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
Hauptverfasser: Al-Qattan, M.M., Manktelow, R.T., Bowen, C.V.A.
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container_issue 5
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container_title Journal of hand surgery, British volume
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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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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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