Early Return to Work Following Open Carpal Tunnel Decompression in                     Lamb Freezing Workers

Carpal tunnel syndrome is common at the largest lamb processing plant in the world, especially in new lamb boners. The purpose of this study was to establish the incidence and whether expeditious return to work following open carpal tunnel decompression was possible. Two hundred patients with a neurophysiologically confirmed diagnosis underwent surgery between 2002 and 2006. One hundred and eighty-seven patients were assessed retrospectively and 13 prospectively. The incidence in new lamb boners was 10% in their first season. On average, workers commenced rehabilitation at 11 days post-operatively and full duties at 29 days post-operatively with minimal further time off taken. Ninety percent returned to their previous role. By 8 weeks in the prospective group visual analogue pain scores had improved from 8.75 to 2.0 ( P<0.01) and Quick Disabilities of the Arm, Shoulder and Hand (QuickDASH) scores had improved from 140 points to 68 ( P<0.01). Grip/pinch testing, static two-point discrimination scores and complication rates were comparable with previous studies. This study provides good evidence that coordinated, early rehabilitation and return to work is effective in a high-demand population.

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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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Topical Anaesthesia to Reduce Pain Associated with Carpal Tunnel Surgery

Journal of Hand Surgery (European Volume) ◽

10.1054/jhsb.2002.0823 ◽

2002 ◽

Vol 27 (5) ◽

pp. 462-464 ◽

Cited By ~ 14

Author(s):

T. M. LAWRENCE ◽

V. V. DESAI

Keyword(s):

Carpal Tunnel ◽

Local Anaesthetic ◽

Carpal Tunnel Release ◽

Statistical Significance ◽

Eutectic Mixture ◽

Local Anaesthetics ◽

Needle Insertion ◽

Visual Analogue Pain ◽

Pain Scores ◽

Carpal Tunnel Surgery

This randomized, double-blinded study assessed the effectiveness of a topical anaesthetic, eutectic mixture of local anaesthetics (EMLA), in reducing pain associated with carpal tunnel release performed under local anaesthetic. Fifty-six patients undergoing carpal tunnel release under local anaesthetic were randomized into either EMLA ( n=29) or placebo ( n=27) groups. Visual analogue pain scores were obtained for needle insertion, injection of anaesthetic and surgery itself. Pain scores were significantly less for needle insertion ( P=0.001) and injection of anaesthetic ( P=0.0005). Scores related to surgery were also lower in the EMLA group, but this did not reach statistical significance.

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Co-existing carpal tunnel syndrome in complex regional pain syndrome after hand trauma

Journal of Hand Surgery (European Volume) ◽

10.1177/1753193409354015 ◽

2009 ◽

Vol 35 (3) ◽

pp. 228-231 ◽

Cited By ~ 10

Author(s):

S. M. Koh ◽

F. Moate ◽

D. Grinsell

Keyword(s):

Carpal Tunnel Syndrome ◽

Range Of Motion ◽

Grip Strength ◽

Complex Regional Pain Syndrome ◽

Carpal Tunnel ◽

Carpal Tunnel Release ◽

Pain Syndrome ◽

Hand Surgery ◽

Pain Scores ◽

Tunnel Syndrome

This study highlights the benefits of carpal tunnel release (CTR) in four patients presenting with complex regional pain syndrome (CRPS) after hand surgery who also had carpal tunnel syndrome (CTS) diagnosed clinically and by nerve conduction studies. Three of the patients underwent pre- and postoperative volumetric, circumference, grip strength and range of motion measurements. The Disabilities of the Arm, Shoulder and Hand (DASH) functional outcome measure and pain scores were also used. There was almost complete resolution of CRPS symptoms in all four patients, with notable reductions in oedema and improvements in grip strength and range of motion. There were also improvements in DASH outcome scores and pain scores after CTR.

