Outcome of carpal tunnel release in patients with normal nerve conduction studies
(2021) In Journal of Orthopaedic Science 26(5). p.798-803- Abstract
Background: We evaluated outcome after carpal tunnel release (CTR) in patients with clinically diagnosed carpal tunnel syndrome (CTS) but normal results in nerve conduction studies (NCS), and compared these results with those from a prospective group of patients with NCS-verified CTS. Methods: Over a 5-year period, we prospectively included 103 patients with clinical CTS. NCS were done at inclusion, with surgeon and patient being kept blind regarding the result. The patients underwent endoscopic CTR. QuickDASH and satisfaction score were recorded preoperatively and 4 months after surgery. 94 patients, 47 of whom had NCS-verified CTS, completed the study. Results: A significant improvement in QuickDASH score (18 and 20 points... (More)
Background: We evaluated outcome after carpal tunnel release (CTR) in patients with clinically diagnosed carpal tunnel syndrome (CTS) but normal results in nerve conduction studies (NCS), and compared these results with those from a prospective group of patients with NCS-verified CTS. Methods: Over a 5-year period, we prospectively included 103 patients with clinical CTS. NCS were done at inclusion, with surgeon and patient being kept blind regarding the result. The patients underwent endoscopic CTR. QuickDASH and satisfaction score were recorded preoperatively and 4 months after surgery. 94 patients, 47 of whom had NCS-verified CTS, completed the study. Results: A significant improvement in QuickDASH score (18 and 20 points respectively, p < 0.01) was found for both groups. Satisfaction score was significantly higher in the group with NCS-verified CTS. However, the overall satisfaction rates were 87% in the normal NCS group and 95% in the group with abnormal NCS. Conclusions: Clinical outcome after CTR in patients with normal NCS was favourable and similar to that obtained in patients with NCS-verified CTS. Nonetheless, patients with normal result in NCS gave a lower satisfaction score.
(Less)
- author
- Jørgsholm, Peter
LU
; Flondell, Magnus
LU
; Björkman, Anders LU and Thomsen, Niels O.B. LU
- organization
- publishing date
- 2021-09-01
- type
- Contribution to journal
- publication status
- published
- subject
- in
- Journal of Orthopaedic Science
- volume
- 26
- issue
- 5
- pages
- 6 pages
- publisher
- Springer
- external identifiers
-
- scopus:85091611222
- pmid:32980190
- ISSN
- 0949-2658
- DOI
- 10.1016/j.jos.2020.08.009
- language
- English
- LU publication?
- yes
- id
- 6e65710c-f259-4c3f-b790-5cc206833e42
- date added to LUP
- 2020-11-03 12:01:56
- date last changed
- 2024-06-12 22:47:29
@article{6e65710c-f259-4c3f-b790-5cc206833e42, abstract = {{<p>Background: We evaluated outcome after carpal tunnel release (CTR) in patients with clinically diagnosed carpal tunnel syndrome (CTS) but normal results in nerve conduction studies (NCS), and compared these results with those from a prospective group of patients with NCS-verified CTS. Methods: Over a 5-year period, we prospectively included 103 patients with clinical CTS. NCS were done at inclusion, with surgeon and patient being kept blind regarding the result. The patients underwent endoscopic CTR. QuickDASH and satisfaction score were recorded preoperatively and 4 months after surgery. 94 patients, 47 of whom had NCS-verified CTS, completed the study. Results: A significant improvement in QuickDASH score (18 and 20 points respectively, p < 0.01) was found for both groups. Satisfaction score was significantly higher in the group with NCS-verified CTS. However, the overall satisfaction rates were 87% in the normal NCS group and 95% in the group with abnormal NCS. Conclusions: Clinical outcome after CTR in patients with normal NCS was favourable and similar to that obtained in patients with NCS-verified CTS. Nonetheless, patients with normal result in NCS gave a lower satisfaction score.</p>}}, author = {{Jørgsholm, Peter and Flondell, Magnus and Björkman, Anders and Thomsen, Niels O.B.}}, issn = {{0949-2658}}, language = {{eng}}, month = {{09}}, number = {{5}}, pages = {{798--803}}, publisher = {{Springer}}, series = {{Journal of Orthopaedic Science}}, title = {{Outcome of carpal tunnel release in patients with normal nerve conduction studies}}, url = {{http://dx.doi.org/10.1016/j.jos.2020.08.009}}, doi = {{10.1016/j.jos.2020.08.009}}, volume = {{26}}, year = {{2021}}, }