TY - JOUR
T1 - An outcomes protocol for carpal tunnel release
T2 - A comparison of outcomes in patients with and without medical comorbidities
AU - Cagle, Paul J.
AU - Reams, Megan
AU - Agel, Julie
AU - Bohn, Deb
N1 - Publisher Copyright:
© 2014 ASSH Published by Elsevier, Inc. All rights reserved.
PY - 2014/11/1
Y1 - 2014/11/1
N2 - Purpose To prospectively report the outcomes of open carpal tunnel release with respect to patient age and medical comorbidities.Methods Nine hundred fifty open carpal tunnel procedures in 826 patients (age range, 21-100 y) at a high-volume orthopedic surgery center were evaluated. Self-reported symptom severity and functional scores were collected using the validated Boston Carpal Tunnel Outcomes questionnaire preoperatively, and at 2 weeks, 6 weeks, and 12 weeks postoperatively.Results Patients demonstrated a significant improvement in symptom severity scores at 2 weeks and functional severity scores at 6 weeks. Documented patient medical comorbidities did not affect improvement after surgery. Patients with diabetes improved more slowly but were not significantly different at 6 weeks. Patients with workers' compensation insurance were significantly worse at baseline, 2 weeks, and 6 weeks but were not significantly different at 3 months. The risk of negative postoperative endpoints was slightly higher in patients with a medical comorbidity, though not statistically different.Conclusions Significant improvements in symptom severity and hand function may be expected after open carpal tunnel release in the general population regardless of age, medical comorbidities, or workers' compensation status. Type of study/level of evidence Therapeutic III.
AB - Purpose To prospectively report the outcomes of open carpal tunnel release with respect to patient age and medical comorbidities.Methods Nine hundred fifty open carpal tunnel procedures in 826 patients (age range, 21-100 y) at a high-volume orthopedic surgery center were evaluated. Self-reported symptom severity and functional scores were collected using the validated Boston Carpal Tunnel Outcomes questionnaire preoperatively, and at 2 weeks, 6 weeks, and 12 weeks postoperatively.Results Patients demonstrated a significant improvement in symptom severity scores at 2 weeks and functional severity scores at 6 weeks. Documented patient medical comorbidities did not affect improvement after surgery. Patients with diabetes improved more slowly but were not significantly different at 6 weeks. Patients with workers' compensation insurance were significantly worse at baseline, 2 weeks, and 6 weeks but were not significantly different at 3 months. The risk of negative postoperative endpoints was slightly higher in patients with a medical comorbidity, though not statistically different.Conclusions Significant improvements in symptom severity and hand function may be expected after open carpal tunnel release in the general population regardless of age, medical comorbidities, or workers' compensation status. Type of study/level of evidence Therapeutic III.
KW - Carpal tunnel complication
KW - carpal tunnel outcomes
KW - carpal tunnel release
KW - carpal tunnel syndrome
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U2 - 10.1016/j.jhsa.2014.07.017
DO - 10.1016/j.jhsa.2014.07.017
M3 - Article
C2 - 25218142
AN - SCOPUS:84908305041
SN - 0363-5023
VL - 39
SP - 2175
EP - 2180
JO - Journal of Hand Surgery
JF - Journal of Hand Surgery
IS - 11
ER -