Relation of preoperative nerve-conduction values to outcome in workers with surgically treated carpal tunnel syndrome
| Autor: | Dorothy F. Edwards, Philip E. Higgs, David S. Martin, T.N. Munfreesboro, Paul M. Weeks |
|---|---|
| Rok vydání: | 1997 |
| Předmět: |
Adult
Employment Male Sleep Wake Disorders medicine.medical_specialty Neural Conduction Sensation Pain Carpal tunnel surgery Nerve conduction velocity Carpal tunnel decompression Preoperative Care Reaction Time medicine Humans Orthopedics and Sports Medicine Neurons Afferent Carpal tunnel syndrome Normal range Aged Motor Neurons medicine.diagnostic_test business.industry Middle Aged medicine.disease Carpal Tunnel Syndrome Job Status Median Nerve Surgery Occupational Diseases Treatment Outcome Nerve conduction study Workers' Compensation Female Nerve conduction business Follow-Up Studies |
| Zdroj: | The Journal of Hand Surgery. 22:216-221 |
| ISSN: | 0363-5023 |
| DOI: | 10.1016/s0363-5023(97)80154-2 |
| Popis: | Ninety-three workers having undergone carpal tunnel decompression were assessed 16 to 100 months after surgery. The results of outcomes pertaining to symptoms of numbness, nocturnal awakening, and pain as well as job status were compared to the patients' preoperative nerve conduction study findings. Significant differences in preoperative nerve-conduction values (NCVs) were found between groups reporting poor results and those reporting good results. These differences were such that those reporting poor results had more normal NCVs. Those reporting job changes because of carpal tunnel syndrome also had more normal preoperative nerve-conduction results. Data indicate that those with terminal latencies 1 ms greater than the testing facility normal value or with sensory conduction velocity 10 ms less than the facility norm were more likely to benefit from surgery. This study suggests the need for caution when considering carpal tunnel surgery in workers with normal or near normal nerve-conduction results. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
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