A prospective, community-based, observational study of the outcome of surgical and nonoperative management was conducted.
The study included 429 patients with carpal tunnel syndrome recruited in physicians'offices throughout Maine.
Patients were assessed at baseline and at 6,18, and 30 months following presentation using validated scales that measured symptom severity, functional status, and satisfaction.
Seventy-seven percent of eligible survivors from the original cohort were monitored for 30 months.
Surgically treated patients demonstrated improvements of 1.2 to 1.6 points on the 5-point Symptom Severity and Functional Status scales (23% to 45% improvement in scores), which persisted over the 30-month follow-up period.
The nonoperatively managed patients showed little change in clinical status at 6,18, and 30 months.
While workers'compensation recipients had worse outcomes than nonrecipients, 36 of 68 (53%) workers'compensation recipients were completely or very satisfied with the results of the procedure 30 months after surgery.
There were no significant differences in outcome between patients treated with endoscopic versus open carpal tunnel release.
Among worker's compensation recipients, 12 of 68 (18%) surgical patients and 4 of 32 (13%) nonoperatively treated patients remained out of work because of carpal tunnel syndrome at 30 months. (...)
Mots-clés Pascal : Canal carpien syndrome, Homme, Etude comparative, Technique, Traitement, Pronostic, Epidémiologie, Etude longitudinale, Symptomatologie, Traitement orthopédique, Chirurgie orthopédique, Maine, Etats Unis, Amérique du Nord, Amérique, Compression, Système nerveux pathologie, Nerf périphérique pathologie, Système ostéoarticulaire pathologie
Mots-clés Pascal anglais : Carpal tunnel syndrome, Human, Comparative study, Technique, Treatment, Prognosis, Epidemiology, Follow up study, Symptomatology, Orthopedic treatment, Orthopedic surgery, Maine, United States, North America, America, Compression, Nervous system diseases, Peripheral nerve disease, Diseases of the osteoarticular system
Notice produite par :
Inist-CNRS - Institut de l'Information Scientifique et Technique
Cote : 98-0405746
Code Inist : 002B17A08. Création : 25/01/1999.