Journal of Clinical and Diagnostic Research, ISSN - 0973 - 709X

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Original article / research
Year : 2018 | Month : March | Volume : 12 | Issue : 3 | Page : RC01 - RC05

Factors that Predict the Response to Treatment in Carpal Tunnel Syndrome

Ankur Munjal

1. Senior Registrar, Department of Orthopaedics and Trauma Surgery, Aneurin Bevan University Health Board, Royal Gwent Hospital, Cardiff Road, Newport, United Kindom.

Correspondence Address :
Dr. Ankur Munjal,
Senior Registrar, Department of Orthopaedics, Royal Gwent Hospital, Cardiff Road, Newport-NP20 2UB,
Gwent, United Kingdom.
E-mail: ankur_munjal@rediffmail.com

Abstract

Introduction: Carpal tunnel release is a very common surgery and most people do very well after the surgery but some pre-existing conditions can have a negative impact on the outcome of the surgery. Our current knowledge about the impact of these conditions on the outcome of carpal tunnel release is incomplete.

Aim: To find out the various factors that could affect the outcome of the carpal tunnel release.

Materials and Methods: The present study was a retrospective analysis of the patients who underwent open carpal tunnel decompression and the study evaluates the effect of pre-existing factors like age, sex, duration of symptoms, BMI, Nerve Conduction Studies (NCS), alcohol, smoking status and comorbid conditions like diabetes, depression and fibromyalgia on the outcome of surgery. Chi-square analysis was carried out to find out the relationship between the final outcome and each variable. A p-value <0.05 was considered as significant.

Results: Age, sex, duration of symptoms, BMI, NCS, alcohol and smoking status and comorbid conditions like diabetes, and depression were not found to be associated with the outcome. Fibromyalgia was found to be significantly associated with poor outcome.

Conclusion: Carpal tunnel release consistently gives good outcomes and must be offered to the patients who have failed conservative treatment, irrespective of the factors like age, sex, duration of symptoms, BMI, NCS, diabetes, and depression. Patients with fibromyalgia must be warned pre-operatively about the possibility of inferior results following the surgery.

Keywords

Carpal tunnel release, Fibromyalgia, Outcome, Retrospective study

How to cite this article :

Ankur Munjal. FACTORS THAT PREDICT THE RESPONSE TO TREATMENT IN CARPAL TUNNEL SYNDROME. Journal of Clinical and Diagnostic Research [serial online] 2018 March [cited: 2018 Jun 20 ]; 12:RC01-RC05. Available from
http://www.jcdr.net/back_issues.asp?issn=0973-709x&year=2018&month=March&volume=12&issue=3&page=RC01-RC05&id=11250

DOI and Others

DOI: 10.7860/JCDR/2018/34137.11250

Date of Submission: Oct 01, 2017
Date of Peer Review: Nov 07, 2017
Date of Acceptance: Dec 14, 2017
Date of Publishing: Mar 01, 2018

FINANCIAL OR OTHER COMPETING INTERESTS: None.

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