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Does carpal tunnel release provide long-term relief in patients with hemodialysis-associated carpal tunnel syndrome?

DC Field Value Language
dc.contributor.author고일현-
dc.contributor.author최윤락-
dc.contributor.author한수봉-
dc.contributor.author강호정-
dc.date.accessioned2014-12-19T16:42:25Z-
dc.date.available2014-12-19T16:42:25Z-
dc.date.issued2012-
dc.identifier.issn0009-921X-
dc.identifier.urihttps://ir.ymlib.yonsei.ac.kr/handle/22282913/90038-
dc.description.abstractBACKGROUND: Carpal tunnel syndrome (CTS) is a common complication in patients receiving long-term hemodialysis. In the short-term however, these patients are less likely to have pain relief and restoration of function after carpal tunnel release. However, it is unclear whether patients who have release for hemodialysis-associated CTS have differing persisting relief of symptoms compared with patients with idiopathic CTS. QUESTIONS/PURPOSES: We therefore compared (1) the severity of pain and level of function in patients who had release for hemodialysis-associated CTS with scores of patients who had release for idiopathic CTS, and (2) the operation-related complications. METHODS: We retrospectively reviewed 36 patients with CTS who were receiving hemodialysis and 54 patients with idiopathic CTS. Control subjects were matched for age, gender, and symptom severity. We obtained Boston Carpal Tunnel Questionnaire (BCTQ) scores preoperatively and at each followup. The minimum followup was 24 months (mean, 44.3 months; range, 24-90 months), although all comparisons were made at 2 years. RESULTS: Two years after carpal tunnel release, the mean BCTQ-symptom (S) /BCTQ-function (F) scores improved from 3.3/2.1 to 2.1/2.1 in the hemodialysis-associated CTS group and from 3.2/2.3 to 1.4/1.4 in the idiopathic CTS group. All but six patients receiving hemodialysis had lower (better) BCTQ-S scores than their initial scores. Four patients had complications, all with hemodialysis-associated CTS: two had revision carpal tunnel releases and two had delayed wound healing. We observed no arteriovenous fistula-related complication. CONCLUSIONS: Patients with hemodialysis-associated CTS seem to remain impaired, unlike patients with idiopathic CTS, but the majority of them might have much improved CTS-related symptoms at 2 years after carpal tunnel release.-
dc.description.statementOfResponsibilityopen-
dc.relation.isPartOfCLINICAL ORTHOPAEDICS AND RELATED RESEARCH-
dc.rightsCC BY-NC-ND 2.0 KR-
dc.rights.urihttps://creativecommons.org/licenses/by-nc-nd/2.0/kr/-
dc.subject.MESHAged-
dc.subject.MESHCarpal Tunnel Syndrome/diagnosis-
dc.subject.MESHCarpal Tunnel Syndrome/etiology-
dc.subject.MESHCarpal Tunnel Syndrome/physiopathology-
dc.subject.MESHCarpal Tunnel Syndrome/surgery*-
dc.subject.MESHChi-Square Distribution-
dc.subject.MESHDecompression, Surgical*/adverse effects-
dc.subject.MESHFemale-
dc.subject.MESHHumans-
dc.subject.MESHLigaments/physiopathology-
dc.subject.MESHLigaments/surgery*-
dc.subject.MESHMale-
dc.subject.MESHMiddle Aged-
dc.subject.MESHOrthopedic Procedures*/adverse effects-
dc.subject.MESHPain/etiology-
dc.subject.MESHPain/surgery-
dc.subject.MESHRecovery of Function-
dc.subject.MESHRenal Dialysis/adverse effects*-
dc.subject.MESHRepublic of Korea-
dc.subject.MESHRetrospective Studies-
dc.subject.MESHSeverity of Illness Index-
dc.subject.MESHSurveys and Questionnaires-
dc.subject.MESHTime Factors-
dc.subject.MESHTreatment Outcome-
dc.titleDoes carpal tunnel release provide long-term relief in patients with hemodialysis-associated carpal tunnel syndrome?-
dc.typeArticle-
dc.contributor.collegeCollege of Medicine (의과대학)-
dc.contributor.departmentDept. of Orthopedic Surgery (정형외과학)-
dc.contributor.googleauthorHo Jung Kang-
dc.contributor.googleauthorIl Hyun Koh-
dc.contributor.googleauthorWon Yong Lee-
dc.contributor.googleauthorYun Rak Choi-
dc.contributor.googleauthorSoo Bong Hahn-
dc.identifier.doi22399438-
dc.admin.authorfalse-
dc.admin.mappingfalse-
dc.contributor.localIdA00141-
dc.contributor.localIdA04136-
dc.contributor.localIdA04293-
dc.contributor.localIdA00098-
dc.relation.journalcodeJ00602-
dc.identifier.eissn1528-1132-
dc.identifier.pmid22399438-
dc.identifier.urlhttp://link.springer.com/article/10.1007%2Fs11999-012-2309-4-
dc.subject.keywordAged-
dc.subject.keywordCarpal Tunnel Syndrome/diagnosis-
dc.subject.keywordCarpal Tunnel Syndrome/etiology-
dc.subject.keywordCarpal Tunnel Syndrome/physiopathology-
dc.subject.keywordCarpal Tunnel Syndrome/surgery*-
dc.subject.keywordChi-Square Distribution-
dc.subject.keywordDecompression, Surgical*/adverse effects-
dc.subject.keywordFemale-
dc.subject.keywordHumans-
dc.subject.keywordLigaments/physiopathology-
dc.subject.keywordLigaments/surgery*-
dc.subject.keywordMale-
dc.subject.keywordMiddle Aged-
dc.subject.keywordOrthopedic Procedures*/adverse effects-
dc.subject.keywordPain/etiology-
dc.subject.keywordPain/surgery-
dc.subject.keywordRecovery of Function-
dc.subject.keywordRenal Dialysis/adverse effects*-
dc.subject.keywordRepublic of Korea-
dc.subject.keywordRetrospective Studies-
dc.subject.keywordSeverity of Illness Index-
dc.subject.keywordSurveys and Questionnaires-
dc.subject.keywordTime Factors-
dc.subject.keywordTreatment Outcome-
dc.contributor.alternativeNameKoh, Il Hyun-
dc.contributor.alternativeNameChoi, Yun Rak-
dc.contributor.alternativeNameHahn, Soo Bong-
dc.contributor.alternativeNameKang, Ho Jung-
dc.contributor.affiliatedAuthorKoh, Il Hyun-
dc.contributor.affiliatedAuthorChoi, Yun Rak-
dc.contributor.affiliatedAuthorHahn, Soo Bong-
dc.contributor.affiliatedAuthorKang, Ho Jung-
dc.citation.volume470-
dc.citation.number9-
dc.citation.startPage2561-
dc.citation.endPage2565-
dc.identifier.bibliographicCitationCLINICAL ORTHOPAEDICS AND RELATED RESEARCH, Vol.470(9) : 2561-2565, 2012-
dc.identifier.rimsid32617-
dc.type.rimsART-
Appears in Collections:
1. College of Medicine (의과대학) > Dept. of Orthopedic Surgery (정형외과학교실) > 1. Journal Papers

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