Function of Microscopic Carpal Tunnel Release in Cases Resistant to Conservative Therapy

Authors

  • Jehan Zeb
  • Dr Muhammad Anwar Ullah
  • Muhammad Shoaib
  • Syed Nasir Shah
  • Walayat Shah
  • Bakth Jamal
  • Saad Ali
  • Aysha Zafar

DOI:

https://doi.org/10.47672/ajhmn.837

Keywords:

Carpal Tunnel Syndrome, Microscopic Release, Recurrence

Abstract

Purpose: To determine the outcome of microscopic carpal tunnel release in patients with carpal tunnel syndrome who failed to respond to conservative treatment.

Methodology: This descriptive case series was carried at Department of Neurosurgery, D.H.Q Hosptial Charsadda over 1 year from Jan 2019 to Dec 2020, indicate the sampling method used to select the study participants involving 94 patients; both men and women with ages in the range 30-70 years diagnosed of carpal tunnel syndrome who failed to respond to conservative treatment and were planned for surgical release. Microscopic CTS release was performed and outcomes were assessed in terms of improvement in VAS score for wrist pain, symptom severity score and function status scale 3 and 6 months after the surgery. Recurrence of symptoms was also noted. A written informed consent was obtained from every patient. Indicate the method of data collection and data analysis

Findings: The mean age of the patients with carpal tunnel syndrome was 41.6±7.9 years. There was slight female predominance with male to female ratio of 1:2.1. History of diabetes was recorded in 29 (31.0%) patients while 34 (37.0%) patients were obese. Right hand was more frequently involved (53.0%) than the left hand (47.0%). The mean VAS score for wrist pain reduced from 7.9±1.2 at baseline to 1.8±0.7 3 months after the surgery (p- value<0.001). Similar improvements were also noted in symptom severity score (3.8±0.8 to 1.6±0.8; p- value<0.001) and function status scale (2.7±0.8 to 1.5±0.8; p-value<0.001) at the end of 3 months after the surgery. Recurrence was not observed in any patient at the end of 6 months follow-up.

Recommendation: Microscopic carpal tunnel release was found to relieve patient's symptoms and improve wrist function yet with minimal scarring and without recurrence which advocates its preferred use in future practice provided necessary surgical skills and hardware are available.

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Author Biographies

Jehan Zeb

Consultant Neurosurgeon Dhq Hospital Charsadda

Dr Muhammad Anwar Ullah

Consultant Neurosurgeon Dhq Hospital Tamergira

Muhammad Shoaib

Consultant Neurosurgeon Mth Hospital Peshawar

Syed Nasir Shah

Consultant Neurosurgeon Dhq Hosptial Mardan

Walayat Shah

Consultant Neurosurgeon Dhq Hosptial Mardan

Bakth Jamal

Consultant Neurosurgeon Dhq Hospital Charsadda

Saad Ali

Assistant Professor Neurology. MTI Lady Reading Hospital Peshawar

Aysha Zafar

Assistant Professor Neurology. MTI Lady Reading Hospital Peshawar

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Published

2021-11-11

How to Cite

Zeb, J. ., Ullah, M. ., Shoaib, M. ., Shah, S. ., Shah, W. ., Jamal, B. ., … Zafar, A. . (2021). Function of Microscopic Carpal Tunnel Release in Cases Resistant to Conservative Therapy. American Journal of Health, Medicine and Nursing Practice, 6(4), 89–96. https://doi.org/10.47672/ajhmn.837

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