Results of surgical treatment of carpal tunnel syndrome – subjective and objective evaluation
Authors:
M. Májovský; V. Masopust; V. Beneš
Authors‘ workplace:
Neurochirurgická a neuroonkologická klinika 1. LF UK a ÚVN, Praha, Přednosta: prof. MUDr. Vladimír Beneš, DrSc.
Published in:
Prakt. Lék. 2015; 95(4): 157-160
Category:
Of different specialties
Overview
Introduction:
Carpal tunnel syndrome is the most common entrapment neuropathy. It is a cause of serious decrease of quality of life with considerable socioeconomic impact. Treatment of choice in moderate and severe carpal tunnel syndrome is surgery.
Methods:
Surgical results of 96 consecutive patients after 129 operations were analyzed. Procedure was performed under local anaesthesia with classic open technique. Objective and subjective symptoms were examined at one-year follow-up.
Results:
Neither neural, nor vascular injury occurred in our series. 3% of patients had superficial wound infection with no need for revision surgery. Over 95% of patients show permanent improvement of subjective complaints.
Conclusion:
Open carpal tunnel release is a golden standard in surgical treatment of carpal tunnel syndrome with high success rate and minimum complications. Overall satisfaction with procedure is more than 97%.
Keywords:
carpal tunnel syndrome – surgery – wrist
Sources
1. Brhel P, Říhová A, Dufek J, a kol. Profesionální syndrom karpálního tunelu. Pracov. Lék. 1999; 51(3): 123–129.
2. Darowish M, Sharma J. Evaluation and treatment of chronic hand conditions. Med Clin North Am 2014; 98(4): 801–815.
3. Dufek J. Profesionální syndrom karpálního tunelu. Neurol. pro Praxi 2006; 7(5): 254–256.
4. Fenclová Z, Urban P, Pelclová D, Navrátil T. Neurologická profesionální onemocnění v České republice v letech 1994–2009. Cesk Slov Neurol N 2012; 75/108(1): 70–74.
5. Jerosch-Herold C, Leite JC, Song F. A systematic review of outcomes assessed in randomized controlled trials of surgical interventions for carpal tunnel syndrome using the International Classification of Functioning, Disability and Health (ICF) as a reference tool. BMC Musculoskelet Disord. 2006; 7: 96. Published online Dec 5, 2006. doi:10.1186/1471-2474-7-96.
6. Kadaňka Z, Dufek J, Hromada J. Standard elektrofyziologického vyšetření syndromu karpálního tunelu pro potřeby hlášení choroby z povolání. Doporučené postupy, 2005 [online]. Dostupný z: http://www.czech-neuro.cz/clanek/4-Sy-karpalniho-tunelu/index.
7. Marshall S, Tardif G, Ashworth N. Local corticosteroid injection for carpal tunnel syndrome. Cochrane Database Syst Rev. 2007;(2): CD001554.
8. Masopust V, Beneš V. Syndrom karpálního tunelu. Postgrad. Med 2007; 9(8): 841–843.
9. Page MJ, Massy-Westropp N, O’Connor D, Pitt V. Splinting for carpal tunnel syndrome. Cochrane Database Syst Rev 2012; 11: 7: CD010003.
10. Scholten RJ, Mink van der Molen A, Uitdehaag BM, et al. Surgical treatment options for carpal tunnel syndrome. Cochrane Database Syst Rev 2007; 17(4): CD003905.
11. Vaněk P, Sameš M. Dlouhodobý efekt chirurgické terapie syndromu karpálního kanálu (Retrospektivní studie 1990-1998, 831 operací). Čes. a Slov. Neurol. Neurochir. 2000; 63/96(6): 412–417.
12. Vaverka M. Karpální tunel a neurochirurg – zkušenosti po 2200 operacích. Čes. a Slov. Neurol. Neurochir. 2012; 75(1): 44–50.
13. Yoon ES, Kwon HK, Lee HJ, Ahn DS. The outcome of the nonoperated contralateral hand in carpal tunnel syndrome. Ann Plast Surg 2001; 47(1): 20–24.
14. You D, Smith AH, Rempel D. Meta-analysis: association between wrist posture and carpal tunnel syndrome among workers. Saf Health Work 2014; 5(1): 27–31.
Labels
General practitioner for children and adolescents General practitioner for adultsArticle was published in
General Practitioner
2015 Issue 4
Most read in this issue
- The vaccination of medical staff against viral hepatitis B – examples of case studies after injury with contaminated sharp object
- An extraordinary delivery from extrauterine pregnancy – case history
- Percutaneous vertebroplasty – an option to treat osteoporotic vertebral fractures in seniors
- Occupational mycosis in the face