کد مقاله کد نشریه سال انتشار مقاله انگلیسی نسخه تمام متن
3096401 1581478 2013 6 صفحه PDF دانلود رایگان
عنوان انگلیسی مقاله ISI
Early versus Delayed Endoscopic Surgery for Carpal Tunnel Syndrome: Prospective Randomized Study
موضوعات مرتبط
علوم زیستی و بیوفناوری علم عصب شناسی عصب شناسی
پیش نمایش صفحه اول مقاله
Early versus Delayed Endoscopic Surgery for Carpal Tunnel Syndrome: Prospective Randomized Study
چکیده انگلیسی

ObjectiveTo compare the effects of early versus delayed endoscopic surgery in patients with moderately severe carpal tunnel syndrome (CTS).MethodsThe study included 100 patients with CTS. Investigations performed before surgery excluded secondary causes. Patients with moderately severe CTS (grade 3–4) were randomly assigned. Bland’s neurophysiologic grading scale for CTS was used to assess the patients. Patients underwent an endoscopic carpal tunnel release using an indigenously designed instrument.ResultsFollowing a course of conservative treatment, surgical treatment was offered in two groups: early surgery (n = 51; <1 week after diagnosis) and delayed surgery as per the usual waiting list (n = 49; >6 months after diagnosis). Improvement in both groups was significant (P < 0.001). When both groups were compared, improvement was better for the early surgery group (P < 0.001; confidence interval 6.35–9.12).ConclusionsOn the basis of this study, early endoscopic surgery is proposed in patients with moderately severe CTS.

ناشر
Database: Elsevier - ScienceDirect (ساینس دایرکت)
Journal: World Neurosurgery - Volume 79, Issues 5–6, May–June 2013, Pages 767–772
نویسندگان
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