Pre-operative electrodiagnostic testing predicts time to resolution of symptoms after carpal tunnel release

The Journal of Hand Surgery, European Volume
J R FowlerJ E Imbriglia

Abstract

The purpose of this study was to determine if nerve conduction studies predict time to resolution of symptoms after carpal tunnel release. A total of 56 patients undergoing open carpal tunnel release were prospectively enrolled. Pre-operative presence of nocturnal symptoms and daytime numbness/tingling were documented. Pre-operative nerve conduction studies were reviewed and classified as mild, moderate, or severe. After open carpal tunnel release, patients were contacted by phone within 48 hours, at 1 week, and then at 2-week intervals for up to 9 months or until both nocturnal and daytime symptoms had resolved. This study found that patients with mild or moderate carpal tunnel syndrome experience a faster time to resolution of daytime numbness and tingling when compared with patients with severe carpal tunnel syndrome. Nocturnal symptoms resolved quickly in both groups. The results of this study are in contrast to previous studies that found little to no value of nerve conduction studies in predicting post-operative functional and subjective outcomes. IV.

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Citations

Oct 6, 2016·The Journal of Hand Surgery·Benson J PulikkottilJohn R Fowler
Apr 27, 2017·Hand : Official Journal of the American Association for Hand Surgery·Jacqueline D Watchmaker, Greg P Watchmaker
Jan 25, 2019·Orthopaedic Nursing·Mabel Qi He LeowShian Chao Tay
Apr 26, 2020·Plastic and Reconstructive Surgery·Ritsaart F WestenbergNeal C Chen
Jun 25, 2019·Hand : Official Journal of the American Association for Hand Surgery·Dafang ZhangPhilip Blazar
Oct 19, 2017·Orthopedics·Marcus J Magnussen, John Morren
Jul 22, 2018·Hand : Official Journal of the American Association for Hand Surgery·Gideon NkrumahJohn R Fowler
Jul 3, 2021·Journal of Clinical Medicine·Katarzyna OsiakArtur Pasternak
Aug 14, 2021·Frontiers in Neurology·Daniel Gregor SchulzeMargreth Grotle

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