Document Detail

Carpal tunnel syndrome with severe sensory deficit: endoscopic release in 18 cases.
MedLine Citation:
PMID:  11186406     Owner:  NLM     Status:  MEDLINE    
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.
I Atroshi; G Axelsson; C Gummesson; R Johnsson
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Publication Detail:
Type:  Journal Article; Research Support, Non-U.S. Gov't    
Journal Detail:
Title:  Acta orthopaedica Scandinavica     Volume:  71     ISSN:  0001-6470     ISO Abbreviation:  Acta Orthop Scand     Publication Date:  2000 Oct 
Date Detail:
Created Date:  2001-01-19     Completed Date:  2001-02-01     Revised Date:  2006-11-15    
Medline Journal Info:
Nlm Unique ID:  0370352     Medline TA:  Acta Orthop Scand     Country:  Norway    
Other Details:
Languages:  eng     Pagination:  484-7     Citation Subset:  IM    
Department of Orthopedics, Hässleholm-Kristianstad Hospitals, Sweden.
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MeSH Terms
Activities of Daily Living
Aged, 80 and over
Carpal Tunnel Syndrome / complications,  surgery*
Hand Strength
Middle Aged
Prospective Studies
Sensation Disorders / etiology

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