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Short Communication
Online Published: 26 Jul 2019
 


Symptomatic relief is less after surgery for recurrent carpal tunnel syndrome compared with primary median nerve decompression

Malin Zimmerman , Erik Dahlin, Niels OB Thomsen, Gert S Andersson, Anders Björkman, Lars B Dahlin.


Abstract
Objectives
Carpal tunnel release (CTR), the golden standard treatment for carpal tunnel syndrome (CTS), is beneficial for the majority of patients, but up to 25% may have a less satisfactory outcome and require additional surgery. The aim of this study was to compare outcome after reoperation for CTS with outcome after primary CTR.

Methods
In a retrospective study, September 2009 to February 2011, data were collected from patients’ medical journals, preoperative health declarations and QuickDASH questionnaires, pre- and one-year postoperatively. 20 patients re-operated due to recurrent or persistent CTS were identified and compared to 493 patients who had undergone primary nerve decompression.

Results
Preoperatively, the re-operated patients had a higher median nerve sensory conduction velocity at wrist level (38 [33-45] vs. 31 [22–38] m/s; p<0.05) than those who underwent primary CTR. However, there was no difference in QuickDASH score. With a nonsignificant difference in symptomatic improvement, postoperative QuickDASH score was found higher for the re-operated patients compared to those who underwent primary CTR (38 [22-56] vs. 18 [5–45]; p<0.05). No differences in QuickDASH score could be demonstrated between patients with recurrent or persistent CTS.

Conclusion
Patients re-operated for recurrent or persistent CTS experience more pronounced postoperative symptoms than patients operated for primary CTS.

Key words: carpal tunnel release; carpal tunnel syndrome; recurrent; re-operation; persistent


 
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How to Cite this Article
Pubmed Style

MZ, Dahlin E, Thomsen NO, Andersson GS, Bjorkman A, Dahlin LB, . Symptomatic relief is less after surgery for recurrent carpal tunnel syndrome compared with primary median nerve decompression. Hand Microsurg. 2019; 8(3): 190-192. doi:10.5455/handmicrosurg.31090

Web Style

MZ, Dahlin E, Thomsen NO, Andersson GS, Bjorkman A, Dahlin LB, . Symptomatic relief is less after surgery for recurrent carpal tunnel syndrome compared with primary median nerve decompression. https://handmicrosurgeryjournal.com/?mno=31090 [Access: September 12, 2024]. doi:10.5455/handmicrosurg.31090

AMA (American Medical Association) Style

MZ, Dahlin E, Thomsen NO, Andersson GS, Bjorkman A, Dahlin LB, . Symptomatic relief is less after surgery for recurrent carpal tunnel syndrome compared with primary median nerve decompression. Hand Microsurg. 2019; 8(3): 190-192. doi:10.5455/handmicrosurg.31090


Vancouver/ICMJE Style

MZ, Dahlin E, Thomsen NO, Andersson GS, Bjorkman A, Dahlin LB, . Symptomatic relief is less after surgery for recurrent carpal tunnel syndrome compared with primary median nerve decompression. Hand Microsurg. (2019), [cited September 12, 2024]; 8(3): 190-192. doi:10.5455/handmicrosurg.31090


Harvard Style

, M. Z., Dahlin, E., Thomsen, N. O., Andersson, G. S., Bjorkman, A., Dahlin, L. B. & (2019) Symptomatic relief is less after surgery for recurrent carpal tunnel syndrome compared with primary median nerve decompression. Hand Microsurg, 8 (3), 190-192. doi:10.5455/handmicrosurg.31090


Turabian Style

, Malin Zimmerman, Erik Dahlin, Niels OB Thomsen, Gert S Andersson, Anders Bjorkman, Lars B Dahlin, and . 2019. Symptomatic relief is less after surgery for recurrent carpal tunnel syndrome compared with primary median nerve decompression. Hand and Microsurgery, 8 (3), 190-192. doi:10.5455/handmicrosurg.31090


Chicago Style

, Malin Zimmerman, Erik Dahlin, Niels OB Thomsen, Gert S Andersson, Anders Bjorkman, Lars B Dahlin, and . "Symptomatic relief is less after surgery for recurrent carpal tunnel syndrome compared with primary median nerve decompression." Hand and Microsurgery 8 (2019), 190-192. doi:10.5455/handmicrosurg.31090


MLA (The Modern Language Association) Style

, Malin Zimmerman, Erik Dahlin, Niels OB Thomsen, Gert S Andersson, Anders Bjorkman, Lars B Dahlin, and . "Symptomatic relief is less after surgery for recurrent carpal tunnel syndrome compared with primary median nerve decompression." Hand and Microsurgery 8.3 (2019), 190-192. Print. doi:10.5455/handmicrosurg.31090


APA (American Psychological Association) Style

, M. Z., Dahlin, E., Thomsen, N. O., Andersson, G. S., Bjorkman, A., Dahlin, L. B. & (2019) Symptomatic relief is less after surgery for recurrent carpal tunnel syndrome compared with primary median nerve decompression. Hand and Microsurgery, 8 (3), 190-192. doi:10.5455/handmicrosurg.31090




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    Hand and Microsurgery, the official journal of Turkish Society for Surgery of Hand and Upper Extremity, is a peer-reviewed scientific journal published th ... Read more.



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