Outcome of Surgical Treated Isolated Pronator Teres Syndromes-A Retrospective Cohort Study and Complete Review of the Literature.

Autor:	Binder H; Department of Orthopaedics and Trauma Surgery, Division of Trauma Surgery, Medical University of Vienna, 1090 Vienna, Austria., Zadra A; LKH Südsteiermark, Department of Orthopaedics, Bad Radkersburg, 8490 Südsteiermark, Austria., Popp D; Department of Orthopaedics and Trauma Surgery, Division of Trauma Surgery, Medical University of Vienna, 1090 Vienna, Austria., Komjati M; First Department of Orthopaedics, Hospital of sacred Heart of Jesus, 1030 Vienna, Austria., Tiefenboeck TM; Department of Orthopaedics and Trauma Surgery, Division of Trauma Surgery, Medical University of Vienna, 1090 Vienna, Austria.
Jazyk:	angličtina
Zdroj:	International journal of environmental research and public health [Int J Environ Res Public Health] 2021 Dec 22; Vol. 19 (1). Date of Electronic Publication: 2021 Dec 22.
DOI:	10.3390/ijerph19010080
Abstrakt:	Purpose: This study aims to elucidate the occurrence of postoperative carpal tunnel syndrome (CTS), the functional outcome of patients with primary pronator teres syndrome (PTS), and review complete literature regarding this topic. Material and Methods: A retrospective chart review was conducted in patients with PTS at a single center. In all patients, a numeric Visual Analog Scale (VAS) score, Pinch-Test, Jamar hand dynamometer test (JAMAR), and the Disabilities of the Arm Shoulder and Hand (DASH) score were analyzed preoperatively and at final follow-up to assess outcome. Additionally, a complete review of the literature was performed, including all data dealing with pronator teres syndrome. Results: Ten female and two male patients were included with a mean age of 49 years. Significant improvement in DASH and numeric VAS was detected at latest postoperative follow-up. In three patients, clinical signs of CTS pathology were detected during the follow-up period. One patient needed to be treated surgically, and in the other two patients, a conservative management was possible. In one patient (8%), a PTS recurrence was detected. All patients presented satisfied at latest follow-up. Conclusion: In one-fourth of our patients, a CTS occurred during the follow-up period. Therefore, focusing on double-crush syndrome in unclear or mixed symptoms is necessary to avoid multiple operations. Furthermore, it seems that assessment with NCV is not enough for diagnosing PTS; therefore, further research is needed to clarify this problem.
Databáze:	MEDLINE
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