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

Arthritis & Rheumatism ◽

10.1002/art.1790110411 ◽

1998 ◽

Vol 11 (4) ◽

pp. 298-305 ◽

Cited By ~ 33

Author(s):

Loreto Carmona ◽

Julia Faucett ◽

Paul D. Blanc ◽

Edward Yelin

Keyword(s):

Carpal Tunnel Syndrome ◽

Return To Work ◽

Carpal Tunnel ◽

Rate Of Return ◽

Tunnel Syndrome

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An Aggressive Return-to-Work Program in Surgical Treatment of Carpal Tunnel Syndrome

Plastic & Reconstructive Surgery ◽

10.1097/00006534-199204000-00022 ◽

1992 ◽

Vol 89 (4) ◽

pp. 715-717 ◽

Cited By ~ 15

Author(s):

R. Cole Goodman

Keyword(s):

Surgical Treatment ◽

Carpal Tunnel Syndrome ◽

Return To Work ◽

Carpal Tunnel ◽

Work Program ◽

Tunnel Syndrome

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Factors Affecting Return to Work After Carpal Tunnel Syndrome Surgery in a Large French Cohort

Archives of Physical Medicine and Rehabilitation ◽

10.1016/j.apmr.2011.06.001 ◽

2011 ◽

Vol 92 (11) ◽

pp. 1863-1869 ◽

Cited By ~ 23

Author(s):

Elsa Parot-Schinkel ◽

Yves Roquelaure ◽

Catherine Ha ◽

Annette Leclerc ◽

Jean-François Chastang ◽

...

Keyword(s):

Carpal Tunnel Syndrome ◽

Return To Work ◽

Carpal Tunnel ◽

Factors Affecting ◽

Tunnel Syndrome ◽

French Cohort

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Return-to-Work Interval and Surgery for Carpal Tunnel Syndrome. Results of a Prospective Series of 233 Patients

Journal of Hand Surgery (European Volume) ◽

10.1016/j.jhsb.2004.05.005 ◽

2004 ◽

Vol 29 (6) ◽

pp. 568-570 ◽

Cited By ~ 17

Author(s):

F. CHAISE ◽

P. BELLEMÈRE ◽

J. P. FRIL ◽

E. GAISNE ◽

P. POIRIER ◽

...

Keyword(s):

Carpal Tunnel Syndrome ◽

Social Security ◽

Private Sector ◽

Return To Work ◽

Carpal Tunnel ◽

Civil Servants ◽

Workers Compensation ◽

Full Time ◽

Significant Difference ◽

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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CLINICAL CHARACTERISTICS OF NEUROPATHIC PAIN IN PATIENTS WITH CARPAL TUNNEL SYNDROME

Hand Surgery ◽

10.1142/s0218810414500087 ◽

2014 ◽

Vol 19 (01) ◽

pp. 43-48 ◽

Cited By ~ 10

Author(s):

Motoki Sonohata ◽

Toshiyuki Tsuruta ◽

Hiroko Mine ◽

Akihiko Asami ◽

Hideki Ishii ◽

...

Keyword(s):

Neuropathic Pain ◽

Carpal Tunnel Syndrome ◽

Carpal Tunnel ◽

Clinical Characteristics ◽

Rating Scales ◽

Night Pain ◽

Pain Scores ◽

Significant Difference ◽

Numerical Rating ◽

Tunnel Syndrome

The purpose of this study was to identify the clinical characteristics of neuropathic pain in patients with carpal tunnel syndrome. We retrospectively reviewed 143 hands in 127 patients with carpal tunnel syndrome. The neuropathic pain was determined by using the painDETECT as a self-administered psychometric questionnaire to distinguish neuropathic pain. There were no significant differences in the characteristics of the patients with and without neuropathic pain. However, there were significant differences in the pain scores between those with and without neuropathic pain (p < 0.01). Furthermore, there was a significant difference between the existence of night pain in these patients (p < 0.01). Based on the results of the current study, we conclude that it is important to be aware of, and consider the existence of neuropathic pain during the treatment of patients with carpal tunnel syndrome with night pain or a high score on the numerical rating scales of pain.

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