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Neurophysiological recovery 5 years after carpal tunnel release in patients with diabetes

Thomsen, Niels O.B. LU ; Andersson, Gert S. LU ; Björk, Jonas LU and Dahlin, Lars B. LU (2017) In Muscle and Nerve 56(6). p.59-64
Abstract

Introduction: The long-term results of neurophysiological recovery after carpal tunnel release in patients with diabetes have not been studied. Methods: Thirty-five patients with diabetes and carpal tunnel syndrome (CTS) were matched with 31 patients without diabetes who had idiopathic CTS, and 27 and 30 patients, respectively, participated in this follow-up study. Nerve conduction results at 5 years were compared with previously published results at baseline and 1 year. Results: Significant neurophysiological improvement continued from 1 to 5 years after carpal tunnel release for patients with and without diabetes. However, wrist-palm sensory conduction velocity was still abnormal for 85% and 43% of patients with and without diabetes,... (More)

Introduction: The long-term results of neurophysiological recovery after carpal tunnel release in patients with diabetes have not been studied. Methods: Thirty-five patients with diabetes and carpal tunnel syndrome (CTS) were matched with 31 patients without diabetes who had idiopathic CTS, and 27 and 30 patients, respectively, participated in this follow-up study. Nerve conduction results at 5 years were compared with previously published results at baseline and 1 year. Results: Significant neurophysiological improvement continued from 1 to 5 years after carpal tunnel release for patients with and without diabetes. However, wrist-palm sensory conduction velocity was still abnormal for 85% and 43% of patients with and without diabetes, respectively. Although diabetes had an impact on 4 of 10 measured neurophysiological parameters, the influence of peripheral neuropathy seemed insignificant. Discussion: After carpal tunnel release, significant long-term neurophysiological improvement is possible for patients with diabetes, and it is not influenced by the presence of peripheral neuropathy.

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author
organization
publishing date
type
Contribution to journal
publication status
published
subject
keywords
Carpal tunnel syndrome, Diabetes, Nerve conduction study, Neuropathy, Neurophysiology, Peripheral nerve
in
Muscle and Nerve
volume
56
issue
6
pages
59 - 64
publisher
John Wiley & Sons
external identifiers
  • scopus:85017544181
  • wos:000415347500002
ISSN
0148-639X
DOI
10.1002/mus.25633
language
English
LU publication?
yes
id
4fea5c01-4718-4589-a34a-2366f5ec080c
date added to LUP
2017-05-16 09:00:18
date last changed
2018-01-16 13:26:22
@article{4fea5c01-4718-4589-a34a-2366f5ec080c,
  abstract     = {<p>Introduction: The long-term results of neurophysiological recovery after carpal tunnel release in patients with diabetes have not been studied. Methods: Thirty-five patients with diabetes and carpal tunnel syndrome (CTS) were matched with 31 patients without diabetes who had idiopathic CTS, and 27 and 30 patients, respectively, participated in this follow-up study. Nerve conduction results at 5 years were compared with previously published results at baseline and 1 year. Results: Significant neurophysiological improvement continued from 1 to 5 years after carpal tunnel release for patients with and without diabetes. However, wrist-palm sensory conduction velocity was still abnormal for 85% and 43% of patients with and without diabetes, respectively. Although diabetes had an impact on 4 of 10 measured neurophysiological parameters, the influence of peripheral neuropathy seemed insignificant. Discussion: After carpal tunnel release, significant long-term neurophysiological improvement is possible for patients with diabetes, and it is not influenced by the presence of peripheral neuropathy.</p>},
  author       = {Thomsen, Niels O.B. and Andersson, Gert S. and Björk, Jonas and Dahlin, Lars B.},
  issn         = {0148-639X},
  keyword      = {Carpal tunnel syndrome,Diabetes,Nerve conduction study,Neuropathy,Neurophysiology,Peripheral nerve},
  language     = {eng},
  number       = {6},
  pages        = {59--64},
  publisher    = {John Wiley & Sons},
  series       = {Muscle and Nerve},
  title        = {Neurophysiological recovery 5 years after carpal tunnel release in patients with diabetes},
  url          = {http://dx.doi.org/10.1002/mus.25633},
  volume       = {56},
  year         = {2017},
}