Multiperspective assessment of carpal tunnel syndrome

Abstract

Multiperspective and multimeasurement assessment, even when using a validated patient-oriented tool, provided interesting information that confirmed and clarified the clinical neurophysiologic dissociation often observed in carpal tunnel syndrome (CTS) patients. Furthermore, CTS appeared to be an ideal model for evaluating the importance of patient-oriented measurement.

Carpal tunnel syndrome in manual tea harvesters

“…[10,11] According to these criteria, only severe cases (stage III, IV and V) were included in our study group. Of the severe cases, 39 patients (70%) were classified clinically as stage III and 17 patients (30%) were classified as stage IV.…”

“…Diagnosis of CTS was based on presence of at least one of these findings; abnormal sensory nerve conduction velocity in any finger-wrist segment, abnormal sensory nerve conduction velocity in palmwrist segment and prolonged motor distal latency in any segment. All of the neurophysiologic data were assessed according to the modified neurophysiologic grading system developed by Padua et al [11] After the neurophysiologic evaluation, one surgeon performed all operations under local anesthesia and pneumatic tourniquet via palmar approach starting from the distal wrist crease and extending distally to Kaplan's cardinal line along the axis at the radial border of the ring finger. [14] Bilateral OCTR was performed in six (11%) and unilateral OCTR was performed in 50 (89%) patients.…”

“…All of the remaining patients (n=192) were clinically evaluated and assigned into mild and severe groups according to the modified criteria of the Italian CTS study group. [10,11] Open carpal tunnel release was indicated only for severe cases (n=56). Mild cases were treated non-operatively using non-steroidal anti-inflammatory drugs, B-complex vitamins with activity restraint and also excluded from the study.…”

Karpal Tünel Sendromu Hastalarında Elektrodiagnostik Evreleme ile Klinik Evre, Semptom Süresi ve Vücut Kitle İndeksi Arasındaki İlişkinin Değerlendirilmesi

“…Bu çalışmada Padua ve ark. 11 Her ne kadar KTS şiddetinin belirlenmesinde çok sayıda sınıflama önerilmiş ve elektrofizyolojik evreleme ile klinik semptomların şiddeti arasında iyi bir korelasyon olduğu gösterilmiş olsa da, spesifik bir metod gösterilememiştir 15,16 . Çalışmamızda İtalyan KTS çalışma grubunun modifiye kriterleri 11 kullanılarak farklı klinik semptom ve bulgulara sahip hastalar arasındaki nörofizyolojik farklılıkları ilişkilendirmek amacıyla hastalar klinik olarak asemptomatik, hafif ve ağır olarak sınıflandırıldı.…”

“…SİÇ' nda sağ, sol ve bilateral KTS saptadığımız hastalarda elektrofizyolojik gruplar ile klinik evreler arasındaki ilişki anlamlı bulundu. Literatürde İtalyan KTS çalışma grubu ve Bland tarafından yapılan çalışmalarda klinik evreleme ile elektrofizyolojik evreleme arasında anlamlı korelasyon saptanmıştır 11,17 . Leventoğlu ve ark.'…”