Long-term symptom outcomes of carpal tunnel syndrome and its treatment

DeStefano, Frank; Nordstrom, David L.; Vierkant, Robert A.

doi:10.1016/s0363-5023(97)80152-9

Cited by 103 publications

(72 citation statements)

References 24 publications

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“…We found 91.2% complete relief "cure" and improved "much better" (good results) after surgery, comparable to other series as Haupt et 13 13 13 13 13 found that duration of CTS was one of the strongest factors influencing the effectiveness of CTS surgery; nearly all surgical patients who had successful outcomes had resolution of their symptoms by 6-12 months after surgery.…”

supporting

confidence: 85%

Long-term outcomes of symptomatic electrodiagnosed carpal tunnel syndrome

Kouyoumdjian¹,

Morita²,

Molina³

et al. 2003

Arq. Neuro-Psiquiatr.

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-This study was done to evaluate the long-term patient's satisfaction after carpal tunnel syndrome (CTS) electrodiagnostic done between 1989 and 1994 (5 to 10 years follow-up). Mail contact was made to 528 consecutive cases with a questionnaire to be filled; 165 patients responded after 19 exclusions. CTS severity was graded from 0 (incipient) to 4 (severe) after a combination of median sensory distal latency, sensory median-radial latency difference and amplitude of the median compound muscle action potential. Current symptoms ("cure", improved, unchanged or worsed) and the therapy utilized, either surgical or conservative, were analyzed to the initial CTS severity, age and duration of symptomatology. Surgical release was done in 114 cases (69%). Patient's satisfaction after surgical and non-surgical were respectively, 77.6% and 16% ("cure"), 13.6% and 52% (much improved), 5.4% and 9.3% (little improved), 2.7% and 16% (unchanged), 0.7% and 6.7% (worsed). The frequency of "cure" versus unchanged/worsed or "cure"/much improved versus unchanged/worsed was highly significative (Fisher, P-value < 0.001) and was not influenced by the CTS electrophysiological severity. There was no relationship between the outcome after surgery and duration of symptomatology, age or CTS severity. Conservative benefice was more prevalent in those with shorter symptomatology and older age; the majority of conservative failure cases had mild initial CTS. We concluded the excellent surgical benefice described by patients and the absence of any predictive factors based on CTS severity, age or duration of symptomatology for outcome.KEY WORDS: carpal tunnel syndrome, median nerve, compression neuropathy, electrodiagnosis, nerve conduction.Síndrome do túnel do carpo: avaliação evolutiva de longo prazo após confirmação eletrodiagnóstica Síndrome do túnel do carpo: avaliação evolutiva de longo prazo após confirmação eletrodiagnóstica Síndrome do túnel do carpo: avaliação evolutiva de longo prazo após confirmação eletrodiagnóstica Síndrome do túnel do carpo: avaliação evolutiva de longo prazo após confirmação eletrodiagnóstica Síndrome do túnel do carpo: avaliação evolutiva de longo prazo após confirmação eletrodiagnóstica RESUMO -O presente estudo tem por objetivo avaliar a terapia utilizada e o grau de satisfação dos pacientes que tiveram diagnóstico eletrofisiológico de síndrome do túnel do carpo (STC) entre 1989 e 1994 (528 casos); foram respondidas 184 cartas entre 528 enviadas (34,8%) sendo utilizadas 165. A gravidade do STC foi classificada de 0 a 4 de acordo com uma combinação de valores de latência distal sensitiva e amplitude do potencial de ação muscular composto do nervo mediano e diferença de latência sensitiva mediano/radial. As questões foram relativas a sintomatologia atual e terapêutica utilizada, cirúrgica ou conservadora. As respostas foram correlacionadas ao estudo de condução nervosa inicial, idade e tempo de sintomatologia. Os pacientes submetidos a cirurgia somaram 69% (114 casos). O benefício cirúrgico e não cirú...

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supporting

confidence: 85%

Long-term outcomes of symptomatic electrodiagnosed carpal tunnel syndrome

Kouyoumdjian¹,

Morita²,

Molina³

et al. 2003

Arq. Neuro-Psiquiatr.

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“…It was also found that the mean time for the resolution of symptoms was between six and nine months (20), while in this study, the mean time for resolution from both pain and numbness was 4.8 and 1.8 months respectively. While for those treated surgically, the mean time for resolution from pain and numbness was 4.8 and 2.5 months respectively.…”

Section: Discussionsupporting

confidence: 39%

Carpal Tunnel Syndrome: Between Conservative Treatment and Those Treated Surgically After Failed Conservative Treatment

Omar¹

2005

JUMMEC

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“…The authors confirmed that the group treated surgically improved significantly and the benefits persisted, whereas the group treated nonoperatively showed little benefit. DeStefano et al 9 reported that patients with carpal tunnel syndrome treated surgically were 6 times more likely than those treated nonoperatively to have resolution of symptoms. Burke et al 10 found that of 168 patients with carpal tunnel decompression per-formed in 1989, 68% considered themselves to be completely cured, whereas 24% noted mild residual or recurrent symptoms not requiring further treatment.…”

Section: Treatment Options For Carpal Tunnel Syndromementioning

confidence: 99%

Treatment Options for Carpal Tunnel Syndrome

Wilgis¹

2002

JAMA

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Long-term symptom outcomes of carpal tunnel syndrome and its treatment

Cited by 103 publications

References 24 publications

Long-term outcomes of symptomatic electrodiagnosed carpal tunnel syndrome

Long-term outcomes of symptomatic electrodiagnosed carpal tunnel syndrome

Carpal Tunnel Syndrome: Between Conservative Treatment and Those Treated Surgically After Failed Conservative Treatment

Treatment Options for Carpal Tunnel Syndrome

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