Long-Term Results of Carpal Tunnel Decompression

Haupt, Walter F.; Wintzer, G.; A, Schop; Löttgen, J.; Pawlik, G.

doi:10.1016/0266-7681(93)90149-a

Cited by 94 publications

(51 citation statements)

References 10 publications

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“…6 Several papers have also been published showing specifically that carpal tunnel decompression in patients with diabetic neuropathy will give a significant improvement to those patients. [36][37][38] When managing patients with neuropathic pain because of peripheral neuropathy, it is very important to work closely with pain-management experts who can optimize their medical management using the various drugs that can modulate peripheral sensitization, descending inhibitory pathways, and central sensitization. One the most common treatments today for peripheral neuropathic pain is gabapentin (Neurontin), which was originally shown to be of great benefit in diabetic-induced neuropathy.…”

Section: Discussionmentioning

confidence: 99%

Surgical treatment of superimposed nerve compressions in hepatitis C neuropathy

2007

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The plastic surgeon's usual involvement in patients with hepatitis C is most frequently limited to an inner city population with hand and forearm abscesses from intravenous drug use or to incidences of needle-stick injury in the operating room when the patient is hepatitis C positive. Hand surgeons and peripheral nerve surgeons often treat patients with underlying neuropathies who have superimposed overlying nerve compressions such as carpal tunnel syndrome. We have applied this experience to a patient with underlying peripheral neuropathy associated with Hepatitis C and clinical evidence of overlying lower extremity nerve compressions. We believe that she is the first successful surgical treatment of peripheral nerve compressions in a patient with hepatitis C-associated neuropathy, documented by noninvasive neurosensory testing.

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Section: Discussionmentioning

confidence: 99%

Surgical treatment of superimposed nerve compressions in hepatitis C neuropathy

2007

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“…Few articles in literature report a long-term follow-up of patients submitted to surgical treatment of CTS (12,13,14) . Regarding gender, our case series is consistent to literature, with female group being most affected.…”

Section: Discussionmentioning

confidence: 99%

Avaliação clínica a longo prazo - pelo sinal de Phalen, Tinel e parestesia noturna - dos pacientes submetidos a cirurgia de liberação do túnel do carpo com instrumento de Paine®

Paula

Santos

Meirelles³

et al. 2006

Acta ortop. bras.

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A liberação do retináculo dos flexores para o tratamento da síndrome do túnel do carpo (STC) é uma das cirurgias mais realizadas. Existem diversos métodos para a realização deste procedimento cirúrgico, como endoscópicos, via aberta clássica e mini-incisões. A longo prazo, poucos trabalhos mostram os resultados destas cirurgias. Este estudo tem como finalidade avaliar os pacientes submetidos à liberação do túnel do carpo com instrumento de Paine®, com no mínimo 84 meses de pós-operatório. Foram avaliados os parâmetros clínicos: teste de Phalen, sinal da percussão dolorosa e a queixa de parestesia noturna no pré e pós-operatório. Os resultados mostram que há significante melhora dos sinais avaliados (p.....), quando comparados com a avaliação inicial, e que estes sinais clínicos permanecem negativos ao longo do tempo.

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“…Therapeutic effects are well-known: steroid treatment provides temporary benefit [6,7] while surgical decompression is considered the only approach that offers the possibility of a definitive cure [1]. The post-operative evolution has been described [2,4,8], Nevertheless, few data are available on the natural course of untreated CTS [9,10]. We prospectively evaluated the natural clinical and neurophysiological course of 80 hands afflicted by CTS.…”

Section: Introductionmentioning

confidence: 99%

Natural history of carpal tunnel syndrome according to the neurophysiological classification

Padua

Monaco

et al. 1998

Ital J Neuro Sci

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Although many studies on carpal tunnel syndrome (CTS) have been reported, few data on the natural history of CTS are available. Knowledge of the natural course of the disease has significant clinical and therapeutic value. We prospectively followed up 80 cases of untreated CTS. The evaluation was based on self-administered questionnaires and on neurophysiological investigation. According to the neurophysiological classification, cases of CTS were divided into six groups on the basis of impairment severity: negative, minimal, mild, moderate, severe, and extreme. Disease worsening was inversely related to severity of nerve entrapment. On the contrary, improvement was proportionally related to nerve function impairment (except for extreme cases that never improved), and about one-third of mild and moderate cases improved. Most minimally cases remained neurophysiologically unchanged. We hypothesize that in a good percentage of CTS cases, nerve impairment is self-limited. Our data suggest the utility of further studies on the natural course of this common disease.

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Long-Term Results of Carpal Tunnel Decompression

Cited by 94 publications

References 10 publications

Surgical treatment of superimposed nerve compressions in hepatitis C neuropathy

Surgical treatment of superimposed nerve compressions in hepatitis C neuropathy

Avaliação clínica a longo prazo - pelo sinal de Phalen, Tinel e parestesia noturna - dos pacientes submetidos a cirurgia de liberação do túnel do carpo com instrumento de Paine®

Natural history of carpal tunnel syndrome according to the neurophysiological classification

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