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Titolo:
Clinical and neurophysiological outcome of surgery in extreme carpal tunnel syndrome
Autore:
Mondelli, M; Reale, F; Padua, R; Aprile, I; Padua, L;
Indirizzi:
Serv EMG ASL 7, I-53100 Siena, Italy Serv EMG ASL 7 Siena Italy I-53100Serv EMG ASL 7, I-53100 Siena, Italy Osp S Giacomo, Dept Orthoped, Rome, Italy Osp S Giacomo Rome ItalyOsp S Giacomo, Dept Orthoped, Rome, Italy Univ Cattolica Sacro Cuore, Ist Neurol, Rome, Italy Univ Cattolica Sacro Cuore Rome Italy ro Cuore, Ist Neurol, Rome, Italy AFaR Osp Fatebenefratelli Isola Tiberina, Rome, Italy AFaR Osp Fatebenefratelli Isola Tiberina Rome Italy berina, Rome, Italy
Titolo Testata:
CLINICAL NEUROPHYSIOLOGY
fascicolo: 7, volume: 112, anno: 2001,
pagine: 1237 - 1242
SICI:
1388-2457(200107)112:7<1237:CANOOS>2.0.ZU;2-Y
Fonte:
ISI
Lingua:
ENG
Soggetto:
IMMEDIATE SURGERY; CHOICE;
Keywords:
extreme carpal tunnel syndrome; nerve conduction study; surgery; outcome; Boston Questionnaire;
Tipo documento:
Article
Natura:
Periodico
Settore Disciplinare:
Life Sciences
Citazioni:
20
Recensione:
Indirizzi per estratti:
Indirizzo: Mondelli, M Serv EMG ASL 7, Via Pian Ovile 9, I-53100 Siena, Italy Serv EMG ASL 7 Via Pian Ovile 9 Siena Italy I-53100 na, Italy
Citazione:
M. Mondelli et al., "Clinical and neurophysiological outcome of surgery in extreme carpal tunnel syndrome", CLIN NEU, 112(7), 2001, pp. 1237-1242

Abstract

Introduction: Surgical release is the most effective therapy for the symptoms of carpal tunnel syndrome (CTS). It is widely considered that surgery may be ineffective in 'extreme' cases (those with atrophy of the thenar eminence muscles and no sensory and motor response of the median nerve). Objective: To report clinical and eletrophysiological outcome of 10 subjects with 'extreme' CTS surgically treated. Methods: Ton hands belonging to 10 patients (9 women and one man, mean age65 years) underwent surgical release by the mini-incision of the palm technique. All showed atrophy of thenar eminence and absence of motor and sensory responses of the median nerve. The protocol consisted of clinical and electrophysiological evaluation, with the patient completing the self-administered Boston questionnaire (BQ) before the operation and one and lj months after it. Results: After surgical release, all patients reported an absence of pain and disappearance or reduction of paraesthesia. Six months after the operation, motor and sensory responses of the median nerve returned in X and 5 hands, respectively. The BQ showed a significant improvement in symptom and functional scores, although muscle atrophy remained unchanged. No correlation was found between the degree of clinical and electrical improvement and the age of the patients. Conclusion: It is possible to obtain good clinical and electrophysiological results even in extreme cases of CTS. 6 2001 Elsevier Science Ireland Ltd. All rights reserved.

ASDD Area Sistemi Dipartimentali e Documentali, Università di Bologna, Catalogo delle riviste ed altri periodici
Documento generato il 25/02/20 alle ore 11:30:30