Recurrence of carpal tunnel syndrome after surgical release
Keywords:
Carpal Tunnel Syndrome, RecurrenceAbstract
Introduction: Carpal tunnel syndrome is one of the most frequently seeing pathologies in a hand surgery service. It is defined as median nerve compression toward the fibrous osseous carpal tunnel, which may produce work and daily life disability for the patients themselves. The aim of this study was to determine the recurrence of carpal tunnel syndrome after a surgical release of it.
Methods: We performed a transversal cohort study by a phone interview with all patients who received a carpal tunnel surgical release at Fundación Santafé de Bogotá between September 2003 and March 2010. Afterwards, we did describe recurrence rates, population characteristics and presented complications.
Results: 244 patients were introduced into the cohort with a main proportion of women (86.1%). There was a slight difference on laterality of the surgical procedure (62.7% were right hands). Most commonly used surgical technique was an open release with a further surgical repair of the carpal transverse ligament (45.1%). Recurrence for carpal tunnel syndrome was 5.3% (13 patients). Most of the patients were satisfied with the surgery and agree to recommend the surgical carpal tunnel release to others.
Discussion: High recurrence rates in carpal tunnel release surgery are often associated with high misdiagnosis rates of carpal tunnel syndrome. Therefore, a low rate recurrence of carpal tunnel syndrome after a surgical release is a good telltale for an accurate diagnostic approach on this pathology.
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References
Katz JN, Simmons BP. Carpal tunnel syndrome. N Engl J Med 2002; 346(23): 1807-12.
Cranford S, Ho J, Kalainov D, Hartigan B. Carpal tunnel syndrome. J Am Acad Orthop Surg 2007; 15: 537-48.
Rotman M, Donovan J. Practical anatomy of the carpal tunnel. Hand Clin 2002; 219-30.
Arooi S, Spence R. Carpal tunnel syndrome. Ulster Med J 2008; 77(1): 6-17.
Harguindeguy D, Becerra H, Echeverría G. Síndrome del túnel carpiano e hipotiroidismo. Rev Asoc Argent Ortop Traumatol 2005; 70(3):205-9.
Cranford S, Ho J, Kalainov D, Hartigan B. Carpal tunnel syndrome. J Am Acad Orthop Surg 2007; 15: 537-48.
Bland J. The relationship of obesity, age and carpal tunnel syndrome: More complex then was thought? Muscle Nerve 2005; 32: 527-32.
Stevens JC, Beard CM, O’Fallon WM, Kurland LT. Conditions associated with carpal tunnel syndrome. Mayo Clin Proc 1992; 67: 541-8.
Kasdan M, Lewis K. Management of carpal tunnel syndrome in the working population. Hand Clin 2002; 18: 325-30.
Maghsoudipour M, Moghimi S, Dehghaan F, Rahimpanah A. Association of occupational and non-occupational risk factors with the prevalence of work related carpal tunel syndrome. J Occup Rehabil 2008; 18: 152-6.
Palmer K, Harris EC, Coggon D. Carpal tunnel syndrome and its relation to occupation: a systematic literature review. Occup Med 2007; 57(1): 57-66.
Bottr MJ, von Schroeder HP, Abrams RA, Gellman H. Recurrent carpal tunnel syndrome. Hand Clin 1996; 12: 731-43.
Chang B, Dellon AL. Surgical management of recurrent carpal tunnel syndrome. J Hand Surg Br 1993; 18: 467-70.
Steyers C. Recurrent carpal tunnel syndrome. Hand clinic 2002; 18: 339-45.
Achilleas T, Veltri K, Haines T, Duku E. A systematic review of reviews comparing the effectiveness of endoscopic and open carpal tunnel decompression. Plast Reconstr Surg 2004; 113(4): 1184-91.
Concannon MJ, Brownfield ML, Puckett CL. The incidence of recurrence after endoscopic carpal tunnel release. Plast Reconstr Surg 2000; 105: 1662-5.
Higgins J, Graham T. Carpal tunnel release via limited palmar incision. Hand Clin 2002; 18: 299-306.
Netscher D. The benefit of transverse carpal ligament reconstruction following open carpal tunnel release. Plast Reconstr Surg 2003; 111(6): 2020-2.
Klein R, Kotsis S, Chung K. Open carpal tunnel release using a 1-centimeter incision: technique and outcomes for 104 patients. Plast Reconstr Surg 2002; 111(5): 1616-22.
Chung KC, Walters MR, Greenfield ML, Chernew ME. Endoscopic versus open carpal tunnel release: A cost-effectiveness analysis. Plast Reconstr Surg 1988; 102: 1089-99.
Okutsu I, Ninomiya S, Ugawa Y, Kuroshima N, Inanami H, Hiraki S. New operative procedure for carpal tunnel syndrome: endoscopic operation and clinical results. J Japanese Soc Surg Hand 1987; 4: 117-20.
Mailander P, Berger A. The differential indication for “open” or “endoscopic” carpal tunnel release. Chirurg 1997; 68: 1106-11.
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