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Endoscopic carpal tunnel release: a prospective analysis of factors - fibromyalgia related research

  [ 155 votes ]   [ Discuss This Article ]
www.ProHealth.com • April 5, 1999


The first 100 consecutive cases of endoscopic carpal tunnel
release (ECTR) performed by the author were studied
prospectively during 6 to 24 months follow-up. Various
preoperative and postoperative factors were subjected to
statistical analysis to determine possible associations with
unsatisfactory results. Overall, 92% of hands had a
satisfactory result from ECTR, although not all were rendered
symptom- free. There were no significant complications.
Preoperative factors associated with an increased likelihood
of unsatisfactory results included hands with preoperative
weakness, widened two-point discrimination, myofascial pain
syndrome or fibromyalgia, involvement in litigation, multiple
compressive neuropathies, or the presence of abnormal
psychological factors. A trend to less satisfactory results
was present in Workers' Compensation cases and patients with
normal motor latencies on nerve conduction studies. Multiple
postoperative factors correlated with unsatisfactory results.

Straub TA




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