Carpal tunnel decompression in the super-elderly: functional outcome and patient satisfaction are equal to those of their younger counterparts
| Autor: | Paul J. Jenkins, O. D. Stone, Andrew D. Duckworth, N. D. Clement, J. D. Annan, Jane E McEachan |
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| Rok vydání: | 2014 |
| Předmět: |
Adult
Male medicine.medical_specialty Decompression Carpal tunnel decompression Patient satisfaction Thenar muscle atrophy Medicine Humans Orthopedics and Sports Medicine Carpal tunnel Aged Retrospective Studies Aged 80 and over business.industry Age Factors Odds ratio Recovery of Function Middle Aged Decompression Surgical Carpal Tunnel Syndrome Confidence interval Surgery medicine.anatomical_structure Treatment Outcome Satisfaction rate Patient Satisfaction Linear Models Female business Follow-Up Studies |
| Zdroj: | The bonejoint journal. (9) |
| ISSN: | 2049-4408 |
| Popis: | There is conflicting evidence about the functional outcome and rate of satisfaction of super-elderly patients (≥ 80 years of age) after carpal tunnel decompression. We compiled outcome data for 756 patients who underwent a carpal tunnel decompression over an eight-year study period, 97 of whom were super-elderly, and 659 patients who formed a younger control group (< 80 years old). There was no significant difference between the super-elderly patients and the younger control group in terms of functional outcome according to the mean (0 to 100) QuickDASH score (adjusted mean difference at one year 1.8; 95% confidence interval (CI) -3.4 to 7.0) and satisfaction rate (odds ratio (OR) 0.78; 95% CI 0.34 to 1.58). Super-elderly patients were, however, more likely to have thenar muscle atrophy at presentation (OR 9.2, 95% CI 5.8 to 14.6). When nerve conduction studies were obtained, super-elderly patients were more likely to have a severe conduction deficit (OR 12.4, 95% CI 3.0 to 51.3). Super-elderly patients report functional outcome and satisfaction rates equal to those of their younger counterparts. They are more likely to have thenar muscle atrophy and a severe nerve conduction deficit at presentation, and may therefore warrant earlier decompression. Cite this article: Bone Joint J 2014; 96-B:1234–8. |
| Databáze: | OpenAIRE |
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