Revision surgery for recurrent and persistent carpal tunnel syndrome: Clinical results and factors affecting outcomes

详细信息    查看全文

• 作者：I. Djerbi ; ^{iskander.djerbi@gmail.com" class="auth_mail" title="E-mail the corresponding author} ; M. Cé ; sar ; H. Lenoir ; B. Coulet ; C. Lazerges ; M. Chammas
• 关键词：Recurrent carpal tunnel syndrome ; Persistent carpal tunnel syndrome ; Neuroma of the palmar cutaneous branch of the median nerve ; Median nerve ; Hypothenar flap ; Synovial flap ; Perineural fibrosis ; Intraneural fibrosis ; Prognostic factors
• 刊名：Chirurgie de la main
• 出版年：2015
• 出版时间：December 2015
• 年：2015
• 卷：34
• 期：6
• 页码：312-317
• 全文大小：207 K

文摘

Thirty-eight hands in 36 patients with recurrent or persistent carpal tunnel syndrome (CTS) were reviewed retrospectively after a mean of 51 months (range 12–86) to identify factors that may lead to poor outcomes after surgical management. Clinical assessment focused on pain and sensitivity recovery, measured with a VAS and Weber's two-point discrimination test, respectively. At the latest follow-up, we found 11 excellent, 15 good, nine fair and three poor results. The risk of fair or poor results was significantly higher in the presence of intraneural fibrosis, severe preoperative sensory deficit, neuroma of the palmar cutaneous branch of the median nerve, workers compensation claims and number of previous surgeries. This last factor also significantly increased the risk of intraneural fibrosis. Despite disappointing outcomes, identification of these factors may improve our prognostic ability for revision surgery in cases of recurrent CTS.