Neuroelectrophysiological evaluation of carpal tunnel syndrome before and after surgical intervention
Background: Carpal tunnel release operation (CTR) is required to alleviate the symptoms of carpal tunnel syndrome (CTS), the most common entrapment neuropathy. Methods: Thirty-two patients (39 hands) of CTS were subdivided into Group I is moderate CTS (n = 9 hands), Group II is severe CTS (n = 14 ha...
| Main Authors: | , , |
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| Format: | Article |
| Language: | English |
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Wolters Kluwer Medknow Publications
2023-01-01
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| Series: | Indian Journal of Rheumatology |
| Subjects: | |
| Online Access: | http://www.indianjrheumatol.com/article.asp?issn=0973-3698;year=2023;volume=18;issue=3;spage=199;epage=204;aulast=Chowdhury |
| _version_ | 1797649314652094464 |
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| author | Debanjana Chowdhury Sangita Sen Tibar Banerjee |
| author_facet | Debanjana Chowdhury Sangita Sen Tibar Banerjee |
| author_sort | Debanjana Chowdhury |
| collection | DOAJ |
| description | Background: Carpal tunnel release operation (CTR) is required to alleviate the symptoms of carpal tunnel syndrome (CTS), the most common entrapment neuropathy.
Methods: Thirty-two patients (39 hands) of CTS were subdivided into Group I is moderate CTS (n = 9 hands), Group II is severe CTS (n = 14 hands), and Group III is extreme CTS (n = 16 hands) and underwent conventional electrophysiological evaluation and short segment transcarpal nerve conduction studies preoperatively and 1 and 3 months after open CTR operation.
Results: In the case of motor conduction parameter, distal motor latency showed statistically significant improvement after 1 month of CTR (P < 0.05) in all three groups of patients, and improvement consistently increased during 3rd month follow-up (P < 0.001). In Group III patients, preoperatively forearm motor conduction velocity (FMCV) and transcarpal motor conduction velocity (TMCV) were nonrecordable, FMCV became recordable in 6 hands, while TMCV in all 16 hands post CTR. In case sensory parameters, both distal sensory latency (DSL) and sensory nerve conduction velocity (SNCV) showed significant improvement in Group I, and no improvement was noted in Group III patients. Group II (6 of 14 hands) patients showed a reappearance of DSL and SNCV at 1-month follow-up and continued a steady improvement in 3rd month after CTR.
Conclusion: We found that TMCV is a more sensitive parameter in assessing improvement of median nerve function after CTR. It is possible to identify patients with a poor outcome by performing electrophysiological studies. |
| first_indexed | 2024-03-11T15:45:24Z |
| format | Article |
| id | doaj.art-a6b64ea95c21489387f3a4cd6291559f |
| institution | Directory Open Access Journal |
| issn | 0973-3698 0973-3701 |
| language | English |
| last_indexed | 2024-03-11T15:45:24Z |
| publishDate | 2023-01-01 |
| publisher | Wolters Kluwer Medknow Publications |
| record_format | Article |
| series | Indian Journal of Rheumatology |
| spelling | doaj.art-a6b64ea95c21489387f3a4cd6291559f2023-10-26T06:50:13ZengWolters Kluwer Medknow PublicationsIndian Journal of Rheumatology0973-36980973-37012023-01-0118319920410.4103/injr.injr_277_21Neuroelectrophysiological evaluation of carpal tunnel syndrome before and after surgical interventionDebanjana ChowdhurySangita SenTibar BanerjeeBackground: Carpal tunnel release operation (CTR) is required to alleviate the symptoms of carpal tunnel syndrome (CTS), the most common entrapment neuropathy. Methods: Thirty-two patients (39 hands) of CTS were subdivided into Group I is moderate CTS (n = 9 hands), Group II is severe CTS (n = 14 hands), and Group III is extreme CTS (n = 16 hands) and underwent conventional electrophysiological evaluation and short segment transcarpal nerve conduction studies preoperatively and 1 and 3 months after open CTR operation. Results: In the case of motor conduction parameter, distal motor latency showed statistically significant improvement after 1 month of CTR (P < 0.05) in all three groups of patients, and improvement consistently increased during 3rd month follow-up (P < 0.001). In Group III patients, preoperatively forearm motor conduction velocity (FMCV) and transcarpal motor conduction velocity (TMCV) were nonrecordable, FMCV became recordable in 6 hands, while TMCV in all 16 hands post CTR. In case sensory parameters, both distal sensory latency (DSL) and sensory nerve conduction velocity (SNCV) showed significant improvement in Group I, and no improvement was noted in Group III patients. Group II (6 of 14 hands) patients showed a reappearance of DSL and SNCV at 1-month follow-up and continued a steady improvement in 3rd month after CTR. Conclusion: We found that TMCV is a more sensitive parameter in assessing improvement of median nerve function after CTR. It is possible to identify patients with a poor outcome by performing electrophysiological studies.http://www.indianjrheumatol.com/article.asp?issn=0973-3698;year=2023;volume=18;issue=3;spage=199;epage=204;aulast=Chowdhurycarpal tunnel syndromemedian nervenerve conduction studiestranscarpal motor conduction velocity |
| spellingShingle | Debanjana Chowdhury Sangita Sen Tibar Banerjee Neuroelectrophysiological evaluation of carpal tunnel syndrome before and after surgical intervention Indian Journal of Rheumatology carpal tunnel syndrome median nerve nerve conduction studies transcarpal motor conduction velocity |
| title | Neuroelectrophysiological evaluation of carpal tunnel syndrome before and after surgical intervention |
| title_full | Neuroelectrophysiological evaluation of carpal tunnel syndrome before and after surgical intervention |
| title_fullStr | Neuroelectrophysiological evaluation of carpal tunnel syndrome before and after surgical intervention |
| title_full_unstemmed | Neuroelectrophysiological evaluation of carpal tunnel syndrome before and after surgical intervention |
| title_short | Neuroelectrophysiological evaluation of carpal tunnel syndrome before and after surgical intervention |
| title_sort | neuroelectrophysiological evaluation of carpal tunnel syndrome before and after surgical intervention |
| topic | carpal tunnel syndrome median nerve nerve conduction studies transcarpal motor conduction velocity |
| url | http://www.indianjrheumatol.com/article.asp?issn=0973-3698;year=2023;volume=18;issue=3;spage=199;epage=204;aulast=Chowdhury |
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