Open Surgical Therapy for Carpal Tunnel Decompression in Long-Term Haemodialysis Patients

2001 ◽  
Vol 26 (6) ◽  
pp. 529-532 ◽  
Author(s):  
E. SHIOTA ◽  
K. TSUCHIYA ◽  
K. YAMAOKA ◽  
O. KAWANO
Keyword(s):  
Retrospective Study ◽  
Carpal Tunnel Syndrome ◽  
Functional Recovery ◽  
Carpal Tunnel ◽  
Carpal Tunnel Release ◽  
The Other ◽  
Lower Recurrence Rate ◽  
Open Surgical Therapy ◽  
Tunnel Syndrome

This retrospective study assessed the treatment of 91 cases of carpal tunnel syndrome in long-term haemodialysis patients. One group of patients underwent an enlargement reconstruction of the flexor retinaculum with synovectomy and the other group was treated with a conventional carpal tunnel release. There were no major changes or differences between the outcomes of the two groups. However, there was an earlier functional recovery of grip strength and a lower recurrence rate in the enlargement plasty with synovectomy group.

scholarly journals Carpal Tunnel Syndrome After Recurrent Pregnancies

2020 ◽  
Author(s):  
Mesude Kisli
Keyword(s):  
Retrospective Study ◽  
Carpal Tunnel Syndrome ◽  
Carpal Tunnel ◽  
Grand Multiparity ◽  
Study Population ◽  
Tunnel Syndrome ◽  
The Mean ◽  
Severity Of The Disease ◽  
Number Of Births

Abstract Background: The primary aim of the retrospective study was to study whether the number of births in women ( primipara, multipara and grand multipara women ) the long term after deliveries has an impact on the development of Carpal tunnel syndrome ( CTS ).Methods: Our study population is composed of patients who are referred with suspicion of CTS. Four hundred and fifty female patients ( 150 primara, 150 multipara and 150 grand multipara women ) referred to the electrophsiology laboratory with clinical suspicion CTS were included into the descriptive and retrospective study between November 2016 and June 2018. Primiparity, multiparity and grand multiparity were defined as women having 1, 2 – 5 and 6 - 9 deliveries, respectively. Patients who passed 2 years after their last birth were included in the study. All of the patients were assessed and compared in terms of electrophysiological CTS presence and degree of CTS. Also BMI was calculated for each patient and it compared among groups.Results: The disease has not been changed with the number of births ( p > 0.05 ). The mean BMI of the primipara, multipara and grand multipara women were 28,06 ± 1,12 kg / m2, 27,59 ± 3,72 kg / m2 and 27,82 ± 3,11 kg / m2, respectively. There was no significant statistically difference in BMI among groups ( p > 0.05). However, the severity of the disease varies according to BMI ( p < 0.05 ). It was calculated that as the BMI increases, the severity of the disease increases. Conclusions: Number of pregnancies in women ( primipara, multipara and grand multipara women ) concerning the long term after deliveries has not impact on the development of CTS. Other risk factors such as BMI may play a significant role in the development of CTS in these patients.

scholarly journals Does Carpal Tunnel Release Provide Long-Term Relief in Patients with Hemodialysis-Associated Carpal Tunnel Syndrome?

2012 ◽  
Vol 470 (9) ◽  
pp. 2561-2565 ◽  
Author(s):  
Ho Jung Kang ◽  
Il Hyun Koh ◽  
Won Yong Lee ◽  
Yun Rak Choi ◽  
Soo Bong Hahn
Keyword(s):  
Carpal Tunnel Syndrome ◽  
Carpal Tunnel ◽  
Carpal Tunnel Release ◽  
Tunnel Syndrome

Long-Term Results of Carpal Tunnel Release

1995 ◽  
Vol 20 (4) ◽  
pp. 470-474 ◽  
Author(s):  
M. P. NANCOLLAS ◽  
C. A. PEIMER ◽  
D. R. WHEELER ◽  
F. S. SHERWIN
Keyword(s):  
Carpal Tunnel Syndrome ◽  
Carpal Tunnel ◽  
Carpal Tunnel Release ◽  
Long Term Results ◽  
Significant Morbidity ◽  
Surgical Scar ◽  
Internal Neurolysis ◽  
Maximum Improvement ◽  
Tunnel Syndrome

