Evaluation of sensory function after median nerve decompression in carpal tunnel syndrome using the current perception threshold test

2003 ◽  
Vol 8 (4) ◽  
pp. 500-504 ◽  
Author(s):  
Akiyo Nishimura ◽  
Taku Ogura ◽  
Hitoshi Hase ◽  
Atsushi Makinodan ◽  
Tatsuya Hojo ◽  
...  
2018 ◽  
Vol 44 (3) ◽  
pp. 278-282 ◽  
Author(s):  
Cüneyt Emre Okkesim ◽  
Sancar Serbest ◽  
Uğur Tiftikçi ◽  
Meriç Çirpar

Sleep disturbance is a frequent symptom of carpal tunnel syndrome. The aim of this study was to investigate the effect of median nerve decompression on sleep quality of patients with this condition. The study sample consisted of 41 patients with severe carpal tunnel syndrome who were admitted to our clinic and treated with open median nerve decompression. Sensation and functional recovery of the patients were followed using the Boston Function Questionnaire, the Semmes–Weinstein monofilament test and the two-point discrimination test. Symptomatic recovery of the patients was followed by the Boston Symptom Questionnaire. The tests were used before surgery and at three and six months afterwards. Sensory, functional and symptomatic recovery from the third month to the sixth month following surgery also affected sleep parameters and improved the sleep quality of patients with carpal tunnel syndrome. Level of evidence: IV


1997 ◽  
Vol 22 (5) ◽  
pp. 602-606 ◽  
Author(s):  
B. ROSÉN ◽  
G. LUNDBORG ◽  
S. O. ABRAHAMSSON ◽  
L. HAGBERG ◽  
I. ROSÉN

The sensory recovery was monitored for up to 1 year after decompression of the median nerve in 69 patients with carpal tunnel syndrome. Special attention was paid to the rate of recovery, the importance of constant or intermittent numbness or paraesthesiae preoperatively and the influence of gender. Most patients with numbness/paraesthesiae and those with abnormal two-point discrimination recovered within 10 days. Perception of touch and vibration recovered within 3 weeks in most patients but those with abnormal nerve conduction/sensory amplitude recovered slowly during follow-up. After 1 year patients with intermittent preoperative symptoms were significantly more likely to achieve normal nerve conduction and perception of touch. Women were more likely to achieve normal nerve conduction and perception of touch. A comparison of recovery between matched men and women with identical preoperative status showed no significant difference. The results indicate the importance of early treatment of carpal tunnel syndrome.


2001 ◽  
Vol 26 (4) ◽  
pp. 373-376 ◽  
Author(s):  
R. R. SLATER

A case of an anomalous interconnection between the tendons of the flexor pollicis longus and the flexor digitorum profundi to both the index and middle fingers at the wrist of a patient presenting with carpal tunnel syndrome is described. The contents of the carpal tunnel should be inspected carefully at the time of median nerve decompression in cases where preoperative clinical examination suggests associated pathologies.


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