Assessment of Nocturnal Pain Control Outcomes Following Open Surgical Release of Carpal Tunnel Syndrome

  • KHALID ANWAR KHAN KHANZADA Department of Neurosurgery, 1Medical Teaching Institute, Lady Reading Hospita
  • MUBASHIR HASSAN Pak International Medical College and Hospital, Peshawar–
  • ARSHAD KHAN Department of Neurosurgery, 1Medical Teaching Institute, Lady Reading Hospital
Keywords: Carpal tunnel syndrome, Thenar, Entrapment neuropaghy

Abstract

Objective: To assess the Nocturnal Pain Control Outcomes of Open Surgical Release of Carpal Tunnel Syndrome.
Study Design: Descriptive case series.
Place and Duration of Study: Medical Teaching Institution, Govt. Lady Reading Hospital Peshawar from 3/5/2016 to 3/11/2016 (six months).
Materials and Methods: Patients of tunnel syndrome (CTS) of both gender and age ranging from 20 to 60 years were included. Patients with recurrent carpal tunnel syndrome and those having previous wrist surgery done for other diseases were excluded. Diagnosis was done on history, clinical examination and electrophysiological studies. Open surgical release was done in all cases. Patients were followed after 10 days and were assessed clinically on visual analogue scale. Statistical tests with significance of P < 0.05 were utilized using statistical package of social sciences (SPSS version 17).
Results: Mean age of the study participants was 39.90 ± 3.99. Twenty one percent (21%) patients were male and seventy nine (79%) patients were female. Fifty – eight percent (58%) of the patient had CTS in right hand while forty – two percent (42%) had in the left hand. Eighty two percent (82%) patients had controlled pain while eighteen percent (18%) patients had uncontrolled pain.
Conclusion: Our study concludes that eighty two percent (82%) patients had complete relief of nocturnal pain in patients presenting with carpal tunnel syndrome after open surgical release.

References

1. Marquardt TL, Nataraj R, Evans PJ, Seitz WH, Li ZM. Carpal tunnel syndrome impairs thumb opposition and circumduction motion. Clinical Orthopaedics and Rela-ted Research®, 2014 Aug. 1: 472 (8): 2526-33.
2. De Krom MC, Kester AD, Knipschild PG, Spasns F. Risk Factors for carpal tunnel syndrome. American Jou-rnal of Epidemiology, 1990 Dec. 1; 132 (6): 1102-10.
3. Ibrahim I, Khan WS, Goddard N, Smitham P, Suppl I. Carpal Tunnel Syndrome: A Review of the Recent Lite-rature. The open orthopaedics journal, 2012; 6: 69.
4. Zuo D, Zhou Z, Wang H, Liao Y, Zheng L, Hua Y, Cai Z. Endoscopic versus open carpal tunnel release for idiopathic carpal tunnel syndrome: a meta-analysis of randomized controlled trials. Journal of orthopaedic surgery and research, 2015 Jan. 28; 10 (1): 12.
5. Chow JC, Hames ME. Endoscopic carpal tunnel rele-ase: thirteen years’ experience with the Chow techni-que. The Journal of hand surgery, 2002 Nov. 30; 27 (6): 1011-8.
6. Werner RA, Andary M. Electrodiagnostic evaluation of carpal tunnel syndrome. Muscle and Nerve, 2011 Oct. 1; 44 (4): 597-607.
7. Martinoli C, Bianchi S, Gandolfo N, Valle M, Simo-netti S, Derchi LE. US of nerve entrapments in osteo-fibrous tunnels of the upper and lower limbs. Radio-graphics, 2000 Oct: 20 (Suppl. 1): S199-217.
8. LaJoie AS, McCabe SJ, Thomas B, Edgell SE. Deter-mining the sensitivity and specificity of common dia-gnostic tests for carpal tunnel syndrome using latent class analysis. Plastic and reconstructive surgery, 2005 Aug. 1; 116 (2): 502-7.
9. Adams ML, Franklin GM, Barnhart S. Outcome of carpal tunnel surgery in Washington State workers’ compensation. American journal of industrial medicine, 1994 Apr. 1; 25 (4): 527-36.
10. Khan AA, Ali H, Ali K, Muhammad G, Rashid B, Gul N, Zadran KK, Mushtaq M, Saboor A, Ali S, Bhatti SN. Outcome of open carpal tunnel release surgery. Journal of Ayub Medical College Abbottabad, 2015 Sep. 30; 27 (3): 640-2.
11. Prick JJ, Blaauw G, Vredeveld JW, Oosterloo SJ. Res-ults of carpal tunnel release. European journal of neuro-logy, 2003 Nov. 1: 10 (6): 733-6.
12. Brown RA, Gelberman RH, Selier 3rd JG, Abrahams-son SO, Weiland AJ, Urbaniak JR, Schoenfeld DA, Furcolo D. Carpal tunnel release. A prospective, rando-mized assessment of open and endoscopic methods. JBJS. 1993 Sep. 1; 75 (9): 1265-75.
13. Atroshi I, Gummesson C, Johnsson R, Omstein E, Ran-stam J, Rosén I. Prevalence of carpal tunnel syndrome in a general population. JAMA. 1991 Jul. 14; 282 (2): 153-8.
Published
2019-06-11
Section
Original Article