Carpal tunnel syndrome: Indication for surgical treatment based on electrophysiologic study

被引：56

作者：

Aulisa, L ^{[1
]}

Tamburrelli, F ^{[1
]}

Padua, R ^{[1
]}

Romanini, E ^{[1
]}

Lo Monaco, M ^{[1
]}

Padua, L ^{[1
]}

机构：

[1] Univ Cattolica Sacro Cuore, Ist Ortoped, I-00168 Rome, Italy

来源：

JOURNAL OF HAND SURGERY-AMERICAN VOLUME | 1998年 / 23A卷 / 04期

关键词：

D O I：

10.1016/S0363-5023(98)80056-7

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：

A prospective study of 50 hands from 45 consecutive patients surgically treated for idiopathic carpal tunnel syndrome was conducted to determinate the recovery capacity of the median nerve after open surgical release. Subjects were evaluated by clinical history, physical examination, and electrophysiologic testing. Motor and sensory terminal latencies and motor and sensory conduction velocities were examined before surgery and 2 weeks, 2 months, and 6 months after surgical decompression. All patients showed improvement of postoperative electrophysiologic values; the amount of improvement was dependant on the degree of preoperative impairment. Complete restoration of clinical and electrophysiologic nerve function was observed only in patients with mild carpal tunnel syndrome. (J Hand Surg 1998; 23A:687-691. Copyright (C) 1998 by the American Society for Surgery of the Hand.)

引用

页码：687 / 691

页数：5

共 14 条

[1]

ALTROCCHI PH, 1993, NEUROLOGY, V43, P2406

[2] LOCAL STEROID TREATMENT IN IDIOPATHIC CARPAL-TUNNEL SYNDROME - SHORT-TERM AND LONG-TERM EFFICACY [J].

GIRLANDA, P ;

DATTOLA, R ;

VENUTO, C ;

MANGIAPANE, R ;

NICOLOSI, C ;

MESSINA, C .

JOURNAL OF NEUROLOGY, 1993, 240 (03) :187-190

[3] LONG-TERM RESULTS OF CARPAL-TUNNEL DECOMPRESSION - ASSESSMENT OF 60 CASES [J].

HAUPT, WF ;

WINTZER, G ;

SCHOP, A ;

LOTTGEN, J ;

PAWLIK, G .

JOURNAL OF HAND SURGERY-BRITISH AND EUROPEAN VOLUME, 1993, 18B (04) :471-474

[4] PRACTICE PARAMETER FOR ELECTRODIAGNOSTIC STUDIES IN CARPAL-TUNNEL SYNDROME - SUMMARY STATEMENT [J].

JABLECKI, CK ;

ANDARY, MT ;

BALL, RD ;

CHERINGTON, M ;

FISHER, MA ;

PHILLIPS, LH ;

SO, YT ;

TULLOCH, JW ;

TURK, MA ;

WIECHERS, DO ;

WILBOURN, AJ ;

WILLIAMS, FH ;

YSLA, RG ;

ROSENBERG, JH ;

ALTER, M ;

DAUBE, JR ;

FRANKLIN, G ;

FRISHBERG, BM ;

GREENBERG, MK ;

LANSKA, DJ ;

PAULSON, G ;

PEARL, RA ;

SILA, CA ;

GRANGER, CV ;

DELISA, JA ;

LABAN, MM ;

LIEBERMAN, JS ;

TOMSKI, MA ;

TURK, MA .

MUSCLE & NERVE, 1993, 16 (12) :1390-1391

[5]

JABLECKI CK, 1993, MUSCLE NERVE, V16, P1392

[6] LONG-TERM ANALYSIS OF PATIENTS HAVING SURGICAL-TREATMENT FOR CARPAL-TUNNEL SYNDROME [J].

KULICK, MI ;

GORDILLO, G ;

JAVIDI, T ;

KILGORE, ES ;

NEWMEYER, WL .

JOURNAL OF HAND SURGERY-AMERICAN VOLUME, 1986, 11A (01) :59-66

[7] NEUROPHYSIOLOGICAL ASSESSMENT OF THE EARLY PHASES OF CARPAL-TUNNEL SYNDROME WITH THE INCHING TECHNIQUE BEFORE AND DURING OPERATION [J].

LUCHETTI, R ;

SCHOENHUBER, R ;

ALFARANO, M ;

MONTAGNA, G ;

PEDERZINI, L ;

SORAGNI, O .

JOURNAL OF HAND SURGERY-BRITISH AND EUROPEAN VOLUME, 1991, 16B (04) :415-419

[8] RESULTS OF TREATMENT OF SEVERE CARPAL-TUNNEL SYNDROME [J].

NOLAN, WB ;

ALKAITIS, D ;

GLICKEL, SZ ;

SNOW, S .

JOURNAL OF HAND SURGERY-AMERICAN VOLUME, 1992, 17A (06) :1020-1023

[9]

Padua L, 1997, ACTA NEUROL SCAND, V96, P211

[10]

Padula L, 1996, MUSCLE NERVE, V19, P48, DOI 10.1002/(SICI)1097-4598(199601)19:1<48::AID-MUS6>3.0.CO

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