Long-term analysis of patients having surgical treatment for carpal tunnel syndrome

Background. Carpal tunnel syndrome is the most common tunnel neuropathy in which the median nerve is compressed at the level of the wrist in the carpal canal. Treatment of carpal tunnel syndrome can be conservative and surgical. Surgical treatment is indicated in case of ineffective conservative treatment. However, the strategy of managing patients with carpal tunnel syndrome in the postoperative period has not yet been determined; there is no clear understanding of the effectiveness and necessity of rehabilitation in the early and long-term postoperative periods.Aim. Follow-up the patients after decompression of the median nerve in the late (up to 3 weeks after surgery) and long-term (3 weeks after surgery) postoperative periods to assess the effectiveness of different methods of rehabilitation.Materials and methods. A randomized controlled study included 108 cases of idiopathic carpal tunnel syndrome (unilateral and bilateral). After surgery, the patients were divided into three groups: the restorative treatment group using magnetic therapy, the kinesiotherapy group, and the control group. Clinical, neurophysiological and ultrasound monitoring was carried out for six months.Results. Patients of all the groups showed similar improvement in the most of the analyzed parameters, without any significant difference.Conclusion. Thus, according to the results of a comprehensive study, it is evident that early diagnosis of carpal tunnel syndrome and a high-quality surgical decompression of the median nerve with a complete dissection of the flexor retinaculum of the hand guarantee improvement within six months or later after surgical treatment without additional rehabilitation measures.

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Carpal Tunnel Syndrome in Patients Undergoing Long-Term Hemodialysis Therapy: Clinical Characteristics and Results of Surgical Treatment

Journal of the Korean Society for Surgery of the Hand ◽

10.12790/jkssh.2015.20.3.89 ◽

2015 ◽

Vol 20 (3) ◽

pp. 89 ◽

Cited By ~ 1

Author(s):

Hojin Park ◽

Dae Sung Lee ◽

Tae Kyoung Yun ◽

Duck Sun Ahn

Keyword(s):

Surgical Treatment ◽

Carpal Tunnel Syndrome ◽

Carpal Tunnel ◽

Clinical Characteristics ◽

Tunnel Syndrome

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Long-term outcome of carpal tunnel syndrome after conservative treatment

International Journal of Clinical Practice ◽

10.1111/j.1368-5031.2004.00028.x ◽

2004 ◽

Vol 58 (4) ◽

pp. 337-339 ◽

Cited By ~ 21

Author(s):

A.C.F. Hui ◽

S.M. Wong ◽

A. Tang ◽

V. Mok ◽

L.K. Hung ◽

...

Keyword(s):

Carpal Tunnel Syndrome ◽

Conservative Treatment ◽

Carpal Tunnel ◽

Term Outcome ◽

Long Term Outcome ◽

Tunnel Syndrome

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Clinical Study of Surgical Treatment of Carpal Tunnel Syndrome: Open versus Endoscopic Technique

Journal of Orthopaedic Surgery ◽

10.1177/230949900000800205 ◽

2000 ◽

Vol 8 (2) ◽

pp. 19-25 ◽

Cited By ~ 4

Author(s):

Masato Okada ◽

Osamu Tsubata ◽

Sadayuki Yasumoto ◽

Norihiko Toda ◽

Tadami Matsumoto

Keyword(s):

Clinical Study ◽

Surgical Treatment ◽

Carpal Tunnel Syndrome ◽

Carpal Tunnel ◽

Endoscopic Technique ◽

Tunnel Syndrome ◽

Open Versus

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Clinical and electrophysiological findings in the carpal tunnel syndrome 10 years after surgical treatment

Electroencephalography and Clinical Neurophysiology ◽

10.1016/0013-4694(95)92380-i ◽

1995 ◽

Vol 95 (5) ◽

pp. P102

Author(s):

H. Matulová ◽

F. Pára ◽

V. Kyral ◽

M. Schreiber

Keyword(s):

Surgical Treatment ◽

Carpal Tunnel Syndrome ◽

Carpal Tunnel ◽

Electrophysiological Findings ◽

Tunnel Syndrome

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Carpal tunnel syndrome: long-term nerve conduction studies in 261 hands

Arquivos de Neuro-Psiquiatria ◽

10.1590/s0004-282x2009000100017 ◽

2009 ◽

Vol 67 (1) ◽

pp. 69-73 ◽

Cited By ~ 8

Author(s):

Dante Guilherme Velasco Hardoim ◽

Guilherme Bueno de Oliveira ◽

João Aris Kouyoumdjian

Keyword(s):

Carpal Tunnel Syndrome ◽

Carpal Tunnel ◽

Nerve Conduction ◽

Sensory Nerve ◽

Nerve Conduction Studies ◽

Sensory Nerve Action ◽

Tunnel Syndrome ◽

The Mean ◽

Compound Action

OBJECTIVE: To compare a long-term carpal tunnel syndrome (CTS) on nerve conduction studies (NCS) in hands treated non-surgically. METHOD: We retrospectively selected 261 symptomatic CTS hands (166 patients), all of them confirmed by NCS. In all cases, at least 2 NCS were performed in an interval greater than 12 months. Cases with associated polyneuropathy were excluded. NCS parameters for CTS electrodiagnosis included a sensory conduction velocity (SCV) <46.6 m/s (wrist to index finger, 14 cm) and distal motor latency (DML) >4.25 ms (wrist to APB, 8 cm). RESULTS: 92.8% were women; mean age was 49 years (20-76); the mean interval between NCS was 47 months (12-150). In the first exam, the median sensory nerve action potential (SNAP) and the compound action muscular potential were absent in 9.8% and 1.9%, respectively. In the second/last exam, SCV worsened in 54.2%, remained unchanged in 11.6% and improved in 34.2%. SNAP amplitude worsened in 57.7%, remained unchanged in 13.1% and improved in 29.2%. DML worsened in 52.9%, remained unchanged in 7.6% and improved in 39.5%. Overall, NCS parameters worsened in 54.9%, improved in 34.3% and remained unchanged in 10.8%. CONCLUSION: Long-term changing in NCS of CTS hands apparently were not related to clinical symptomatology and could lead to some difficulty in clinical correlation and prognosis. Aging, male gender and absent SNAP were more related to NCS worsening, regardless the mean interval time between the NCS.

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