SYMPTOMS, FUNCTIONAL STATUS, AND NEUROMUSCULAR IMPAIRMENT FOLLOWING CARPAL-TUNNEL RELEASE

被引：69

作者：

KATZ, JN

FOSSEL, KK

SIMMONS, BP

SWARTZ, RA

FOSSEL, AH

KORIS, MJ

机构：

来源：

JOURNAL OF HAND SURGERY-AMERICAN VOLUME | 1995年 / 20A卷 / 04期

关键词：

D O I：

10.1016/S0363-5023(05)80265-5

中图分类号：

R826.8 [整形外科学]; R782.2 [口腔颌面部整形外科学]; R726.2 [小儿整形外科学]; R62 [整形外科学（修复外科学）];

学科分类号：

摘要：

This study examined the resolution of symptoms, functional limitations and neuromuscular impairments following carpal tunnel release. Thirty-five patients were evaluated preoperatively and 6 weeks, 3 months, 6 months, and a mean of 27 months postoperatively. Evaluation consisted of physical examination (performed in a subset of patients) and previously validated questionnaire scales measuring symptoms, functional limitations, and satisfaction. Nocturnal pain, tingling, and numbness improved within 6 weeks after surgery. Weakness and functional status improved more gradually. Grip and pinch strength worsened initially, returned to pre operative levels after about 3 months, and improved significantly by 24 months. The Tinel and Phalen signs remained positive in two and seven patients, respectively, after 2 years, and two-point discrimination remained abnormal in over half of patients after 2 years. These temporal patterns should be discussed with patients to foster realistic expectations of the response to surgery. (J Hand Surg 1995;20A:3549-555.)

引用

页码：549 / 555

页数：7

共 12 条

[1]

Dawson, Entrapment neuropathies of the upper extremities, N Engl J Med, 329, pp. 2013-2018, (1993)

[2]

Hybinette, Mannerfelt, The carpal tunnel syndrome: a retrospective study of 400 operated patients, Acta Orthop Scand, 46, pp. 616-620, (1975)

[3]

Muhlau, Both, Kunath, Carpal tunnel syndrome: course and prognosis, J Neurol, 231, pp. 83-86, (1984)

[4]

Harris, Tanner, Goldstein, Pettee, The surgical treatment of the carpal tunnel syndrome correlated with preoperative nerve conduction studies, J Bone Joint Surg, 61 A, pp. 93-98, (1979)

[5]

Katz, Gelberman, Wright, Abrahamsson, Lew, A preliminary scoring system for assessing the outcome of carpal tunnel release, J Hand Surg, 19 A, pp. 531-538, (1994)

[6]

Brown, Gelberman, Seiler, Et al., Carpal tunnel release: a prospective randomized assessment of open and endoscopic methods, J Bone Joint Surg, 75 A, pp. 265-275, (1993)

[7]

Gellman, Kan, Gee, Kuschner, Botte, Analysis of pinch and grip strength after carpal tunnel release, J Hand Surg, 14 A, pp. 863-864, (1989)

[8]

Koris, Gelberman, Duncan, Boublick, Smith, Carpal tunnel syndrome evaluation of a quantitative provocational diagnostic test, Clin Orthop Relat Res, 251, pp. 157-161, (1990)

[9]

Levine, Simmons, Koris, Et al., A self-administered questionnaire for the assessment of symptom severity and functional status in carpal tunnel syndrome, J Bone Joint Surg, 75 A, pp. 1585-1592, (1993)

[10]

SAS, SAS/STAT User's Guide, release 6.03, (1988)

← 1 2 →