Effects of Hand Fellowship Training on Rates of Endoscopic and Open Carpal Tunnel Release

The Journal of Hand Surgery
Brandon S SmetanaJ Megan M Patterson

Abstract

To investigate rates, trends, and complications for carpal tunnel release (CTR) related to fellowship training using the American Board of Orthopaedic Surgery Part II Database. We searched the American Board of Orthopaedic Surgery database for patients with carpal tunnel syndrome who underwent either open carpal tunnel release (OCTR) or endoscopic (ECTR) from 2003 to 2013. Cases with multiple treatment codes were excluded. Data were gathered on geographic location, fellowship, and surgical outcomes. Data were then divided into 2 cohorts: hand fellowship trained versus non-hand fellowship trained. We performed analysis with chi-square tests of independence and for trend. Overall, 12.4% of all CTRs were done endoscopically. Hand fellowship-trained orthopedists performed about 4.5 times the number of ECTR than did non-hand fellowship-trained surgeons. An increasing trend over time of ECTR was seen only among the hand fellowship cohort. The northwest region of the United States had the highest incidence (23.1%) of ECTR, and the Southwest the lowest incidence (5.9%). The complication incidence associated with CTR overall was 3.6%, without a significant difference between ECTR and OCTR. Within the hand fellowship cohort the complicat...Continue Reading

References

Mar 5, 2009·The Journal of Hand Surgery·Reid Abrams
Oct 2, 2012·The Journal of Hand Surgery·Charles F LeinberryDouglas T Hutchinson
Oct 3, 2012·The Orthopedic Clinics of North America·Dominic J Mintalucci, Charles F Leinberry
Aug 20, 2014·Clinical Orthopaedics and Related Research·Eli T Sayegh, Robert J Strauch
Jan 27, 2015·The Journal of Hand Surgery·Jin Bo Tang, Bella Avanessian
Mar 10, 2015·The Journal of Hand Surgery·Justin J Munns, Hisham M Awan

❮ Previous
Next ❯

Citations

Mar 21, 2018·Hand : Official Journal of the American Association for Hand Surgery·Dafang ZhangBrandon E Earp
May 2, 2018·Neurosurgical Focus·Zachary S HubbardHarvey Chim
Jun 20, 2020·The Journal of Hand Surgery, European Volume·Dustin H MasselDavid L Chen
Jun 21, 2018·European Journal of Orthopaedic Surgery & Traumatology : Orthopédie Traumatologie·Jeremy TruntzerRobin Kamal
Feb 6, 2018·HSS Journal : the Musculoskeletal Journal of Hospital for Special Surgery·Joseph J SchreiberJeffrey Yao
May 26, 2018·Plastic and Reconstructive Surgery·Stefanie EversRuud W Selles
Jun 9, 2021·Annals of Plastic Surgery·Tarik MujadzicMirsad M Mujadzic
May 30, 2021·The Journal of Hand Surgery·Megan R MilesAviram M Giladi

❮ Previous
Next ❯

Related Concepts

Trending Feeds

COVID-19

Coronaviruses encompass a large family of viruses that cause the common cold as well as more serious diseases, such as the ongoing outbreak of coronavirus disease 2019 (COVID-19; formally known as 2019-nCoV). Coronaviruses can spread from animals to humans; symptoms include fever, cough, shortness of breath, and breathing difficulties; in more severe cases, infection can lead to death. This feed covers recent research on COVID-19.

Blastomycosis

Blastomycosis fungal infections spread through inhaling Blastomyces dermatitidis spores. Discover the latest research on blastomycosis fungal infections here.

Nuclear Pore Complex in ALS/FTD

Alterations in nucleocytoplasmic transport, controlled by the nuclear pore complex, may be involved in the pathomechanism underlying multiple neurodegenerative diseases including Amyotrophic Lateral Sclerosis and Frontotemporal Dementia. Here is the latest research on the nuclear pore complex in ALS and FTD.

Applications of Molecular Barcoding

The concept of molecular barcoding is that each original DNA or RNA molecule is attached to a unique sequence barcode. Sequence reads having different barcodes represent different original molecules, while sequence reads having the same barcode are results of PCR duplication from one original molecule. Discover the latest research on molecular barcoding here.

Chronic Fatigue Syndrome

Chronic fatigue syndrome is a disease characterized by unexplained disabling fatigue; the pathology of which is incompletely understood. Discover the latest research on chronic fatigue syndrome here.

Evolution of Pluripotency

Pluripotency refers to the ability of a cell to develop into three primary germ cell layers of the embryo. This feed focuses on the mechanisms that underlie the evolution of pluripotency. Here is the latest research.

Position Effect Variegation

Position Effect Variagation occurs when a gene is inactivated due to its positioning near heterochromatic regions within a chromosome. Discover the latest research on Position Effect Variagation here.

STING Receptor Agonists

Stimulator of IFN genes (STING) are a group of transmembrane proteins that are involved in the induction of type I interferon that is important in the innate immune response. The stimulation of STING has been an active area of research in the treatment of cancer and infectious diseases. Here is the latest research on STING receptor agonists.

Microbicide

Microbicides are products that can be applied to vaginal or rectal mucosal surfaces with the goal of preventing, or at least significantly reducing, the transmission of sexually transmitted infections. Here is the latest research on microbicides.