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ISSN 2992-8559 (Electronic)
ISSN 1405-0625 (Print)

2012, Number 3

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Cir Plast 2012; 22 (3)

Carpal tunnel syndrome: is this the time of determining evolution in the portsurgical outcome?

Márquez EC, Sánchez-Medal FP, Luque HJC, Cárdenas SC, Gallardo PG

Language: Spanish
References: 22
Page: 134-138
PDF size: 172.79 Kb.


ABSTRACT

Median nerve compression in the carpal tunnel is the most common compressive neuropathy in the upper extremity and a frequent cause of disability. In the present study we compared the results obtained in patients treated with surgical correction of carpal tunnel syndrome, before six months (Group A) and after six months (Group B) of the onset of symptoms. Among the variables reviewed were: the timing for surgical correction, pre and postop symptomatology, and the electromyographic type of lesion. To assess the postoperative symptomatology, a 0 to 3 scale was used in which 0 is the disappearance of the symptom and 3 is no improvement. Sixty-five patients were included: 38 from Group A (57.7%) and 27 from Group B (42.5%); of which 59 were women and 6 were men. We obtained a statistically significant difference in the postoperative outcome of symptoms, where the scale scores of Group A were lower. A satisfactory outcome was obtained in 57 patients (no more than one symptom valued as two), and an unfavorable result in seven patients (at least two symptoms valued as two or more), six from Group B and one from Group A. A considerable improvement is achieved in the outcome of patients surgically treated before 6 months after the onset of the symptomatology regardless of the severity of the presurgical symptoms. Thus the importance of making a timely diagnosis and an early surgical correction of median nerve compression in the handling of this syndrome.


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