scholarly journals A randomised clinical trial of oral steroids in the treatment of carpal tunnel syndrome: a long term follow up

2002 ◽  
Vol 73 (6) ◽  
pp. 710-714 ◽  
Author(s):  
M-H Chang
Keyword(s):  
Clinical Trial ◽  
Carpal Tunnel Syndrome ◽  
Carpal Tunnel ◽  
Randomised Clinical Trial ◽  
Oral Steroids ◽  
Long Term Follow Up ◽  
Tunnel Syndrome

A Randomized Clinical Trial of Acupuncture Versus Oral Steroids for Carpal Tunnel Syndrome: A Long-Term Follow-Up

2011 ◽  
Vol 12 (2) ◽  
pp. 272-279 ◽  
Author(s):  
Chun-Pai Yang ◽  
Nai-Hwei Wang ◽  
Tsai-Chung Li ◽  
Ching-Liang Hsieh ◽  
Hen-Hong Chang ◽  
...  
Keyword(s):  
Clinical Trial ◽  
Carpal Tunnel Syndrome ◽  
Randomized Clinical Trial ◽  
Carpal Tunnel ◽  
Oral Steroids ◽  
Long Term Follow Up ◽  
Tunnel Syndrome

Mycobacterial Tenosynovitis of the Flexor Tendons of the Hand

1996 ◽  
Vol 21 (3) ◽  
pp. 351-354 ◽  
Author(s):  
P-J. Regnard ◽  
P. Barry ◽  
J. Isselin
Keyword(s):  
Carpal Tunnel Syndrome ◽  
Corticosteroid Therapy ◽  
Carpal Tunnel ◽  
Functional Result ◽  
Flexor Tendons ◽  
Long Term Follow Up ◽  
Tunnel Syndrome

We present five cases of mycobacterial tenosynovitis of the flexor tendons of the fingers. These cases were observed during the last 12 years and treated by the same surgeon. This pathology is uncommon now, but it is becoming more frequent, especially in patients with diminished immunity. The diagnosis was most commonly made after synovectomy in patients presenting with carpal tunnel syndrome associated with slightly painful swelling at the wrist. Histological and bacteriological examinations are very important and revealed tuberculosis in four of our patients and mycobacterium in one, and the treatment consists of synovectomy and appropriate antibiotics. The functional result is usually good, but recurrence is not uncommon. Long-term follow-up is necessary. Local corticosteroid therapy could have a part in the causation of this condition.

scholarly journals Is one-stop surgery for carpal tunnel syndrome safe? A retrospective long-term follow-up study in a neurosurgical unit in Copenhagen

BMJ Open ◽  
2017 ◽  
Vol 7 (9) ◽  
pp. e016103
Author(s):  
Louise Møller Jørgensen ◽  
Karin Piil ◽  
Asma Bashir ◽  
Morten Bo Larsen ◽  
Pamela Santiago Poggenborg ◽  
...  
Keyword(s):  
Patient Satisfaction ◽  
Carpal Tunnel Syndrome ◽  
Carpal Tunnel ◽  
Symptom Relief ◽  
Follow Up Study ◽  
Long Term Follow Up ◽  
One Stop ◽  
Tunnel Syndrome

ObjectivesThe aim of this study was to evaluate one-stop surgery (OSS) for carpal tunnel syndrome (CTS) regarding symptom relief and patient satisfaction. OSS in our setting means only one visit to the hospital for surgery and no hospital appointments for preassessment or follow-up. We hypothesised that relief of symptoms with OSS is comparable with that in non-OSS patients reported in the literature.DesignThis is a long-term retrospective follow-up study (56.5 months) of 1003 patients referred for CTS and discharged with or without surgery from an OSS clinic. Of the original cohort, 671 patients completed the long-term follow-up telephone interview.ResultsTwo-thirds of the patients were free of even minor symptoms following surgery. The symptom relief and patient satisfaction in this study were comparable with results in non-OSS patients reported in the literature.ConclusionThe implementation of a clinical pathway and OSS for the management of CTS was safe with good long-term symptom relief and high patient satisfaction.

