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학제간연구 과학기술학 뇌인지과학 기술정책 기타 복합학

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논문 기본 정보

자료유형
학술저널
저자정보
Kim, Dong-Ho (Department of Neurosurgry, Kangdong Sacred Heart Hospital, Hallym University College of Medicine) Cho, Byung-Moon (Department of Neurosurgry, Kangdong Sacred Heart Hospital, Hallym University College of Medicine) Oh, Sae-Moon (Department of Neurosurgry, Kangdong Sacred Heart Hospital, Hallym University College of Medicine) Park, Dong-Sik (Department of Rehabilitation Medicine, Kangdong Sacred Heart Hospital, Hallym University College of Medicine) Park, Se-Hyuck (Department of Neurosurgry, Kangdong Sacred Heart Hospital, Hallym University College of Medicine)
저널정보
대한신경외과학회 대한신경외과학회지 대한신경외과학회지 제56권 제5호
발행연도
2014.1
수록면
390 - 394 (5page)

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Objective : In most patients with carpal tunnel syndrome (CTS), pain and/or paresthesia disappeared or decreased in a month after endoscopic carpal tunnel release (ECTR). However, subpopulation of patients showed delayed improvement following ECTR. We analyzed the delayed improvement hands to investigate the characteristics of those patients and to determine the predictable factors of delayed improvement. Methods : Single-portal ECTRs were performed in 1194 hands of 793 CTS patients from 2002 to 2011. Five-hundred seventy hands with minimal 1-year postoperative follow-up were included. We divided the 545 satisfied hands into early (group A) and delayed (group B) groups according to improvement period of 1 month. Demographic data, clinical severity and electrodiagnostic abnormality were compared between groups. Results : Group A included 510 hands and group B included 35 hands. In group B, 11 hands improved in 2 months, 15 hands in 3 months and 9 hands in 6 months, respectively. In group A/B, according to clinical severity, 60/1 hands were graded to I, 345/24 hands to II, 105/10 hands to III. In group A/B, based on electrodiagnostic abnormality, 57/3 hands were classified to mild, 221/11 hands to moderate and 222/21 hands to severe group. Statistical analysis between groups did not reach significance but electrodiagnostic or clinical severity had a tendency to affect the delayed response. Conclusion : It is difficult to predict the factors contributing to postoperatively-delayed response in subpopulation of CTS patients. However, we recommend that postoperative observation for at least 6 months is necessary in patients without symptomatic improvement.
#Carpal tunnel syndrome #Endoscopy #Surgical decompression #Delayed improvement

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참고문헌 (44)

참고문헌 신청
Agee JM / 1992 / Endoscopic release of the carpal tunnel : a randomized prospective multicenter study / J Hand Surg Am 17:987~995 google schola al-Qattan MM / 1994 / Factors associated with poor outcome following primary carpal tunnel release in non-diabetic patients / J Hand Surg Br 19:622~625 google schola American Association of Electrodiagnostic Medicine / 2002 / American Academy of Neurology, and American Academy of Physical Medicine and Rehabilitation : Practice parameter for electrodiagnostic studies in carpal tunnel syndrome : summary statement / Muscle Nerve 25:918~922 google schola Aroori S / 2008 / Carpal tunnel syndrome / Ulster Med J 77:6~17 google schola Ashworth NL / 2011 / Carpal tunnel syndrome / Clin Evid (Online) 2011:1114 google schola

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