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Endoscopic Carpal Tunnel Release in Patients Receiving Long-Term hemodialysis

 Sung-Jae Kim  ;  Sang-Jin Shin  ;  Eung-Shick Kang 
 Clinical Orthopaedics and Related Research, Vol.376 : 141-148, 2000 
Journal Title
 Clinical Orthopaedics and Related Research 
Issue Date
Carpal Tunnel Syndrome/complications ; Carpal Tunnel Syndrome/etiology* ; Carpal Tunnel Syndrome/physiopathology ; Carpal Tunnel Syndrome/surgery* ; Endoscopy* ; Female ; Humans ; Male ; Median Nerve/physiopathology ; Middle Aged ; Neural Conduction ; Recurrence ; Renal Dialysis/adverse effects* ; Renal Insufficiency/complications ; Renal Insufficiency/therapy ; Treatment Outcome
Carpal Tunnel Syndrome ; complications ; etiology ; physiopathology ; surgery ; Endoscopy ; Female ; Humans ; Male ; Median Nerve ; Middle Aged ; Neural Conduction ; Recurrence ; Renal Dialysis ; adverse effects ; Renal Insufficiency ; therapy ; Treatment Outcome
This study evaluated the clinical results of endoscopic carpal tunnel release in carpal tunnel syndrome caused by long-term hemodialysis and compared the results with that of idiopathic carpal tunnel syndrome. Operations were done in 32 patients (60 hands) with idiopathic carpal tunnel syndrome and in eight patients (15 hands) with carpal tunnel syndrome resulting from long-term hemodialysis. There was no significant difference in findings of preoperative evaluations and postoperative clinical results between the two groups, except for a difference with the patient satisfaction score with surgery on a visual analogue scale. The mean satisfaction score was 9.0 at 6 months, 9.3 at 1 year, and 9.5 at the 2-year followup in the group of patients with idiopathic carpal tunnel syndrome. However, in the group of patients with carpal tunnel syndrome resulting from long-term hemodialysis, the mean satisfaction score was 8.5 at 6 months, 8.2 at 1 year, and 6.5 at the 2-year followup. The score began to decrease at an average of 17.2 months after surgery. Long-term hemodialysis related carpal tunnel syndrome showed satisfactory short-term clinical results until approximately 1.5 years after the operation. After that time, the symptoms tended to deteriorate in 50% of the patients who received hemodialysis continuously.
Appears in Collections:
1. College of Medicine (의과대학) > Dept. of Orthopedic Surgery (정형외과학교실) > 1. Journal Papers
Yonsei Authors
Kim, Sung Jae(김성재)
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