Long-term outcome after carpal tunnel release and identification of prognostic factors

Background The effectiveness of the surgical treatment of carpal tunnel syndrome (CTS) is well known on short term. However, limited data is available about long-term outcome after carpal tunnel release (CTR). The aims of this study were to explore the long-term outcome after CTR and to identify pro...

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Bibliographic Details
Published in:Acta neurochirurgica 2019-04, Vol.161 (4), p.663-671
Main Authors: De Kleermaeker, Floriaan G. C. M., Meulstee, Jan, Bartels, Ronald H. M. A., Verhagen, Wim I. M.
Format: Article
Language:English
Subjects:
Adult
Carpal tunnel syndrome
Carpal Tunnel Syndrome - diagnosis
Carpal Tunnel Syndrome - surgery
Female
Humans
Interventional Radiology
Male
Medical prognosis
Medicine
Medicine & Public Health
Middle Aged
Minimally Invasive Surgery
Nervous system
Neurology
Neuroradiology
Neurosurgery
Neurosurgical Procedures - adverse effects
Neurosurgical Procedures - methods
Normal distribution
Original Article - Peripheral Nerves
Overuse injuries
Patients
Peripheral Nerves
Postoperative Complications - epidemiology
Questionnaires
Regression analysis
Surgery
Surgical Orthopedics
Surveys and Questionnaires
Treatment Outcome
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Summary:Background The effectiveness of the surgical treatment of carpal tunnel syndrome (CTS) is well known on short term. However, limited data is available about long-term outcome after carpal tunnel release (CTR). The aims of this study were to explore the long-term outcome after CTR and to identify prognostic factors for long-term outcome. Methods Patients with clinically defined CTS underwent CTR and completed the Boston Carpal Tunnel Questionnaire at baseline ( T 0 ), at about 8 months ( T 1 ), and after a median follow-up of 9 years ( T 2 ), as well as a 6-point scale for perceived improvement (at T 1 and T 2 ). Potentially prognostic factors were identified by logistic regression analysis and correlation. Results At long-term follow-up, 87 patients (40.3%) completed the questionnaires. Mean score on Symptom Severity Scale (2.87 to 1.54; p  
ISSN:0001-6268
0942-0940
DOI:10.1007/s00701-019-03839-y