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Carpal tunnel syndrome with severe sensory deficit: endoscopic release in 18 cases

Atroshi, I; Axelsson, G; Gummesson, Christina LU and Johnsson, Ragnar LU (2000) In Acta Orthopaedica Scandinavica 71(5). p.484-487
Abstract
Carpal tunnel syndrome (CTS) with severe sensory deficit was treated with endoscopic carpal tunnel release in 18 hands of 16 consecutive patients (median age 72 (28-92) years). In all hands, preoperative 2-point discrimination (2-PD) exceeded 15 mm in the radial and ulnar sides of the pulps of at least 2 of the 3 radial digits. All patients underwent an independent evaluation and answered a questionnaire concerning 11 activities of daily living (ADL) preoperatively and 6 months postoperatively. Complete resolution or improvement in daytime numbness and tingling was reported in 12 of 17 hands, of night symptoms in 12 of 16 hands, and of pain in 10 of 11 hands. The median ADL score improved from 3.1 to 1.4 (on a 1- to 5-point scale). 13 of... (More)
Carpal tunnel syndrome (CTS) with severe sensory deficit was treated with endoscopic carpal tunnel release in 18 hands of 16 consecutive patients (median age 72 (28-92) years). In all hands, preoperative 2-point discrimination (2-PD) exceeded 15 mm in the radial and ulnar sides of the pulps of at least 2 of the 3 radial digits. All patients underwent an independent evaluation and answered a questionnaire concerning 11 activities of daily living (ADL) preoperatively and 6 months postoperatively. Complete resolution or improvement in daytime numbness and tingling was reported in 12 of 17 hands, of night symptoms in 12 of 16 hands, and of pain in 10 of 11 hands. The median ADL score improved from 3.1 to 1.4 (on a 1- to 5-point scale). 13 of the 16 patients were satisfied with the outcome. Two-PD had normalized in 14 hands and improved in 2. The results indicate that endoscopic carpal tunnel release is effective in improving symptoms and function in patients with CTS and severe sensory deficit, and that the prognosis for sensory recovery is good. (Less)
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author
organization
publishing date
type
Contribution to journal
publication status
published
subject
in
Acta Orthopaedica Scandinavica
volume
71
issue
5
pages
484 - 487
publisher
Taylor & Francis
external identifiers
  • pmid:11186406
  • scopus:0033762755
ISSN
0001-6470
DOI
10.1080/000164700317381180
language
English
LU publication?
yes
id
17bdbf10-4a55-4bb0-b4ee-fedf24fed723 (old id 1116393)
date added to LUP
2008-07-01 12:40:09
date last changed
2017-01-01 07:27:20
@article{17bdbf10-4a55-4bb0-b4ee-fedf24fed723,
  abstract     = {Carpal tunnel syndrome (CTS) with severe sensory deficit was treated with endoscopic carpal tunnel release in 18 hands of 16 consecutive patients (median age 72 (28-92) years). In all hands, preoperative 2-point discrimination (2-PD) exceeded 15 mm in the radial and ulnar sides of the pulps of at least 2 of the 3 radial digits. All patients underwent an independent evaluation and answered a questionnaire concerning 11 activities of daily living (ADL) preoperatively and 6 months postoperatively. Complete resolution or improvement in daytime numbness and tingling was reported in 12 of 17 hands, of night symptoms in 12 of 16 hands, and of pain in 10 of 11 hands. The median ADL score improved from 3.1 to 1.4 (on a 1- to 5-point scale). 13 of the 16 patients were satisfied with the outcome. Two-PD had normalized in 14 hands and improved in 2. The results indicate that endoscopic carpal tunnel release is effective in improving symptoms and function in patients with CTS and severe sensory deficit, and that the prognosis for sensory recovery is good.},
  author       = {Atroshi, I and Axelsson, G and Gummesson, Christina and Johnsson, Ragnar},
  issn         = {0001-6470},
  language     = {eng},
  number       = {5},
  pages        = {484--487},
  publisher    = {Taylor & Francis},
  series       = {Acta Orthopaedica Scandinavica},
  title        = {Carpal tunnel syndrome with severe sensory deficit: endoscopic release in 18 cases},
  url          = {http://dx.doi.org/10.1080/000164700317381180},
  volume       = {71},
  year         = {2000},
}