Changes in electrophysiological parameters after open carpal tunnel release

Background: Carpal tunnel syndrome (CTS) is the most frequent compressive mononeuropathy, affecting mostly females. Few studies have been performed to assess the electrophysiological parameters before and after carpal tunnel release. The purpose of our study was to evaluate these changes postoperati...

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Main Authors: Mohammad A Tahririan, Alireza Moghtaderi, Farzaneh Aran
Format: Article
Language:English
Published: Wolters Kluwer Medknow Publications 2012-01-01
Series:Advanced Biomedical Research
Subjects:
Online Access:http://www.advbiores.net/article.asp?issn=2277-9175;year=2012;volume=1;issue=1;spage=46;epage=46;aulast=Tahririan
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author Mohammad A Tahririan
Alireza Moghtaderi
Farzaneh Aran
author_facet Mohammad A Tahririan
Alireza Moghtaderi
Farzaneh Aran
author_sort Mohammad A Tahririan
collection DOAJ
description Background: Carpal tunnel syndrome (CTS) is the most frequent compressive mononeuropathy, affecting mostly females. Few studies have been performed to assess the electrophysiological parameters before and after carpal tunnel release. The purpose of our study was to evaluate these changes postoperatively and in the course of a 9-month period after operation in comparison with the preoperative values. Materials and Methods: A case-series study was carried out and included 17 cases of moderate or severe electrophysiologically confirmed CTS, who underwent open carpal tunnel release (CTR) from December 2010 to May 2011. Severity grade was assigned following American Association of the Electrodiagnostic Medicine criteria of CTS. Distal motor and sensory latencies and sensory nerve conduction velocity of the median nerve across the carpal tunnel were evaluated and compared before, at 6, and 9 months after surgery. Results: From the 17 evaluated hand with moderate, moderate to severe and severe CTS, severity improvement was reported in 82.3% 6 months and in 88.2% 9 months after surgery, but only 47% had satisfied or completely satisfied opinion about the results. Others, though still complaining of serious symptoms, had improved or normal NCS. Discussion: Electrophysiological investigations outlined severity improvement after CTR. In the current study, the electrophysiological studies were not meaningful in determining outcome.
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spelling doaj.art-f7cd3c2e7d684204a8cd4371b9741d662022-12-22T03:16:53ZengWolters Kluwer Medknow PublicationsAdvanced Biomedical Research2277-91752277-91752012-01-0111464610.4103/2277-9175.100151Changes in electrophysiological parameters after open carpal tunnel releaseMohammad A TahririanAlireza MoghtaderiFarzaneh AranBackground: Carpal tunnel syndrome (CTS) is the most frequent compressive mononeuropathy, affecting mostly females. Few studies have been performed to assess the electrophysiological parameters before and after carpal tunnel release. The purpose of our study was to evaluate these changes postoperatively and in the course of a 9-month period after operation in comparison with the preoperative values. Materials and Methods: A case-series study was carried out and included 17 cases of moderate or severe electrophysiologically confirmed CTS, who underwent open carpal tunnel release (CTR) from December 2010 to May 2011. Severity grade was assigned following American Association of the Electrodiagnostic Medicine criteria of CTS. Distal motor and sensory latencies and sensory nerve conduction velocity of the median nerve across the carpal tunnel were evaluated and compared before, at 6, and 9 months after surgery. Results: From the 17 evaluated hand with moderate, moderate to severe and severe CTS, severity improvement was reported in 82.3% 6 months and in 88.2% 9 months after surgery, but only 47% had satisfied or completely satisfied opinion about the results. Others, though still complaining of serious symptoms, had improved or normal NCS. Discussion: Electrophysiological investigations outlined severity improvement after CTR. In the current study, the electrophysiological studies were not meaningful in determining outcome.http://www.advbiores.net/article.asp?issn=2277-9175;year=2012;volume=1;issue=1;spage=46;epage=46;aulast=TahririanCarpal tunnel syndromemedian nervenerve conduction studiesopen carpal tunnel release
spellingShingle Mohammad A Tahririan
Alireza Moghtaderi
Farzaneh Aran
Changes in electrophysiological parameters after open carpal tunnel release
Advanced Biomedical Research
Carpal tunnel syndrome
median nerve
nerve conduction studies
open carpal tunnel release
title Changes in electrophysiological parameters after open carpal tunnel release
title_full Changes in electrophysiological parameters after open carpal tunnel release
title_fullStr Changes in electrophysiological parameters after open carpal tunnel release
title_full_unstemmed Changes in electrophysiological parameters after open carpal tunnel release
title_short Changes in electrophysiological parameters after open carpal tunnel release
title_sort changes in electrophysiological parameters after open carpal tunnel release
topic Carpal tunnel syndrome
median nerve
nerve conduction studies
open carpal tunnel release
url http://www.advbiores.net/article.asp?issn=2277-9175;year=2012;volume=1;issue=1;spage=46;epage=46;aulast=Tahririan
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AT alirezamoghtaderi changesinelectrophysiologicalparametersafteropencarpaltunnelrelease
AT farzaneharan changesinelectrophysiologicalparametersafteropencarpaltunnelrelease