Document Detail


Early return to work following open carpal tunnel decompression in lamb freezing workers.
MedLine Citation:
PMID:  18687831     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Carpal tunnel syndrome is common at the largest lamb processing plant in the world, especially in new lamb boners. The purpose of this study was to establish the incidence and whether expeditious return to work following open carpal tunnel decompression was possible. Two hundred patients with a neurophysiologically confirmed diagnosis underwent surgery between 2002 and 2006. One hundred and eighty-seven patients were assessed retrospectively and 13 prospectively. The incidence in new lamb boners was 10% in their first season. On average, workers commenced rehabilitation at 11 days post-operatively and full duties at 29 days post-operatively with minimal further time off taken. Ninety percent returned to their previous role. By 8 weeks in the prospective group visual analogue pain scores had improved from 8.75 to 2.0 (P<0.01) and Quick Disabilities of the Arm, Shoulder and Hand (QuickDASH) scores had improved from 140 points to 68 (P<0.01). Grip/pinch testing, static two-point discrimination scores and complication rates were comparable with previous studies. This study provides good evidence that coordinated, early rehabilitation and return to work is effective in a high-demand population.
Authors:
M C Wyatt; G A Veale
Publication Detail:
Type:  Journal Article; Research Support, Non-U.S. Gov't    
Journal Detail:
Title:  The Journal of hand surgery, European volume     Volume:  33     ISSN:  1753-1934     ISO Abbreviation:  -     Publication Date:  2008 Aug 
Date Detail:
Created Date:  2008-08-08     Completed Date:  2009-01-27     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  101315820     Medline TA:  J Hand Surg Eur Vol     Country:  England    
Other Details:
Languages:  eng     Pagination:  440-4     Citation Subset:  IM    
Affiliation:
Department of Trauma and Orthopaedics, Southland Hospital, Invercargill, Southland, New Zealand. mcwyatt@xtra.co.nz
Export Citation:
APA/MLA Format     Download EndNote     Download BibTex
MeSH Terms
Descriptor/Qualifier:
Abattoirs*
Adult
Carpal Tunnel Syndrome / epidemiology,  rehabilitation,  surgery*
Cohort Studies
Decompression, Surgical*
Employment
Female
Humans
Incidence
Male
Middle Aged
New Zealand
Occupational Diseases / epidemiology,  rehabilitation,  surgery*
Recovery of Function*
Retrospective Studies
Time Factors
Treatment Outcome
Young Adult

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


Previous Document:  The usefulness of ultrasonography in the diagnosis of carpal tunnel syndrome.
Next Document:  Reconstruction of the distal finger with partial second toe transfers by means of an exteriorised pe...