New Technique for Reducing Fibrosis in Recurrent Cases of Carpal Tunnel Syndrome

Nassar, Wael A.M.; Atiyya, Ahmed Naeem

doi:10.1142/s0218810414500312

Cited by 9 publications

(6 citation statements)

References 38 publications

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“…Evaluation of discrimination sensation is widely used in clinical practice and research 13 , 26 , 27) . According to Shooter, 2PD sense is a widely used technique for determining tactile agnosia.…”

Section: Discussionmentioning

confidence: 99%

Two‐point discrimination and kinesthetic sense disorders in productive age individuals with carpal tunnel syndrome

Wolny

Saulicz

Linek

et al. 2016

Journal of Occupational Health

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Objectives: The aim of this study was to evaluate two-point discrimination (2PD) sense and kinesthetic sense dysfunctions in carpal tunnel syndrome (CTS) patients compared with a healthy group. Methods: The 2PD sense, muscle force, and kinesthetic differentiation (KD) of strength; the range of motion in radiocarpal articulation; and KD of motion were assessed. Results: The 2PD sense assessment showed significantly higher values in all the examined fingers in the CTS group than in those in the healthy group (p<0.01). There was a significant difference in the percentage value of error in KD of pincer and cylindrical grip (p<0.01) as well as in KD of flexion and extension movement in the radiocarpal articulation (p<0.01) between the studied groups. Conclusions: There are significant differences in the 2PD sense and KD of strength and movement between CTS patients compared with healthy individuals.

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Section: Discussionmentioning

confidence: 99%

Two‐point discrimination and kinesthetic sense disorders in productive age individuals with carpal tunnel syndrome

Wolny

Saulicz

Linek

et al. 2016

Journal of Occupational Health

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“…Detailed characteristics are presented in Online Tables S2 and S3. Studies were grouped by type of intervention: open revision (CTRopen, n ¼ 6: Cobb et al, 1996;Impelmans et al, 2001;Kluemper et al, 2019;Stirling et al, 2020;Unglaub et al, 2008;Wadstroem and Nigst, 1986), open revision with flap coverage (CTR flap, n ¼ 11: Craft et al, 2007;Dahlin et al, 2002;Fusetti et al, 2009;Karthik et al, 2012;Mathoulin et al, 2000;Rose et al, 1991;Strickland et al, 1996;Stutz et al, 2008;Sun et al, 2020;Vogelin et al, 2008;Wichelhaus et al, 2015) or implant (CTR-implant, n ¼ 3: Bilasy et al, 2012;Carmona et al, 2019;Nassar and Atiyya, 2014). Most studies in the CTR-flap group used the hypothenar fat pad flap (n ¼ 7).…”

Section: Resultsmentioning

confidence: 99%

Systematic review and meta-analysis of surgical options for recurrent or persistent carpal tunnel syndrome: simple decompression versus coverage of the median nerve

Roo

Sprangers

Walbeehm

et al. 2021

J Hand Surg Eur Vol

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We performed a systematic review on the success of different surgical techniques for the management of recurrent and persistent carpal tunnel syndrome. Twenty studies met the inclusion criteria and were grouped by the type of revision carpal tunnel release, which were simple open release, open release with flap coverage or open release with implant coverage. Meta-analysis showed no difference, and pooled success proportions were 0.89, 0.89 and 0.85 for simple open carpal tunnel release, additional flap coverage and implant groups, respectively. No added value for coverage of the nerve was seen. Our review indicates that simple carpal tunnel release without additional coverage of the median nerve seems preferable as it is less invasive and without additional donor site morbidity. We found that the included studies were of low quality with moderate risk of bias and did not differentiate between persistent and recurrent carpal tunnel syndrome.

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“…We distinguished recurrent from persistent CTS based on a symptom-free interval of at least three months, as stated in the literature, and grouped accordingly [19][20][21][22]. The main diagnostic criteria commonly recorded at our institution were pain, numbness in the median nerve sensory distribution, nocturnal numbness, weakness and atrophy of the thenar muscles, Tinel's sign, Phalen's sign, and the loss of two-point discrimination [24].…”

Section: Methodsmentioning

confidence: 99%

“…An additional motivation was the recognition of several authors [16][17][18] regarding the importance of classifying symptoms and time intervals to ascertain the underlying causes of persistent and recurrent complaints in CTS revision cases. Therefore, a literature-based definition was used to distinguish between recurrent and persistent CTSs after primary CTR, whereas recurrent CTS is defined as symptoms recurring after a symptom-free interval of at least three months [19][20][21][22][23]. In this retrospective study, all operative revisions were grouped and analyzed according to the mentioned definition.…”

Section: Introductionmentioning

confidence: 99%

Persistent Pain as an Early Indicator for Operative Carpal Tunnel Revision after Primary Release: A Retrospective Analysis of Recurrent and Persistent Carpal Tunnel Syndrome

et al. 2023

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Background: Prolonged symptoms of carpal tunnel syndrome (CTS) after primary carpal tunnel release (CTR) can reduce the quality of life and lead to multiple referrals across specialties. The following study aimed to identify differences in symptoms, signs, and intraoperative findings between recurrent and persistent CTS cases to avoid undesired outcomes after primary CTR. Methods: A retrospective analysis was conducted on revision CTRs performed between 2005 and 2015 using literature-based definitions for recurrent (a relapse of symptoms occurs following a symptom-free period of ≥3 months) and persistent (symptoms persisting longer than three months after surgical release) CTS. The parameters assessed were symptoms, clinical signs, and intraoperative findings. Results: Out of 53 cases, 85% (n = 45) were external referrals, whereby our own revision rate was 0.67% (n = 8/1199). Paresthesia and numbness were frequent in both groups; however, abnormal postoperative pain was reported more often in persistent cases (86%; n = 30/35) in comparison to recurrent cases (50%; n = 9/18; p = 0.009). Scarring around the median nerve was observed in almost all recurrent cases (94%; n = 17/18) and in 40% (n = 14/35) of persistent cases (p < 0.001). Incomplete division of the palmar ligament was the primary cause for revision in the persistent cohort (49%; n = 17/35). Conclusions: For patients experiencing symptoms for more than three months after CTR, primarily presenting as pain, it is advisable to consider referring the patient to a certified hand clinic for additional evaluation.

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New Technique for Reducing Fibrosis in Recurrent Cases of Carpal Tunnel Syndrome

Abstract: In cases of recurrent carpal tunnel syndrome, the use of mesofol barrier yields good functional results at the short term follow-up. The technique is simple. No patients needed further surgeries.

Cited by 9 publications

References 38 publications

Two‐point discrimination and kinesthetic sense disorders in productive age individuals with carpal tunnel syndrome

Two‐point discrimination and kinesthetic sense disorders in productive age individuals with carpal tunnel syndrome

Systematic review and meta-analysis of surgical options for recurrent or persistent carpal tunnel syndrome: simple decompression versus coverage of the median nerve

Persistent Pain as an Early Indicator for Operative Carpal Tunnel Revision after Primary Release: A Retrospective Analysis of Recurrent and Persistent Carpal Tunnel Syndrome

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