To determine the long-term results of carpal tunnel release, we retrospectively reviewed 60 cases, an average of 5.5 years after surgery. 87% reported a good or excellent overall outcome; the average time to maximum improvement of symptoms was 9.8 months. However, 30% reported poor to fair strength and long-term scar discomfort, and 57% noted a return of some pre-operative symptoms, most commonly pain, beginning an average of 2 years after surgery. We found no correlation between pre-operative symptoms or extent of surgical dissection (internal neurolysis) and outcome. Carpal tunnel syndrome was job related in 42%; of these, 26% changed from heavy to lighter work following surgery. Although occupational cases were slower to improve and remained off work longer, the long-term subjective results were the same for both groups. We found significant morbidity from the surgical scar and decreased strength, and often considerable delay until ultimate improvement, especially in patients with job-related carpal tunnel syndrome.

Trigger Digit Incidence After Carpal Tunnel Release: Reconstruction in Elongated Position Versus Traditional Carpal Tunnel Release

Hand ◽  
2019 ◽  
pp. 155894471989305
Author(s):  
Ignacio Esteban-Feliu ◽  
Irene Gallardo-Calero ◽  
Sergi Barrera-Ochoa ◽  
Núria Vidal-Tarrason ◽  
Jorge Nuñez-Camarena ◽  
...  
Keyword(s):  
Carpal Tunnel Syndrome ◽  
Carpal Tunnel ◽  
Retrospective Review ◽  
Carpal Tunnel Release ◽  
Flexor Retinaculum ◽  
Tunnel Syndrome ◽  
Mean Time ◽  
Reconstruction Group ◽  
Long Term Studies

Background: The development of trigger digit after carpal tunnel syndrome release surgery has been widely reported. Lluch described reconstruction of the flexor retinaculum in elongated position to prevent such complication. Methods: We conducted a retrospective review to determine whether patients who undergo reconstruction in elongated position of the flexor retinaculum have a lower incidence of trigger digit postoperatively. In total, 1050 patients were included, 865 of whom had undergone traditional carpal tunnel release and 185 flexor retinaculum reconstruction. Results: No differences were found in the incidence of trigger digit after surgery (8.7% of the patients who underwent traditional release vs 11.9% in the reconstruction group). Neither difference was found when comparing mean time with the development of trigger digit. Conclusions: In the absence of randomized long-term studies comparing traditional release and reconstruction in elongated position after carpal tunnel release, given our results, we see no reason to favor reconstruction over standard carpal tunnel release as a means to prevent postoperative triggering of digits.

scholarly journals Management of Carpal Tunnel Syndrome – Surgical Vs Medical?

2020 ◽  
Vol 10 (1) ◽  
pp. 75-81
Author(s):  
Md Ruhul Kuddus ◽  
Md Omar Faruk ◽  
Samiul Alam ◽  
KM Atiqul Islam ◽  
Shamsul Alam ◽  
...  
Keyword(s):  
Carpal Tunnel Syndrome ◽  
Carpal Tunnel ◽  
Surgical Approach ◽  
Carpal Tunnel Release ◽  
Term Outcome ◽  
Long Term Outcome ◽  
Surgical Methods ◽  
Tunnel Syndrome ◽  
Surgical Group

Background: Carpal Tunnel Syndrome (CTS) is the most common form of entrapment neuropathy. Both the Medical and surgical treatments are popular in the management of CTS. The effectiveness of the surgical treatment of carpal tunnel syndrome (CTS) is well known on short term. Surgical approach has proved to be more efficient relative to the conservative methods of steroid injections and splinting. On the other hand, many studies have demonstrated both advantages and adverse effects of the surgical methods. However, limited data is available about long-term outcome after carpal tunnel release (CTR). So debate is still persists regarding Conservative vs. Surgical approach to treatment of CTS. Methods: A retrospective analysis of 15 consecutive cases performed during 1.5 year was conducted. 8 patients were treated surgically with transpalmar approach. 7 patient were treated conservatively. The criteria for treatment efficacy were improvements in symptoms, such as pain, paresthesia and recurrences after surgery. Results: Female were predominant 80% than male 20%. Right hand was more frequently affected 80% than left 20%. most paitents were diabetic except 2. outcome in the surgical group was excellent. Patient of non-surgical group was not satisfied as surgical group. Conclusions: CTR is a robust treatment for CTS and its effect persists after a period of years. CTR is the choice of treatment in case of moderate to severe form of CTS. Long term follow up and inclusion of more cases is needed for a definite conclusion. Bang. J Neurosurgery 2020; 10(1): 75-81

