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Outcome of Carpal Tunnel Release in Diabetic Patients

From The Toronto Hospital Hand Program, University of Toronto, Canada

Correspondence: M. M. Al-Qattan, FRCS(C). 1806-33 University Avenue, Toronto, Ontario. Canada M5J 2S7.

A retrospective study of 15 diabetic patients (20 hands), who underwent carpal tunnel release, was performed to determine the outcome. All patients had a minimum of 18 months of follow-up. Outcome was considered excellent if there was complete resolution of symptoms and this occurred in 35% of the treated hands. Eight hands (40%) had a good outcome with significant improvement of pre-operative symptoms. Outcome was considered poor when symptoms were minimally improved, unchanged, or worse after surgery and this occurred in 25% of treated hands. All hands with a poor final result had either no electrodiagnostic evidence of localized compression or only mild compression in pre-operative nerve conduction studies. It was postulated that the contribution of localized compression to pre-operative hand symptoms was less than the contribution of peripheral neuropathy in these hands.

Journal of Hand Surgery (British and European Volume), Vol. 19, No. 5, 626-629 (1994)
DOI: 10.1016/0266-7681(94)90131-7


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