Article

Thirty-eight hands in 36 patients with recurrent or persistent carpal tunnel
syndrome (CTS) were reviewed retrospectively after a mean of 51months (range
12-86) to identify factors that may lead to poor outcomes after surgical
management. Clinical assessment focused on pain and sensitivity recovery,
measured with a VAS and Weber's two-point discrimination test, respectively. At
the latest follow-up, we found 11 excellent, 15 good, nine fair and three poor
results. The risk of fair or poor results was significantly higher in the
presence of intraneural fibrosis, severe preoperative sensory deficit, neuroma of
the palmar cutaneous branch of the median nerve, workers compensation claims and
number of previous surgeries. This last factor also significantly increased the
risk of intraneural fibrosis. Despite disappointing outcomes, identification of
these factors may improve our prognostic ability for revision surgery in cases of
recurrent CTS.
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Langue : ANGLAIS