A study the various clinical and electrophysiological parameters of severity of carpal tunnel syndrome, their correlation with post-operative recovery
| Autor: | R Mukund Thatte, Binita Bharat Raut, Sushil Ramesh Nehete, Amita Hiremath |
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| Rok vydání: | 2018 |
| Předmět: |
Visual analogue scale
lcsh:Surgery macromolecular substances 030230 surgery Correlation 03 medical and health sciences 0302 clinical medicine shoulder and hand score Levine score Carpal tunnel release Medicine Clinical severity Post operative Prospective cohort study Carpal tunnel syndrome electromyography nerve conduction velocity business.industry disabilities of arm 030208 emergency & critical care medicine lcsh:RD1-811 medicine.disease nervous system diseases Electrophysiology Anesthesia Surgery Original Article business |
| Zdroj: | Indian Journal of Plastic Surgery : Official Publication of the Association of Plastic Surgeons of India Indian Journal of Plastic Surgery, Vol 50, Iss 03, Pp 260-265 (2017) |
| ISSN: | 0970-0358 |
| Popis: | Objective: We aimed to study the various clinical and electrophysiological parameters of severity of carpal tunnel syndrome (CTS) and to see if the severity of CTS affects recovery after surgery. Patients and Methods: A prospective study of 35 patients suffering from CTS. Clinical severity was assessed using visual analogue scale and standard questionnaires such as Levine and Disabilities of Arm, Shoulder and Hand questionnaires. All the patients underwent electrophysiological evaluation to assess electrophysiological severity of CTS. According to modified Padua classification, they were classified into three groups, namely, minimal to mild, moderate and severe to extreme. All patients underwent Carpal tunnel release in our unit. The clinical assessment was repeated 3 months post-operatively. Results: Out of 33 patients, majority (65.7%) of the patients were suffering from moderately severe CTS. The clinical provocative tests were positive in majority of patients. Clinically and statistically significant (P < 0.001) improvement was seen in all clinical severity scores. However, it did not show any statistical correlation with electrophysiological severity of the disease when compared among the groups. There was no association of age, gender of the patient, body mass index, hand dominance, affected side of the patient, results of provocative tests and the presence or absence of thenar muscle atrophy when compared among the three severity groups (P > 0.05). Conclusions: Although pre-operative clinical scores of severity and electrophysiology have a diagnostic role in CTS, they do not correlate with post-operative recovery and in turn fail to predict the extent of post-operative recovery before surgery. |
| Databáze: | OpenAIRE |
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