A study the various clinical and electrophysiological parameters of severity of carpal tunnel syndrome, their correlation with post-operative recovery

Objective: We aimed to study the various clinical and electrophysiological parameters of severity of carpal tunnel syndrome (CTS) and to see if the severity of CTS affects recovery after surgery. Patients and Methods: A prospective study of 35 patients suffering from CTS. Clinical severity was asses...

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Main Authors: Sushil Ramesh Nehete, Binita B. Raut, Amita S. Hiremath, R. Mukund Thatte
Format: Article
Language:English
Published: Thieme Medical Publishers, Inc. 2017-09-01
Series:Indian Journal of Plastic Surgery
Subjects:
Online Access:http://www.thieme-connect.de/DOI/DOI?10.4103/ijps.IJPS_41_17
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author Sushil Ramesh Nehete
Binita B. Raut
Amita S. Hiremath
R. Mukund Thatte
author_facet Sushil Ramesh Nehete
Binita B. Raut
Amita S. Hiremath
R. Mukund Thatte
author_sort Sushil Ramesh Nehete
collection DOAJ
description Objective: We aimed to study the various clinical and electrophysiological parameters of severity of carpal tunnel syndrome (CTS) and to see if the severity of CTS affects recovery after surgery. Patients and Methods: A prospective study of 35 patients suffering from CTS. Clinical severity was assessed using visual analogue scale and standard questionnaires such as Levine and Disabilities of Arm, Shoulder and Hand questionnaires. All the patients underwent electrophysiological evaluation to assess electrophysiological severity of CTS. According to modified Padua classification, they were classified into three groups, namely, minimal to mild, moderate and severe to extreme. All patients underwent Carpal tunnel release in our unit. The clinical assessment was repeated 3 months post-operatively. Results: Out of 33 patients, majority (65.7%) of the patients were suffering from moderately severe CTS. The clinical provocative tests were positive in majority of patients. Clinically and statistically significant (P < 0.001) improvement was seen in all clinical severity scores. However, it did not show any statistical correlation with electrophysiological severity of the disease when compared among the groups. There was no association of age, gender of the patient, body mass index, hand dominance, affected side of the patient, results of provocative tests and the presence or absence of thenar muscle atrophy when compared among the three severity groups (P > 0.05). Conclusions: Although pre-operative clinical scores of severity and electrophysiology have a diagnostic role in CTS, they do not correlate with post-operative recovery and in turn fail to predict the extent of post-operative recovery before surgery.
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spelling doaj.art-50f164af7e80480a9d6b51a924ed5f9c2022-12-22T02:21:48ZengThieme Medical Publishers, Inc.Indian Journal of Plastic Surgery0970-03581998-376X2017-09-01500326026510.4103/ijps.IJPS_41_17A study the various clinical and electrophysiological parameters of severity of carpal tunnel syndrome, their correlation with post-operative recoverySushil Ramesh Nehete0Binita B. Raut1Amita S. Hiremath2R. Mukund Thatte3Department of Plastic Surgery, Bombay Hospital and Institute of Medical Sciences, Mumbai, Maharashtra, IndiaDepartment of Plastic Surgery, Bombay Hospital and Institute of Medical Sciences, Mumbai, Maharashtra, IndiaDepartment of Plastic Surgery, Bombay Hospital and Institute of Medical Sciences, Mumbai, Maharashtra, IndiaDepartment of Plastic Surgery, Bombay Hospital and Institute of Medical Sciences, Mumbai, Maharashtra, IndiaObjective: We aimed to study the various clinical and electrophysiological parameters of severity of carpal tunnel syndrome (CTS) and to see if the severity of CTS affects recovery after surgery. Patients and Methods: A prospective study of 35 patients suffering from CTS. Clinical severity was assessed using visual analogue scale and standard questionnaires such as Levine and Disabilities of Arm, Shoulder and Hand questionnaires. All the patients underwent electrophysiological evaluation to assess electrophysiological severity of CTS. According to modified Padua classification, they were classified into three groups, namely, minimal to mild, moderate and severe to extreme. All patients underwent Carpal tunnel release in our unit. The clinical assessment was repeated 3 months post-operatively. Results: Out of 33 patients, majority (65.7%) of the patients were suffering from moderately severe CTS. The clinical provocative tests were positive in majority of patients. Clinically and statistically significant (P < 0.001) improvement was seen in all clinical severity scores. However, it did not show any statistical correlation with electrophysiological severity of the disease when compared among the groups. There was no association of age, gender of the patient, body mass index, hand dominance, affected side of the patient, results of provocative tests and the presence or absence of thenar muscle atrophy when compared among the three severity groups (P > 0.05). Conclusions: Although pre-operative clinical scores of severity and electrophysiology have a diagnostic role in CTS, they do not correlate with post-operative recovery and in turn fail to predict the extent of post-operative recovery before surgery.http://www.thieme-connect.de/DOI/DOI?10.4103/ijps.IJPS_41_17carpal tunnel syndromedisabilities of armshoulder and hand scoreelectromyography nerve conduction velocitylevine score
spellingShingle Sushil Ramesh Nehete
Binita B. Raut
Amita S. Hiremath
R. Mukund Thatte
A study the various clinical and electrophysiological parameters of severity of carpal tunnel syndrome, their correlation with post-operative recovery
Indian Journal of Plastic Surgery
carpal tunnel syndrome
disabilities of arm
shoulder and hand score
electromyography nerve conduction velocity
levine score
title A study the various clinical and electrophysiological parameters of severity of carpal tunnel syndrome, their correlation with post-operative recovery
title_full A study the various clinical and electrophysiological parameters of severity of carpal tunnel syndrome, their correlation with post-operative recovery
title_fullStr A study the various clinical and electrophysiological parameters of severity of carpal tunnel syndrome, their correlation with post-operative recovery
title_full_unstemmed A study the various clinical and electrophysiological parameters of severity of carpal tunnel syndrome, their correlation with post-operative recovery
title_short A study the various clinical and electrophysiological parameters of severity of carpal tunnel syndrome, their correlation with post-operative recovery
title_sort study the various clinical and electrophysiological parameters of severity of carpal tunnel syndrome their correlation with post operative recovery
topic carpal tunnel syndrome
disabilities of arm
shoulder and hand score
electromyography nerve conduction velocity
levine score
url http://www.thieme-connect.de/DOI/DOI?10.4103/ijps.IJPS_41_17
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