Original ArticlesPatient-reported outcome after carpal tunnel release for advanced disease: a prospective and longitudinal assessment in patients older than age 701
Section snippets
Materials and methods
We performed a prospective longitudinal study of patients aged 70 years or older who had an open carpal tunnel release for carpal tunnel syndrome between October 2000 and January 2002. This study population was entirely unique and not previously reported.7 Entry criteria for the study included advanced neurophysiologic changes including an absence of sensory response after stimulation, an increase in median distal motor latency of greater than 6.0 ms, and abductor pollicis brevis fibrillation
Results
Before surgery all patients were symptomatic with a mean preoperative symptom severity score of 28.5 ± 10.3. A maximum score of 55 on the symptom severity scale indicates severe symptoms and a minimum score of 11 reflects no symptoms. At 6 months and 1 year after surgery the mean symptom severity scores were 14.7 ± 2.9, and 13.8 ± 3.5, respectively. These improvements were statistically significant at 6 months (p < .0002) and 1 year (p < .0002). Changes in symptom severity scores between 6
Discussion
Although carpal tunnel release can improve clinical symptoms and electrophysiologic parameters even in cases of long-standing nerve compression,5, 10 complete clinical recovery and significant electrophysiologic improvement are most likely when surgery is performed at a very early stage.11 Indeed the association between stage of disease and intraneural microvascular dysfunction and nerve fiber injury has been clearly established12; thus, poor predictors of outcome may include muscle weakness or
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Long-Term Outcomes and Mortality Following Carpal Tunnel Release in Patients Older Than 80 Years of Age
2021, World NeurosurgeryCitation Excerpt :Surgical release of the transverse carpal ligament is an effective treatment of carpal tunnel syndrome with durable symptom improvement in long-term follow-up.2,3 Favorable results have been shown with both open4-8 and endoscopic9-11 carpal tunnel release (CTR) in the elderly patient population with short-term follow-up. Studies focused on the long-term durability of these results are limited.
Preoperative predictors of patient satisfaction after carpal tunnel release
2018, Orthopaedics and Traumatology: Surgery and ResearchCitation Excerpt :Patient satisfaction can be affected by several factors, including psychological factors, social status and patient expectations [3–5]. There have been several attempts to identify predictors of CTR outcomes; many have been suggested, including age [6–9], sex [6], alcohol use [10], psychosocial factors, preoperative functional limitations [10], American Society of Anesthesiologists status [11], and postoperative scar tenderness [12]. However, few studies have identified preoperative predictors of patient satisfaction after CTR [5,10,13].
The benefit of carpal tunnel release in patients with electrophysiologically moderate and severe disease
2015, Journal of Hand SurgeryElectrophysiological assessment of carpal tunnel syndrome in elderly patients: One-year follow-up study
2014, Journal of Hand SurgeryCitation Excerpt :This is supported by the delay of the peripheral nerve conduction velocity in elderly patients.24 Conversely, clinical improvement by subjective outcome scores and satisfactory outcome after CTR is well recognized5–8 and our clinical results were comparable. Therefore, age alone should not be a reason to preclude surgical treatment in elderly patients with CTS.
Endoscopic release for severe carpal tunnel syndrome in octogenarians
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