Carpal tunnel decompression in patients with normal nerve conduction studies
| Autor: | Andrew D. Duckworth, O. D. Stone, Jane E McEachan, Samuel P. Mackenzie, Nicholas D. Clement, Paul J. Jenkins, Iain R. Murray |
|---|---|
| Rok vydání: | 2019 |
| Předmět: |
medicine.medical_specialty
Conservative management Decompression 020209 energy Neural Conduction 02 engineering and technology Carpal tunnel decompression 03 medical and health sciences 0302 clinical medicine 0202 electrical engineering electronic engineering information engineering Medicine Humans In patient Abnormal nerve conduction Carpal tunnel syndrome 030222 orthopedics Normal nerve conduction studies business.industry medicine.disease Decompression Surgical Carpal Tunnel Syndrome Surgery Median Nerve business Abnormal nerve conduction study |
| Zdroj: | The Journal of hand surgery, European volume. 45(3) |
| ISSN: | 2043-6289 |
| Popis: | Some patients present with typical clinical features of carpal tunnel syndrome despite normal nerve conduction studies. This study compared the preoperative and 1-year postoperative QuickDASH scores in patients with normal and abnormal nerve conduction studies, who underwent carpal tunnel decompression. Of the 637 patients included in the study, 19 had clinical features of carpal tunnel syndrome but normal nerve conduction studies, and underwent decompression after failure of conservative management. Preoperative QuickDASH scores were comparable in both groups (58 vs 54.8). However, there were significant differences between the normal and abnormal nerve conduction study groups in the QuickDASH at 1 year (34.9 vs 21.5) and change in QuickDASH postoperatively (23.1 vs 33.4). Patients with normal nerve conduction studies had comparable preoperative disability scores compared with those with abnormal studies. Although they had a significant improvement in QuickDASH at 1 year, this was significantly less than those with abnormal nerve conduction studies. Level of evidence: III |
| Databáze: | OpenAIRE |
| Externí odkaz: |
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