Neuropathie héréditaire avec hypersensibilité à la pression : un piège diagnostique : à propos de deux cas

Ragois, P; Didailler, P.; Rizzi, P.

doi:10.1016/j.main.2013.06.004

Cited by 1 publication

(1 citation statement)

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“…We had no complications, despite the inherent risks of the anaesthetic modalities or the systematic use of a tourniquet. This contradicts the case reports that theorize that any surgery in HNPP carries a risk of poor outcome or neurological complications (Kramer et al., 2016; Logroscino et al., 2016; Ragois et al., 2013). The authors advised against nerve surgery or use of a tourniquet in HNPP.…”

Section: Discussionmentioning

confidence: 77%

Hereditary neuropathy associated with liability to pressure palsies: a 24-year experience with carpal and cubital tunnel surgery

François,

Davion,

Deken-Delannoy

et al. 2023

J Hand Surg Eur Vol

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The aim of this single-centre retrospective study was to evaluate the outcomes of carpal tunnel release surgery in patients with hereditary neuropathy with pressure palsies (HNPP). The secondary aims were to identify prognostic factors for the outcome of carpal tunnel release and to assess the outcome of cubital tunnel release. Our primary hypothesis was postoperative improvement. In total, 18 patients (26 carpal tunnel releases) with at least one symptomatic carpal tunnel syndrome were included. At a median follow-up of 8.5 years, more than 73% of the patients were satisfied with the results. The visual analogue scale (0 to 10) for discomfort decreased by 2.2 points ( p < 0.001). The Boston Carpal Tunnel Questionnaire symptom severity scale decreased by 1.3 points ( p < 0.001). The decrease in the Functional Status Scale was not significant. No significant prognostic factor for outcome was identified. A total of 12 patients also underwent cubital tunnel release, and three patients underwent just this procedure (23 procedures). Despite the lack of preoperative data, cubital tunnel release provided encouraging results. Level of evidence: III

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Section: Discussionmentioning

confidence: 77%