Relationship Between the Duration and Severity of Symptoms and the Outcome of Carpal Tunnel Surgery

Upper Extremity-Specific Measures of Disability and Outcomes in Orthopaedic Surgery

“…All questions are scored from 1 to 5, with 1 indicating no difficulty or lack of symptoms, and 5 corresponding to an inability to complete tasks or to the most severe symptoms. The responses on each subscale are summed, and a mean value is reported for each subscale from 1 to 5 51,52 . The questionnaire has internal consistency and sensitivity to clinical change 53 .…”

Results of Surgical Treatment of Carpal Tunnel Syndrome

“…The patients with moderate and severe symptoms before the surgery achieved a pronounced symptomatic reduction after the treatment (even larger than in the mild group), but the postoperative severity of their symptoms was still higher than in the group with mild symptoms. Similar results were presented by Burke et al, who used the outcomes of surgical treatment of 523 pa tients with CTS [17]. The patients were divided into degrees of severity, depending on preoperative SSS scores.…”

“…The authors confirmed that the higher the preoperative CTS severity, the larger the improve ment measured with SSS and FSS during a follow-up examination. At 6 months after the procedure, the symptoms were still more severe in the patients with moderate and severe CTS as compared with those with mild preoperative symptoms [17]. Mallick et al also confirmed a similar correlation: the higher the severity of symptoms before the surgery, the greater the improvement after the procedure [18].…”

“…Cho rzy, któ rzy mieli umiar ko wa ne i cię żkie na tę żę nie do le gli wo ści przed ope ra cją, uzy sku ją po le cze niu znacz ną ich re duk cję (na wet więk szą niż w gru pie ła god nej), ale i tak poope ra cjy ne na tę że nie ob ja wów jest u nich więk sze niż w gru pie o ła god nym na si le niu do le gli wo ści. Zbli żo ne wy ni ki przed sta wio ne są przez Bur ke i wsp., któ rzy opar li się na wy ni kach le cze nia ope racyj ne go 523 przy pad ków ZKN [17]. Pa cjen ci podzie le ni zo sta li na stop nie cię żko ści w za le żno ści od wy ni ku przed ope ra cyj ne go uzy ska ne go w ska li SSS.…”

“…Au to rzy po twier dzi li, że im wy ższy był sto pień ZKN w ba da niu przed ope ra cyj nym, tym więk sza była po pra wa w ba da niu kon tro l nym mie rzo na ska la mi SSS i FSS. Po 6 mie sią cach od za bie gu, do le gli wości by ły na dal bar dziej na si lo ne u pa cjen tów z umiarko wa nym i cię żkim ZKN w po rów na niu z pa cjen tami z lek kim na si le niem ob ja wów przed ope ra cyj nych [17]. Rów nież Mal lick i wsp.…”