Peripheral nerve decompression in the upper limb in spinal cord injury: experiences at the National Spinal Injuries Centre, UK
| Autor: | Alex Hinton, Matthew Thomas, Rebecca Shirley, James K.-K. Chan, Anthony J. Heywood |
|---|---|
| Rok vydání: | 2021 |
| Předmět: |
medicine.medical_specialty
Cubital Tunnel Syndrome Dermatology Article Cohort Studies Upper Extremity medicine Humans Carpal tunnel Ulnar nerve Spinal cord injury Tetraplegia Spinal Cord Injuries Ulnar Nerve Retrospective Studies Cubital tunnel business.industry Correction Retrospective cohort study Decompression Surgical medicine.disease United Kingdom Surgery medicine.anatomical_structure Neurology Spinal Injuries Upper limb Paraplegia business |
| Zdroj: | Spinal Cord Ser Cases |
| ISSN: | 2058-6124 |
| Popis: | STUDY DESIGN: Retrospective cohort study of consecutive upper limb peripheral nerve decompressions in SCI patients. All procedures were performed at a single National Spinal Injuries Centre between 2015 and 2019. OBJECTIVES: Entrapment neuropathies in the upper limb are underdiagnosed and undertreated in patients with spinal cord injury (SCI). This cohort study represents the first published outcomes of upper limb peripheral nerve decompression in patients with SCI. SETTING: National Spinal Injuries Centre, Stoke Mandeville Hospital, Buckinghamshire, UK. METHODS: Data collected from electronic medical records included patient demographics, procedures performed, length of inpatient stay, nerve conduction studies, and patient satisfaction. Patients were also contacted by telephone to complete a questionnaire that included patient satisfaction, the NHS ‘Friends & Family Test’ and validated patient-reported outcome measures (PROMs). RESULTS: Thirty-four decompression procedures (24 carpal tunnel, 10 cubital tunnel) were performed in 24 patients (14 with paraplegia, 10 tetraplegia). 71% of patients had pre-operative nerve conduction studies: 71% of these were graded as severe. Mean length of stay was 14 nights. 91% of patients were satisfied with their procedure at clinic follow-up. Mean Boston Carpal Tunnel Questionnaire (BCTQ) symptom scores were reduced from 3.7 to 1.3 pre- vs. post-operatively (p |
| Databáze: | OpenAIRE |
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