TY - JOUR
T1 - Outcome of Surgical Release among Diabetics with Carpal Tunnel Syndrome
AU - Mondelli, Mauro
AU - Padua, Luca
AU - Reale, Fabio
AU - Signorini, Anna Maria
AU - Romano, Clara
PY - 2004/1
Y1 - 2004/1
N2 - Objective: To compare the results of surgical decompression of carpal tunnel syndrome (CTS) in patients with diabetes with those of patients with idiopathic CTS. Design: Prospective case series. Setting: Ambulatory care in Italy. Participants: Twenty-four consecutive patients with diabetes type 1 or 2 and CTS (mean age, 66.7y) were matched for age and sex with 72 patients (mean age, 66.2y) with idiopathic CTS. Interventions: All patients underwent surgical release of CTS by the mini-incision of palm technique. Main Outcome Measures: Clinical and electrophysiologic evaluation and patient self-administered Boston Questionnaire (BQ) for the assessment of severity of CTS symptoms and hand functional status before and 1 and 6 months after surgery. Results: After surgical release, almost all patients of both groups reported an absence of pain, disappearance or reduction of paresthesia, and improvement in hand function. One month after surgery, there was a significant improvement in clinical status, BQ scores, and distal conduction velocities of the median nerve. A further improvement was evident at 6-month follow-up. There were no differences between the 2 groups in the number of surgical complications, in clinical and electrophysiologic status, or in BQ scores before and after surgery. The improvement in distal conduction velocities of the median nerve, BQ scores, and clinical and electrophysiologic status were similar in the 2 groups after surgery. Conclusion: Diabetes is not a risk factor for poor outcome of surgical decompression of CTS. Patients with diabetes have the same probability of positive surgical outcome as patients with idiopathic CTS.
AB - Objective: To compare the results of surgical decompression of carpal tunnel syndrome (CTS) in patients with diabetes with those of patients with idiopathic CTS. Design: Prospective case series. Setting: Ambulatory care in Italy. Participants: Twenty-four consecutive patients with diabetes type 1 or 2 and CTS (mean age, 66.7y) were matched for age and sex with 72 patients (mean age, 66.2y) with idiopathic CTS. Interventions: All patients underwent surgical release of CTS by the mini-incision of palm technique. Main Outcome Measures: Clinical and electrophysiologic evaluation and patient self-administered Boston Questionnaire (BQ) for the assessment of severity of CTS symptoms and hand functional status before and 1 and 6 months after surgery. Results: After surgical release, almost all patients of both groups reported an absence of pain, disappearance or reduction of paresthesia, and improvement in hand function. One month after surgery, there was a significant improvement in clinical status, BQ scores, and distal conduction velocities of the median nerve. A further improvement was evident at 6-month follow-up. There were no differences between the 2 groups in the number of surgical complications, in clinical and electrophysiologic status, or in BQ scores before and after surgery. The improvement in distal conduction velocities of the median nerve, BQ scores, and clinical and electrophysiologic status were similar in the 2 groups after surgery. Conclusion: Diabetes is not a risk factor for poor outcome of surgical decompression of CTS. Patients with diabetes have the same probability of positive surgical outcome as patients with idiopathic CTS.
KW - Carpal tunnel syndrome
KW - Diabetes mellitus
KW - Rehabilitation
KW - Surgery
KW - Treatment outcome
UR - http://www.scopus.com/inward/record.url?scp=0347359316&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=0347359316&partnerID=8YFLogxK
U2 - 10.1016/S0003-9993(03)00770-6
DO - 10.1016/S0003-9993(03)00770-6
M3 - Article
C2 - 14970961
AN - SCOPUS:0347359316
VL - 85
SP - 7
EP - 13
JO - Archives of Physical Medicine and Rehabilitation
JF - Archives of Physical Medicine and Rehabilitation
SN - 0003-9993
IS - 1
ER -