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학제간연구 과학기술학 뇌인지과학 기술정책 기타 복합학

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논문 기본 정보

자료유형
학술저널
저자정보
van den Broeke, Lieselotte R. (Department of Plastic, Reconstructive and Hand Surgery, Gelre Hospital) Theuvenet, Willem.J. (Department of Plastic, Reconstructive and Hand Surgery, Gelre Hospital) van Wingerden, Jan.J. (Department of Plastic, Reconstructive and Hand Surgery, Gelre Hospital)
저널정보
대한성형외과학회 Archives of plastic surgery : APS Archives of plastic surgery : APS 제46권 제4호
발행연도
2019.1
수록면
350 - 358 (9page)

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초록· 키워드

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Background Carpal tunnel syndrome (CTS) is the most common peripheral entrapment neuropathy with a high morbidity and healthcare-related costs. Currently there is no consensus about the best treatment option. The purpose of this prospective cohort study conducted at a single institution was to evaluate the clinical outcomes and patient satisfaction following a mini-open carpal tunnel release for idiopathic CTS. Methods A total of 72 patients (53 female and 19 male patients; mean age, $57.8{\pm}15.3$ years; range, 24-94 years) had a mini-open carpal tunnel release performed by a single senior surgeon between June 2015 and June 2016. The patients were evaluated preoperatively, and at 3 and 12 months post-intervention. At every follow-up, the Boston Carpal Tunnel Syndrome Questionnaire (BCTSQ) and visual analogue scale (VAS) scores for pain and satisfaction were completed. Digital sensibility (using Semmes-Weinstein monofilaments) was assessed and pinch and grip strengths were measured. Results Statistically significant and clinically relevant improvement was found in terms of digital sensibility, grip and pinch strength (except for 2-point pinch), BCTSQ scores and pain scores. The complication rate was minimal, and no major complications occurred. Two patients experienced recurrence. The availability of follow-up records (including patient-reported outcomes, BCTSQ and VAS scores, and the complication rate) at 1-year post-intervention varied between 69% and 74% (50-53 patients) depending on which parameter was assessed. Patient satisfaction was high (mean, $80.9{\pm}26.0$; range, 0-100). Conclusions This study demonstrates that mini-incision carpal tunnel release is clinically effective in the short and long term.
#Carpal tunnel syndrome #Patient reported outcome measures #Treatment outcome #Decompression, surgical

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참고문헌 (19)

참고문헌 신청
Padua L / 2016 / Carpal tunnel syndrome : clinical features, diagnosis, and management / Lancet Neurol 15:1273~1284 google schola Nederlandse Vereniging voor Neurologie / Richtlijn ‘Diagnostiek en behandeling van het carpale-tunnelsyndroom google schola Iida J / 2008 / Carpal tunnel syndrome: electrophysiological grading and surgical results by minimum incision open carpal tunnel release / Neurol Med Chir(Tokyo) 48:554~559 google schola Graham B / 2016 / The American academy of orthopaedic surgeons evidence-based clinical practice guideline on : management of carpal tunnel syndrome / J Bone Joint Surg Am 98:1750~1754 google schola Vasiliadis HS / 2014 / Endoscopic release for carpal tunnel syndrome / Cochrane Database Syst Rev (1):CD008265 google schola

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