RESULTS OF TREATMENT OF SEVERE CARPAL-TUNNEL SYNDROME

被引：63

作者：

NOLAN, WB

ALKAITIS, D

GLICKEL, SZ

SNOW, S

机构：

[1] New York, New York

来源：

JOURNAL OF HAND SURGERY-AMERICAN VOLUME | 1992年 / 17A卷 / 06期

关键词：

D O I：

10.1016/S0363-5023(09)91050-4

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 retrospective study was undertaken to determine the efficacy of carpal tunnel decompression in patients with advanced carpal tunnel syndrome. The criteria for inclusion in this study were unobtainable median sensory-evoked response and absent or prolonged median motor distal latency. Fifteen hands in 13 patients met these criteria. All patients had symptoms, including pain, weakness, or decreased sensation. Postoperative follow-up averaged 27 months. Symptomatic improvement was obtained in 14 of the 15 hands, and sensory-evoked response improved in 13 hands. Preoperative thenar atrophy was present in 10 of the 15 hands and was completely resolved in 2 of the 10 patients. These results indicate that carpal tunnel decompression is of benefit to patients with severe carpal tunnel syndrome. Long-standing symptoms, thenar atrophy, virtual anesthesia, and the absence of demonstrable sensory and motor-evoked responses are not contraindications to surgery.

引用

页码：1020 / 1023

页数：4

共 9 条

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