Twenty patients re-operated due to recurrent or persistent CTS were identified and compared to 493 patients who had undergone primary nervedecompression.Results: Preoperatively, the re-operated patients had a higher median nerve sensory conduction velocity at wrist level (38[33-45] vs. 31 [22–38] m/s; p
📌 3 Key Takeaways
🎯
Objective & Hypothesis:Objective: Carpal tunnel release (CTR), the golden standard treatment for carpal tunnel syndrome (CTS), is beneficial forthe majority of patients, but up to 25% may have a less satisfactory outcome and require additional surgery.
📊
Key Findings & Data:The aim of thisstudy was to compare outcome after reoperation for CTS with outcome after primary CTR.Methods: In a retrospective study, September 2009 to February 2011, data were collected from patients’ medical journals,preoperative health declarations and QuickDASH questionnaires, pre- and one-year postoperatively.
💡
Conclusion & Impact:Twenty patients re-operated due to recurrent or persistent CTS were identified and compared to 493 patients who had undergone primary nervedecompression.Results: Preoperatively, the re-operated patients had a higher median nerve sensory conduction velocity at wrist level (38[33-45] vs. 31 [22–38] m/s; p
🔬Design:Survey & Empirical Study
📍Scope:2009 Verileri
⚙️Variables:Domain Parameters
Abstract
Objective: Carpal tunnel release (CTR), the golden standard treatment for carpal tunnel syndrome (CTS), is beneficial forthe majority of patients, but up to 25% may have a less satisfactory outcome and require additional surgery. The aim of thisstudy was to compare outcome after reoperation for CTS with outcome after primary CTR.Methods: In a retrospective study, September 2009 to February 2011, data were collected from patients’ medical journals,preoperative health declarations and QuickDASH questionnaires, pre- and one-year postoperatively. Twenty patients re-operated due to recurrent or persistent CTS were identified and compared to 493 patients who had undergone primary nervedecompression.Results: Preoperatively, the re-operated patients had a higher median nerve sensory conduction velocity at wrist level (38[33-45] vs. 31 [22–38] m/s; p
🔖
Cite This Article
ANDERSSON, G. S., BJÖRKMAN, A., DAHLİN, L. B., THOMSEN, N. O., ZİMMERMAN, M., DAHLİN, E. (2022). Symptomatic relief is less after reoperation for carpal tunnel syndrome compared with outcome after primary median nerve decompression. Hand and Microsurgery, Cilt: 8 - Sayı: 3, 190–192. https://ajindex.com/articles/533908
Dahlin E, Zimmerman M, Bjorkman A, Thomsen NO, Andersson GS, Dahlin LB. Impact of smoking and preoperative electrophysiology on outcome after open carpal tunnel release. J Plast Surg Hand Surg 2016;51:329-35
Santosa KB, Chung KC, Waljee JF. Complications of compressive neuropathy: prevention and management strategies. Hand Clin 2015;31:t139-49
Zimmerman M, Dahlin E, Thomsen NOB, Andersson GS, Bjorkman A, Dahlin LB. Outcome after carpal tunnel release: impact of facors related to metabolic syndrome. J Plast Surg Hand Surg 2017;51:165-71
Greenslade JR, Mehta RL, Belward P, Warwick DJ. Dash and Boston questionnaire assessment of carpal tunnel syndrome outcome: what is the responsiveness of an outcome questionnaire? J Hand Surg Eur Vol 2004;29:159-64
Mintken PE, Glynn P, Cleland JA. Psychometric properties of the shortened disabilities of the Arm, Shoulder, and Hand Questionnaire (QuickDASH) and Numeric Pain Rating Scale in patients with shoulder pain. J Shoulder Elbow Surg 2009;18:920-6
Karl JW, Gancarczyk SM, Strauch RJ. Complications of Carpal Tunnel Release. Orthop Clin North Am 2016;47:425-33
Dahlin LB, Salo M, Thomsen N, Stutz N. Carpal tunnel syndrome and treatment of recurrent symptoms. Scand J Plast Reconstr Surg Hand Surg 2010;44:4-11.