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)
Editorial

Related Stories

Study assesses impact of rheumatoid arthritis on joint replacement surgery outcomes

June 12, 2013
Two new studies by researchers at Hospital for Special Surgery have shed light on joint replacement outcomes in patients with rheumatoid arthritis (RA). One study overturns the common belief that RA patients have worse outcomes ...

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.

Breast augmentation patients report high satisfaction rates, says study

May 1, 2013
Ninety-eight percent of women undergoing breast augmentation surgery say the results met or exceeded their expectations, according to a prospective outcome study published in the May issue of Plastic and Reconstructive Surgery, ...

Laparoscopies up for ventral hernia repair in obese patients

June 13, 2013
(HealthDay)—In obese patients, there has been a significant increase in the use of laparoscopic ventral hernia repairs (VHRs), which are associated with a lower complication rate and shorter median length of hospital stay ...

Discectomy post-op pain worse in patients with retrolisthesis

May 16, 2013
(HealthDay)—The presence of retrolisthesis in patients undergoing decompressive surgery for a lumbar disc herniation may result in significantly worse lower back pain and physical function over four years, according to ...

Recommended for you

A large-scale 'germ trap' solution for hospitals

July 26, 2017
When an infectious airborne illness strikes, some hospitals use negative pressure rooms to isolate and treat patients. These rooms use ventilation controls to keep germ-filled air contained rather than letting it circulate ...

Male hepatitis B patients suffer worse liver ailments, regardless of lifestyle

July 25, 2017
Why men with hepatitis B remain more than twice as likely to develop severe liver disease than women remains a mystery, even after a study led by a recent Drexel University graduate took lifestyle choices and environments ...

Researchers report new system to study chronic hepatitis B

July 25, 2017
Scientists from Princeton University's Department of Molecular Biology have successfully tested a cell-culture system that will allow researchers to perform laboratory-based studies of long-term hepatitis B virus (HBV) infections. ...

Mind-body therapies immediately reduce unmanageable pain in hospital patients

July 25, 2017
Mindfulness training and hypnotic suggestion significantly reduced acute pain experienced by hospital patients, according to a new study published in the Journal of General Internal Medicine.

Research examines lung cell turnover as risk factor and target for treatment of influenza pneumonia

July 24, 2017
Influenza is a recurring global health threat that, according to the World Health Organization, is responsible for as many as 500,000 deaths every year, most due to influenza pneumonia, or viral pneumonia. Infection with ...

Scientists propose novel therapy to lessen risk of obesity-linked disease

July 24, 2017
With obesity related illnesses a global pandemic, researchers propose in the Journal of Clinical Investigation using a blood thinner to target molecular drivers of chronic metabolic inflammation in people eating high-fat ...

1 comment

Adjust slider to filter visible comments by rank

Display comments: newest first

Healthresearch
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:
http://www.hxbene...ips.html

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.