nonsurgical treatment. Patients functional scores are assessed with the carpal tunnel syndrome-functional status score (CTS-FSS) and carpal tunnel syndrome-symptom severity score (CTS-SSS). Operation time, incision length and complications of the two techniques were noted and compared. Results: The age, sex distribution, distribution of sides, and complaint period were not significant (p > 0.05) between the groups. The preoperative or postoperative CTS-SSS and CTS-FSS values did not differ significantly (p > 0.05). Incision length, time to return to work and return to daily life in the OCTR group was significantly higher than the ECTR group (p < 0.05). Conclusion: ECTR has similar results in terms of symptom relief, severity, functional status, pillar pain and complication rates compared to OCTR. However, it has the advantages of early return to daily life, early return to work and less incision length. doi: https://doi.org/10.12669/pjms.35.6.967 How to cite this:Gurpinar T, Polat B, Polat AE, Carkci E, Kalyenci AS, Ozturkmen Y. Comparison of open and endoscopic carpal tunnel surgery regarding clinical outcomes, complication and return to daily life: A prospective comparative study. Pak J Med Sci. 2019;35(6):1532-1537. doi: https://doi.org/10.12669/pjms.35.6.967 This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/3.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

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Limited mid palmar versus extended incision in surgical treatment of carpal tunnel syndrome: Clinical analysis

Zanco Journal of Medical Sciences ◽

10.15218/zjms.2020.043 ◽

2020 ◽

Vol 24 (3) ◽

pp. 360-366

Author(s):

Jagar Doski ◽

Reber Sindy ◽

Farhad Hamzani ◽

Hishyar Omar

Keyword(s):

Surgical Treatment ◽

Carpal Tunnel Syndrome ◽

Return To Work ◽

Carpal Tunnel ◽

Operative Time ◽

Daily Life ◽

Daily Life Activities ◽

Tunnel Syndrome ◽

Group 2 ◽

Group 1

Background and objective: There are different methods and incisions to release the transverse carpal ligament in carpal tunnel syndrome. This study aimed to compare the surgical outcome of the conventional extended incision with the limited mid palmar one. Methods: The study was a prospective comparative one. Patients with carpal tunnel syndrome were divided into two groups: Group 1 was patients operated on by the conventional extended incision, Group 2 with a limited mid palmar incision. Results: The patients included were 79 with 89 hands. The age mean was 41 years. Group 1 included 47, and Group 2 included 42 hands. The differences between both groups were statistically significant regarding the operative data (the incision length and the operative time) and the post-operative data (the duration of analgesia needed, the date of starting to use the hand in daily life activities, and return to work). However, the date of improvement of the sensory symptoms from the fingers showed no significant differences. The sum of the overall complications that occurred for the cases of Group 2 was about a third of that occurred for Group 1. The highly significant difference was in the scar tenderness in the third month of the post-operative period. Conclusion: The limited mid palmar incision to release the entrapment of median nerve in carpal tunnel syndrome offers a shorter operative time, less analgesia needed post-operatively, less complication rate, less scar tenderness, earlier use of the hand in daily life activities, and return to work in a shorter period. Keywords: Carpal tunnel syndrome; Surgical treatment; Incision.

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Return to work following ultrasound guided thread carpal tunnel release versus open carpal tunnel release: a comparative study

Journal of Hand Surgery (European Volume) ◽

10.1177/17531934211051276 ◽

2021 ◽

pp. 175319342110512

Author(s):

Derek B. Asserson ◽

Taylor J. North ◽

Peter C. Rhee ◽

Allen T. Bishop ◽

Jeffrey S. Brault ◽

...

Keyword(s):

Carpal Tunnel Syndrome ◽

Return To Work ◽

Carpal Tunnel ◽

Carpal Tunnel Release ◽

Work Status ◽

Ultrasound Guided ◽

Level Of Evidence ◽

Hospital Employees ◽

Tunnel Syndrome ◽

Open Carpal Tunnel Release

A retrospective review of hospital employees at a single employer institution who underwent ultrasound guided thread carpal tunnel release (TCTR) or open carpal tunnel release (OCTR) between January 2018 and August 2020 was performed to ascertain differences in return-to-work status. Patient age, sex, occupation, handedness, severity of carpal tunnel syndrome, prior treatments and surgical outcomes were reviewed. A total of 18 patients underwent TCTR and 17 patients underwent OCTR. The TCTR group averaged 12 days to return to work without restrictions, as opposed to 33 days for the OCTR group. Resolution of symptoms was afforded in all patients without any complications regardless of surgical technique. While both TCTR and OCTR were effective, our data indicates that TCTR resulted in a shorter return to work. Level of evidence: III

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