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2016 ; 8
(3
): 298-302
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English Wikipedia
Changes in Clinical Symptoms, Functions, and the Median Nerve Cross-Sectional
Area at the Carpal Tunnel Inlet after Open Carpal Tunnel Release
#MMPMID27583113
Kim JK
; Koh YD
; Kim JO
; Choi SW
Clin Orthop Surg
2016[Sep]; 8
(3
): 298-302
PMID27583113
show ga
BACKGROUND: The aim of this study was to investigate the relationship between
clinical symptoms and cross-sectional area (CSA) of the median nerve at the
carpal tunnel inlet before and after open carpal tunnel release (CTR). METHODS:
Thirty-two patients (53 hands) that underwent open CTR for idiopathic carpal
tunnel syndrome were prospectively enrolled. Median nerve CSA at the carpal
tunnel inlet was measured preoperatively and at 2 and 12 weeks after CTR by high
resolution ultrasonography. The Boston carpal tunnel questionnaire (BCTQ) was
also completed at these times. RESULTS: BCTQ symptom (BCTQ-S) score was
significantly improved at 2 weeks postoperatively, but BCTQ function (BCTQ-F)
score and CSA were significantly improved at 12 weeks postoperatively.
Preoperative CSA was significantly correlated with preoperative BCTQ-S and BCTQ-F
scores but was not significantly correlated with postoperative BCTQ scores or
postoperative changes in BCTQ scores. Postoperative median nerve CSA was not
significantly correlated with postoperative BCTQ-S or BCTQ-F scores, and
postoperative changes in median nerve CSA were not significantly correlated with
postoperative changes in BCTQ-S or BCTQ-F scores. CONCLUSIONS: The study shows
clinical symptoms resolve rapidly after open CTR, but median nerve swelling and
clinical function take several months to recover. In addition, preoperative
median nerve swelling might predict preoperative severities of clinical symptoms
and functional disabilities. However, postoperative reductions in median nerve
swelling were not found to reflect postoperative reductions in clinical symptoms
or functional disabilities.