scholarly journals Carpal Tunnel Syndrome After Recurrent Pregnancies

2020 ◽  
Author(s):  
Mesude Kisli
Keyword(s):  
Retrospective Study ◽  
Carpal Tunnel Syndrome ◽  
Carpal Tunnel ◽  
Grand Multiparity ◽  
Study Population ◽  
Tunnel Syndrome ◽  
The Mean ◽  
Severity Of The Disease ◽  
Number Of Births

Abstract Background The primary aim of the retrospective study was to study whether the number of births in women (primipara, multipara and grand multipara women) the long term after deliveries has an impact on the development of Carpal tunnel syndrome (CTS). Methods Our study population is composed of patients who are referred with suspicion of CTS. Four hundred and fifty female patients (150 primara, 150 multipara and 150 grand multipara women) referred to the electrophsiology laboratory with clinical suspicion CTS were included into the descriptive and retrospective study between November 2016 and June 2018. Primiparity, multiparity and grand multiparity were defined as women having 1, 2 – 5 and 6 - 9 deliveries, respectively. Patients who passed 2 years after their last birth were included in the study. All of the patients were assessed and compared in terms of electrophysiological CTS presence and degree of CTS. Also BMI was calculated for each patient and it compared among groups. Results The disease has not been changed with the number of births (p > 0.05). The mean BMI of the primipara, multipara and grand multipara women were 28,06 ± 1,12 kg / m2, 27,59 ± 3,72 kg / m2 and 27,82 ± 3,11 kg / m2, respectively. There was no significant statistically difference in BMI among groups (p > 0.05). However, the severity of the disease varies according to BMI (p < 0.05). It was calculated that as the BMI increases, the severity of the disease increases. Conclusions Number of pregnancies in women (primipara, multipara and grand multipara women) concerning the long term after deliveries has not impact on the development of CTS. Other risk factors such as BMI may play a significant role in the development of CTS in these patients.

Clinical Update: Assessing Maximum Medical Improvement in Carpal Tunnel Syndrome

2003 ◽  
Vol 8 (4) ◽  
pp. 4-5
Author(s):  
Christopher R. Brigham ◽  
James B. Talmage
Keyword(s):  
Carpal Tunnel Syndrome ◽  
Carpal Tunnel ◽  
Proper Time ◽  
Carpal Tunnel Release ◽  
Hand Function ◽  
Factors Affecting ◽  
Early Results ◽  
Medical Evaluation ◽  
Nerve Recovery ◽  
Tunnel Syndrome

Abstract Permanent impairment cannot be assessed until the patient is at maximum medical improvement (MMI), but the proper time to test following carpal tunnel release often is not clear. The AMA Guides to the Evaluation of Permanent Impairment (AMA Guides) states: “Factors affecting nerve recovery in compression lesions include nerve fiber pathology, level of injury, duration of injury, and status of end organs,” but age is not prognostic. The AMA Guides clarifies: “High axonotmesis lesions may take 1 to 2 years for maximum recovery, whereas even lesions at the wrist may take 6 to 9 months for maximal recovery of nerve function.” The authors review 3 studies that followed patients’ long-term recovery of hand function after open carpal tunnel release surgery and found that estimates of MMI ranged from 25 weeks to 24 months (for “significant improvement”) to 18 to 24 months. The authors suggest that if the early results of surgery suggest a patient's improvement in the activities of daily living (ADL) and an examination shows few or no symptoms, the result can be assessed early. If major symptoms and ADL problems persist, the examiner should wait at least 6 to 12 months, until symptoms appear to stop improving. A patient with carpal tunnel syndrome who declines a release can be rated for impairment, and, as appropriate, the physician may wish to make a written note of this in the medical evaluation report.

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