A comparison of outcomes of carpal tunnel release in diabetic and non-diabetic patients

Abstract

The coexistence of diabetes might complicate the diagnosis and operative outcomes of carpal tunnel syndrome. We retrospectively compared the results of carpal tunnel release in diabetic and non-diabetic patients. The group included 386 patients, 322 female (83%) and 64 male (17%) with a mean age of 57 years. A total of 41 patients (11%) were diabetic, whereas 345 (89%) did not have diabetes. Patients were followed-up at six months, by assessments that included Levine scores, filament tests, grip and pinch strength. No significant differences in any of the measured variables were found at the six-month assessment. The results of the study show that carpal tunnel release in diabetic and non-diabetic patients are similarly beneficial.

A prognostic model for the patient‐reported outcome of surgical treatment of carpal tunnel syndrome

“…Prior studies have produced conflicting results. 11,18,19 The most recent high-quality study 20 found no difference in outcome between 35 diabetic and 31 nondiabetic patients 5 years after carpal tunnel surgery. Our data include a considerably larger sample of diabetic patients with a wide range of types and durations.…”

Effects of Metabolic Syndrome on the Outcome of Carpal Tunnel Release: A Matched Case-Control Study

“…The relationship between diabetes and surgical outcome CARPAL TUNNEL SYNDROME AND METABOLIC SYNDROME after CTR has been controversial. Some studies have reported beneficial outcome after CTR 21,22 whereas others have demonstrated a negative impact of diabetes on surgical outcome. 23e25 In this study, metabolic syndrome was related to a more severe grade of CTS and was a risk factor for delayed functional recovery at up to 6 months' follow-up.…”

Factors Affecting the Outcomes of Carpal Tunnel Surgery: A Review

“…The patients were followed up at 6 months, by the Levine scores, filament tests, and grip and pinch strength. No significant differences in any of the measured variables were found, which suggests that CTR in diabetic and non-diabetic patients is similarly beneficial [29]. Likewise, Mondelli et al (2004) reported that diabetes had no effect on the final results of the treatment [30].…”

“…15 articles were reviewed to analyse possible effect of this variable on outcomes[20,23,[28][29][30][31][32][33][34][35][36][37][38][39][40].…”