Outcome of carpal tunnel release in diabetic patients
A retrospective study of 15 diabetic patients (20 hands), who underwent carpal tunnel release, was performed to determine the outcome. All patients had a minimum of 18 months of follow-up. Outcome was considered excellent if there was complete resolution of symptoms and this occurred in 35% of the t...
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Veröffentlicht in: | Journal of hand surgery, British volume British volume, 1994-10, Vol.19 (5), p.626-629 |
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creator | Al-Qattan, M.M. Manktelow, R.T. Bowen, C.V.A. |
description | A retrospective study of 15 diabetic patients (20 hands), who underwent carpal tunnel release, was performed to determine the outcome. All patients had a minimum of 18 months of follow-up. Outcome was considered excellent if there was complete resolution of symptoms and this occurred in 35% of the treated hands. Eight hands (40%) had a good outcome with significant improvement of pre-operative symptoms. Outcome was considered poor when symptoms were minimally improved, hanged, or worse after surgery and this occurred in 25% of treated hands. All hands with a poor final result had either no electrodiagnostic evidence of localized compression or only mild compression in pre-operative nerve conduction studies. It was postulated that the contribution of localized compression to pre-operative hand symptoms was less than the contribution of peripheral neuropathy in these hands. |
doi_str_mv | 10.1016/0266-7681(94)90131-7 |
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All patients had a minimum of 18 months of follow-up. Outcome was considered excellent if there was complete resolution of symptoms and this occurred in 35% of the treated hands. Eight hands (40%) had a good outcome with significant improvement of pre-operative symptoms. Outcome was considered poor when symptoms were minimally improved, hanged, or worse after surgery and this occurred in 25% of treated hands. All hands with a poor final result had either no electrodiagnostic evidence of localized compression or only mild compression in pre-operative nerve conduction studies. It was postulated that the contribution of localized compression to pre-operative hand symptoms was less than the contribution of peripheral neuropathy in these hands.</description><identifier>ISSN: 0266-7681</identifier><identifier>EISSN: 1532-2211</identifier><identifier>DOI: 10.1016/0266-7681(94)90131-7</identifier><identifier>PMID: 7822925</identifier><identifier>CODEN: JHASE4</identifier><language>eng</language><publisher>London, England: Elsevier Ltd</publisher><subject>Adult ; Aged ; Aged, 80 and over ; Biological and medical sciences ; Carpal Tunnel Syndrome - etiology ; Carpal Tunnel Syndrome - physiopathology ; Carpal Tunnel Syndrome - surgery ; Cranial nerves. Spinal roots. Peripheral nerves. Autonomic nervous system. Gustation. Olfaction ; Diabetic Neuropathies - etiology ; Diabetic Neuropathies - physiopathology ; Diabetic Neuropathies - surgery ; Female ; Follow-Up Studies ; Humans ; Male ; Medical sciences ; Middle Aged ; Nervous system (semeiology, syndromes) ; Neural Conduction ; Neurology ; Preoperative Care ; Retrospective Studies ; Severity of Illness Index ; Treatment Outcome</subject><ispartof>Journal of hand surgery, British volume, 1994-10, Vol.19 (5), p.626-629</ispartof><rights>1994</rights><rights>1994 INIST-CNRS</rights><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c428t-c9e9c1520166452c518bb8b2dd1ba6e6d34e8c29da9d4bcda1bd185001741c863</citedby><cites>FETCH-LOGICAL-c428t-c9e9c1520166452c518bb8b2dd1ba6e6d34e8c29da9d4bcda1bd185001741c863</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://journals.sagepub.com/doi/pdf/10.1016/0266-7681(94)90131-7$$EPDF$$P50$$Gsage$$H</linktopdf><linktohtml>$$Uhttps://journals.sagepub.com/doi/10.1016/0266-7681(94)90131-7$$EHTML$$P50$$Gsage$$H</linktohtml><link.rule.ids>314,780,784,21819,27924,27925,43621,43622</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=4260840$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/7822925$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Al-Qattan, M.M.</creatorcontrib><creatorcontrib>Manktelow, R.T.</creatorcontrib><creatorcontrib>Bowen, C.V.A.</creatorcontrib><title>Outcome of carpal tunnel release in diabetic patients</title><title>Journal of hand surgery, British volume</title><addtitle>J Hand Surg Br</addtitle><description>A retrospective study of 15 diabetic patients (20 hands), who underwent carpal tunnel release, was performed to determine the outcome. All patients had a minimum of 18 months of follow-up. Outcome was considered excellent if there was complete resolution of symptoms and this occurred in 35% of the treated hands. Eight hands (40%) had a good outcome with significant improvement of pre-operative symptoms. Outcome was considered poor when symptoms were minimally improved, hanged, or worse after surgery and this occurred in 25% of treated hands. All hands with a poor final result had either no electrodiagnostic evidence of localized compression or only mild compression in pre-operative nerve conduction studies. It was postulated that the contribution of localized compression to pre-operative hand symptoms was less than the contribution of peripheral neuropathy in these hands.