Correlation of clinical history and electrodiagnostic abnormalities with outcome after surgery for carpal tunnel syndrome
| Autor: | Ducksun Ahn, Seung Jae Choi |
|---|---|
| Rok vydání: | 1998 |
| Předmět: |
Adult
Male medicine.medical_specialty Electromyography Wrist Correlation Clinical history Diabetes mellitus medicine Humans Crush syndrome Carpal tunnel syndrome Aged Retrospective Studies Aged 80 and over medicine.diagnostic_test business.industry Electrodiagnosis Retrospective cohort study Middle Aged medicine.disease Carpal Tunnel Syndrome Surgery medicine.anatomical_structure Treatment Outcome Female business |
| Zdroj: | Plastic and reconstructive surgery. 102(7) |
| ISSN: | 0032-1052 |
| Popis: | A retrospective study on 294 wrists in 154 patients who had been diagnosed with carpal tunnel syndrome and subsequently had surgery performed was undertaken; both clinical and electrodiagnostic findings were correlated. The cases were divided into three groups based on electromyographic severity (mild, moderate, severe), and recovery from symptoms was evaluated after 1 week, 3 months, and I year. The cases were also divided into five groups based on symptom duration, and the same investigations were performed. All operations were conducted by applying the open release method with the limited-palmar incision technique. Operative outcomes showed no association between recovery from symptoms and the severity of electromyographic findings or the duration of symptoms, although the group that had the shortest duration of symptoms recovered faster than the long-duration groups statistically. Postoperative results after 1 year were also successful for those patients who had had symptoms of long duration. Of the 294 wrist operations studied, good to excellent postoperative outcomes were recorded in 242 cases (82 percent), fair outcomes in 39 cases (1 3 percent), and poor outcomes in 13 cases (4 percent). Patients whose electromyogram revealed double crush syndrome still showed improvement, with good-to-excellent results in 1 1 out of 15 cases (73 percent). Patients with diabetes mellitus also showed improvement, with good-to-excellen results in 14 out of 19 patients (74 percent). This study showed that postoperative results were satisfactory within I year, regardless of the degree of electromyographic severity, symptom duration, presence of diabetes mellitus, or double crush syndrome. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
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