- CODEN : IAJPBB
- issn 2349-7750
TITLE:
SURGICAL OUTCOME AND CLINICAL PRESENTATION OF CARPAL TUNNEL SYNDROME
AUTHORS:
Dr Tahir Ameer Malik, Dr Tauqeer Hussain Khan, Dr Muhammad Wajid Rasool
ABSTRACT:
Aim: To describe the clinical picture and surgical outcome in patients with carpal tunnel syndrome. Study design: A case series Place and duration: In the Department of Neurosurgery, Nishter Hospital Multan for six duration from November 2019 to April 2020. Methodology: All patients with symptoms of carpal tunnel syndrome (CTS) were included in the study. Nerve conduction studies were performed on all patients diagnosed with CTS on the basis of medical history and clinical examination. These patients were followed 15 days, 3 months and 6 months later. Patients with physiotherapy were offered quick recovery and rehabilitation. Results: 72 patients were included in the study. All patients were women. Twenty patients had unilateral disease and 52 patients had bilateral disease. Although conservative treatment was used in patients with mild to moderate neuropathy, it was prescribed in surgery for patients with severe neuropathy. An open surgery was performed to free the carpel tunnel. Twenty-nine patients had mild or moderate neuropathy in NCS and were treated conservatively. In the remaining 43 patients, the median nerve had severe neuropathy and significant muscle wasting of thenar. An open surgery was performed in these 43 cases. In the first follow-up period, 68% of patients showed a marked improvement in symptoms. One patient had damage to the ulnar artery near the superficial palmar arch of the ligation to control bleeding. Conclusion: Carpal tunnel syndrome is mainly a middle-aged female disease. Open surgery is the preferred treatment for severe neuropathy, mild and moderate types respond satisfactorily to physical therapy and medical therapy. KEYWORDS: carpal tunnel syndrome, trap neuropathy, median neurolysis
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NLM ID:101711216 [Serial]
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ICV 2015 - 61.16
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