</description><subject>Adult</subject><subject>Aged</subject><subject>Aged, 80 and over</subject><subject>Biological and medical sciences</subject><subject>Carpal Tunnel Syndrome - etiology</subject><subject>Carpal Tunnel Syndrome - physiopathology</subject><subject>Carpal Tunnel Syndrome - surgery</subject><subject>Cranial nerves. Spinal roots. Peripheral nerves. Autonomic nervous system. Gustation. Olfaction</subject><subject>Diabetic Neuropathies - etiology</subject><subject>Diabetic Neuropathies - physiopathology</subject><subject>Diabetic Neuropathies - surgery</subject><subject>Female</subject><subject>Follow-Up Studies</subject><subject>Humans</subject><subject>Male</subject><subject>Medical sciences</subject><subject>Middle Aged</subject><subject>Nervous system (semeiology, syndromes)</subject><subject>Neural Conduction</subject><subject>Neurology</subject><subject>Preoperative Care</subject><subject>Retrospective Studies</subject><subject>Severity of Illness Index</subject><subject>Treatment Outcome</subject><issn>0266-7681</issn><issn>1532-2211</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>1994</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNqFkE1LxDAQhoMoun78A4UeRPRQzWTTNLkIIn6B4EXPIZ3MSqTbrkkr-O_Nusse9TSHed53hoexY-CXwEFdcaFUWSsN50ZeGA5TKOstNoFqKkohALbZZIPssf2UPjjnUNVyl-3WWggjqgmrXsYB-zkV_axAFxeuLYax66gtIrXkEhWhK3xwDQ0Bi4UbAnVDOmQ7M9cmOlrPA_Z2f_d6-1g-vzw83d48lyiFHko0ZBAqkb9VshJYgW4a3QjvoXGKlJ9K0iiMd8bLBr2DxoOu8pe1BNRqesDOVr2L2H-OlAY7DwmpbV1H_ZhsrYyUIEUG5QrE2KcUaWYXMcxd_LbA7dKWXaqwSxXWSPtry9Y5drLuH5s5-U1orSfvT9d7l9C1s-g6DGmDSaG4ljxjsMKSeyf70Y-xy1b-O329ylD29xUo2oTZLZIPkXCwvg9_F_wA7ZmTEg</recordid><startdate>19941001</startdate><enddate>19941001</enddate><creator>Al-Qattan, M.M.</creator><creator>Manktelow, R.T.</creator><creator>Bowen, C.V.A.</creator><general>Elsevier Ltd</general><general>SAGE Publications</general><general>Churchill Livingstone</general><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>19941001</creationdate><title>Outcome of carpal tunnel release in diabetic patients</title><author>Al-Qattan, M.M. ; Manktelow, R.T. ; Bowen, C.V.A.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c428t-c9e9c1520166452c518bb8b2dd1ba6e6d34e8c29da9d4bcda1bd185001741c863</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>1994</creationdate><topic>Adult</topic><topic>Aged</topic><topic>Aged, 80 and over</topic><topic>Biological and medical sciences</topic><topic>Carpal Tunnel Syndrome - etiology</topic><topic>Carpal Tunnel Syndrome - physiopathology</topic><topic>Carpal Tunnel Syndrome - surgery</topic><topic>Cranial nerves. Spinal roots. Peripheral nerves. Autonomic nervous system. Gustation. Olfaction</topic><topic>Diabetic Neuropathies - etiology</topic><topic>Diabetic Neuropathies - physiopathology</topic><topic>Diabetic Neuropathies - surgery</topic><topic>Female</topic><topic>Follow-Up Studies</topic><topic>Humans</topic><topic>Male</topic><topic>Medical sciences</topic><topic>Middle Aged</topic><topic>Nervous system (semeiology, syndromes)</topic><topic>Neural Conduction</topic><topic>Neurology</topic><topic>Preoperative Care</topic><topic>Retrospective Studies</topic><topic>Severity of Illness Index</topic><topic>Treatment Outcome</topic><toplevel>online_resources</toplevel><creatorcontrib>Al-Qattan, M.M.</creatorcontrib><creatorcontrib>Manktelow, R.T.</creatorcontrib><creatorcontrib>Bowen, C.V.A.</creatorcontrib><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Journal of hand surgery, British volume</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Al-Qattan, M.M.</au><au>Manktelow, R.T.</au><au>Bowen, C.V.A.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Outcome of carpal tunnel release in diabetic patients</atitle><jtitle>Journal of hand surgery, British volume</jtitle><addtitle>J Hand Surg Br</addtitle><date>1994-10-01</date><risdate>1994</risdate><volume>19</volume><issue>5</issue><spage>626</spage><epage>629</epage><pages>626-629</pages><issn>0266-7681</issn><eissn>1532-2211</eissn><coden>JHASE4</coden><abstract>A retrospective study of 15 diabetic patients (20 hands), who underwent carpal tunnel release, was performed to determine the outcome. All patients had a minimum of 18 months of follow-up. Outcome was considered excellent if there was complete resolution of symptoms and this occurred in 35% of the treated hands. Eight hands (40%) had a good outcome with significant improvement of pre-operative symptoms. Outcome was considered poor when symptoms were minimally improved, hanged, or worse after surgery and this occurred in 25% of treated hands. All hands with a poor final result had either no electrodiagnostic evidence of localized compression or only mild compression in pre-operative nerve conduction studies. It was postulated that the contribution of localized compression to pre-operative hand symptoms was less than the contribution of peripheral neuropathy in these hands.</abstract><cop>London, England</cop><pub>Elsevier Ltd</pub><pmid>7822925</pmid><doi>10.1016/0266-7681(94)90131-7</doi><tpages>4</tpages></addata></record> |
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subjects | Adult Aged Aged, 80 and over Biological and medical sciences Carpal Tunnel Syndrome - etiology Carpal Tunnel Syndrome - physiopathology Carpal Tunnel Syndrome - surgery Cranial nerves. Spinal roots. Peripheral nerves. Autonomic nervous system. Gustation. Olfaction Diabetic Neuropathies - etiology Diabetic Neuropathies - physiopathology Diabetic Neuropathies - surgery Female Follow-Up Studies Humans Male Medical sciences Middle Aged Nervous system (semeiology, syndromes) Neural Conduction Neurology Preoperative Care Retrospective Studies Severity of Illness Index Treatment Outcome |
title | Outcome of carpal tunnel release in diabetic patients |
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