Long-term Outcome of Local Steroid Injections Versus Surgery in Carpal Tunnel Syndrome: Observational Extension of a Randomized Clinical Trial

Hand ◽  
2020 ◽  
pp. 155894472094426
Author(s):  
Domingo Ly-Pen ◽  
José Luis Andreu ◽  
Isabel Millán ◽  
Gema de Blas ◽  
Alberto Sánchez-Olaso
Keyword(s):  
Clinical Trial ◽  
Regression Analysis ◽  
Carpal Tunnel Syndrome ◽  
Randomized Clinical Trial ◽  
Therapeutic Failure ◽  
Injection Group ◽  
Long Term Follow Up ◽  
Tunnel Syndrome

Background: In a previous paper, we have demonstrated that: (1) local injection of corticosteroids for carpal tunnel syndrome (CTS) is as effective as decompressive surgery, at 1-year follow-up; and (2) surgery has an additional benefit in the 2-year follow-up. In this study, we assess the long-term outcomes of both therapies in an observational extension of the patients originally enrolled in our randomized clinical trial. Methods: Patients were included in an open, randomized clinical trial, comparing injections versus surgery in CTS. After the end of the clinical trial, patients received the treatment prescribed by their general practitioner or specialist. Therapeutic failure was defined as the need of any new therapeutic intervention on the involved wrist. Comparison between groups was made using Cox multiple regression analysis. Estimation of the accumulated incidence of new therapeutic failure was made considering the withdrawal as a competitive risk (Gooley’s test). Results: Of 163 randomized wrists at the beginning of the study, only 148 were available at the final follow-up. The mean follow-up was 6.3 and the median was 5.9 years. In the long-term follow-up, the accumulated incidence of therapeutic failure in the surgery group was 11.6% versus 41.8% in the injection group. The Cox multiple regression analysis showed a risk of failure associated with injection group of 4.5 (95% confidence interval [CI], 2.1-9.8; P < .0001). Conclusions: In long-term follow-up, surgery seems more effective than local corticosteroid injections in primary CTS. Nonetheless, about 58% of the patients in the injection group will not need further therapeutic interventions during the follow-up.

LONG-TERM FOLLOW-UP OF DUAL-PORTAL ENDOSCOPIC RELEASE OF THE TRANSVERSE LIGAMENT IN CARPAL TUNNEL SYNDROME

Neurosurgery ◽  
2009 ◽  
Vol 64 (1) ◽  
pp. 131-138 ◽  
Author(s):  
Doerthe Keiner ◽  
Michael R. Gaab ◽  
Henry W.S. Schroeder ◽  
Joachim Oertel
Keyword(s):  
Patient Satisfaction ◽  
Carpal Tunnel Syndrome ◽  
Carpal Tunnel ◽  
Long Term Results ◽  
Transverse Ligament ◽  
Endoscopic Release ◽  
Long Term Follow Up ◽  
Tunnel Syndrome

Abstract OBJECTIVE The long-term efficacy of dual-portal endoscopic release of the transverse ligament in carpal tunnel syndrome is still being debated. In this study, the authors present 94 endoscopic carpal tunnel surgery cases with long-term follow-up data. METHODS The study includes 72 patients aged 17 to 86 years (mean age, 53.4 years); bilateral surgery was performed in 22 of these patients. Seventy-two hands of female patients and 22 hands of male patients were included. All procedures were performed with a dual-portal set according to the Chow technique. All patients were examined 2 to 3 months after surgery. The long-term follow-up evaluation was based on telephone interviews 5 to 12 years (mean, 8.2 years) after surgery. RESULTS From a cohort of 214 cases that were treated surgically between 1995 and 2002, 94 cases (44%) could be evaluated for long-term follow-up. Four of these patients had to be excluded from long-term follow-up because of a switch to an open technique and early open revision (3–6 months after the first surgery), owing to persistent symptoms. A good to optimal postoperative outcome with improvement of neurological signs and subjective patient satisfaction was observed in 84 (93.3%) of the remaining 90 cases. There were no recurrences. CONCLUSION The study shows that dual-portal endoscopic release of the transverse ligament in carpal tunnel syndrome is a valuable technique that produces very good long-term results and high patient satisfaction and does not result in a significant recurrence rate.

scholarly journals Carpal Tunnel Syndrome as a Herald of Autoimmune Rheumatic Disorders

1997 ◽  
Vol 90 (4) ◽  
pp. 216-217
Author(s):  
Badal Pal
Keyword(s):  
Carpal Tunnel Syndrome ◽  
Connective Tissue ◽  
Carpal Tunnel ◽  
Connective Tissue Disorders ◽  
Long Term Follow Up ◽  
Idiopathic Carpal Tunnel Syndrome ◽  
Tunnel Syndrome ◽  
Rheumatic Conditions

In six patients aged 59–71 years carpal tunnel syndrome, seemingly idiopathic, was followed by connective tissue disorders, in most cases autoimmune in nature. Patients with idiopathic carpal tunnel syndrome may therefore require long-term follow-up, if inflammatory rheumatic conditions are not to be missed.

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