Long-term satisfaction for open carpal tunnel release

June 27, 2013
Long-term satisfaction for open carpal tunnel release
Most patients who undergo open carpal tunnel release are pleased with the results and free of symptoms more than a decade later, according to a study published in the June 19 issue of The Journal of Bone & Joint Surgery.

(HealthDay)—Most patients who undergo open carpal tunnel release are pleased with the results and free of symptoms more than a decade later, according to a study published in the June 19 issue of The Journal of Bone & Joint Surgery.

Dexter L. Louie, from Brigham and Women's Hospital in Boston, and colleagues assessed the functional and symptomatic outcomes of 113 patients who underwent open carpal tunnel release from 1996 to 2000 performed by the same surgeon. Follow-up was conducted at an average of 13 years after surgery, using validated, self-administered questionnaires. Outcomes included satisfaction with surgery and the Levine-Katz symptom and function scores, ranging from 1 point (best) to 5 points (worst).

The researchers found that the mean Levine-Katz symptom score was 1.3 points, and 13 percent of patients had a poor symptom score (?2 points). About a quarter of patients (26 percent) had a poor function score (?2), with a mean Levine-Katz function score of 1.6 points. Weakness in the hand was the most common symptom-related complaint, followed by diurnal pain, numbness, and tingling. Nocturnal pain and tenderness at the incision were the least common symptoms. The majority of patients (88 percent) were completely or very satisfied with the surgery, with 74 percent reporting complete resolution of symptoms. More men than women had poor function (33 versus 23 percent). Two patients had repeat .

"Our results suggest that the long-term results of open carpal tunnel release are excellent, with patients experiencing consistent pain relief over 10 to 15 years," the authors write.

One or more authors disclosed financial ties to an entity in the biomedical arena.

Explore further: Study assesses impact of rheumatoid arthritis on joint replacement surgery outcomes

More information: Abstract
Full Text (subscription or payment may be required)

Related Stories

Diabetes affects improvements after lumbar spine surgery

April 2, 2013

(HealthDay) —Patients with diabetes who have longstanding diabetes, poor glycemic control, and use insulin had suboptimal improvements in clinical outcomes after lumbar spine surgery, according to research published March ...

Pre-op depression skews satisfaction after lumbar sx

June 4, 2013

(HealthDay)—Preoperative depression influences self-reported patient satisfaction after revision lumbar surgery, independent of the surgery's effectiveness, according to a study published in the May issue of The Spine Journal.

Recommended for you

Zika virus infection alters human and viral RNA

October 20, 2016

Researchers at University of California San Diego School of Medicine have discovered that Zika virus infection leads to modifications of both viral and human genetic material. These modifications—chemical tags known as ...

Food-poisoning bacteria may be behind Crohn's disease

October 19, 2016

People who retain a particular bacterium in their gut after a bout of food poisoning may be at an increased risk of developing Crohn's disease later in life, according to a new study led by researchers at McMaster University.

Neurodevelopmental model of Zika may provide rapid answers

October 19, 2016

A newly published study from researchers working in collaboration with the Regenerative Bioscience Center at the University of Georgia demonstrates fetal death and brain damage in early chick embryos similar to microcephaly—a ...

Scientists uncover new facets of Zika-related birth defects

October 17, 2016

In a study that could one day help eliminate the tragic birth defects caused by Zika virus, scientists from the Florida campus of The Scripps Research Institute (TSRI) have elucidated how the virus attacks the brains of newborns, ...

1 comment

Adjust slider to filter visible comments by rank

Display comments: newest first

not rated yet Aug 09, 2013
If any orthopedist or neurologist reads this: As I understand, carpal tunnel syndrome does not cause numbness in the palm, but only in fingers, because the palm is innervated by a branch of the Median nerve that does not run through the carpal tunnel. Is this true?

I've made an extensive differential diagnosis of numbness and tingling in the fingertips here:

Please sign in to add a comment. Registration is free, and takes less than a minute. Read more

Click here to reset your password.
Sign in to get notified via email when new comments are made.