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Date Published: 28/03/2023
Abstract Views: 248
Views PDF: 126
DOI: https://doi.org/10.56535/jmpm.v48i3.315
Issue
Vol. 48 No. 3 (2023): JOURNAL OF MILITARY PHARMACO-MEDICINE 3-2023
Section
Articles
How to Cite
Phạm, N. T., & Vũ, A. D. (2023). OUTCOME OF CARPAL TUNNEL RELEASE SURGERY. Journal of Military Pharmaco-medicine, 48(3), 96-102. https://doi.org/10.56535/jmpm.v48i3.315

OUTCOME OF CARPAL TUNNEL RELEASE SURGERY

Ngọc Thắng Phạm , Anh Dũng Vũ

Main Article Content

Abstract

Introduction: Patients were diagnosed with clinical and electroneromyographic symptoms and treated conservatively for at least 3 months, performed to relieve pressure on the median nerve by cutting the carpal ligament by a small incision in the palm of the wrist at Military Hospital 103. Objectives: To evaluate the outcome of carpal tunnel release surgery. Subjects and methods: A prospective, cross-sectional descriptive, and longitudinal follow-up study, clinical intervention without a control group on 32 patients (30 females and 2 males) with 37 hands underwent carpal tunnel release. The outcome was evaluated according to Boston Carpal Tunnel Questionnaire (BCTQ) score and patient satisfaction. Results: The mean age was 54.15 years. The mean follow-up was 10 months. Complete resolution of numbness was reported by 30/37 hands (81.08%), persistent numbness by 6/37  hands (16.22%), and recurrent numbness by 1/37 hand (2.7%). The mean BCTQ score was 1.15 (1 - 2.5 points). 100% of patients were either satisfied. Conclusion: The study revealed a significant improvement in clinical outcomes after carpal ligament release surgery.

Article Details

Keywords

Carpal tunnel release surgery

References

1. Gelfman R., Melton L.J., Yawn B.P., et al. (2009). Long-term trends in carpal tunnel syndrome. Neurology; 72(1): 33-41.
2. Siegel D.B., Kuzma G., Eakins D. (1995). Anatomic investigation of the role of the lumbrical muscles in carpal tunnel syndrome. Journal of Hand Surgery; 20(5): 860-863.
3. Phalen G.S. (1951). Spontaneous compression of the median nerve at the wrist. J Am Med Assoc; Apr 14, 145(15): 1128-1133.
4. Levine D.W., Simmons B.P., Koris M.J., et al. (1993). A self-administered questionnaire for the assessment of severity of symptoms and functional status in carpal tunnel syndrome. J.B.J.S; 75(11): 1585-1592.
5. Tang C.Q.Y., Lai S.W.H., Tay S.C. (2017). Long-term outcome of carpal tunnel release surgery in patients with severe carpal tunnel syndrome. The Bone and Joint Journal; 99-B(10): 1348-1353.
6. Louie D., Earp B., Blazar P. (2012). Long-term outcomes of carpal tunnel release: A critical review of the literature. Hand (New York, NY); 7(3): 242-246.
7. Çeliker R., Arslan S., Inan F. (2002). Corticosteroid injection vs. nonsteroidal anti-inflammatory drug and splinting in carpal tunnel syndrome. Am J Phys Med Rehabil; 81:182-186.
8. Atroshi I., Hofer M., Larsson G.U., et al. (2009). Open compared with 2-portal endoscopic carpal tunnel release: A 5-year follow-up of a randomized controlled trial. J Hand Surg Am; 34: 266-272.
9. Ehsan A., Seyed R.B., Homa H., et al. (2020). Carpal tunnel surgery: Predictors of clinical outcomes and patients’ satisfaction. BMC Musculoskeletal Disorders; 21: 51.
10. Eon K.S. (2019). Endoscopic versus open carpal tunnel release. Current Reviews in Musculoskeletal Medicine; 12: 509-514.