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Journal of Hand Surgery (British and European Volume)
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Carpal Tunnel Release for Advanced Disease in Patients 70 Years and Older: Does Outcome from the Patient’s Perspective Justify Surgery?

M. M. TOMAINO
R. W. WEISER

From the Department of Orthopaedic Surgery, University of Pittsburgh Medical Center, Pittsburgh, PA, USA

Correspondence: Dr Matthew M Tomaino, Dept of Orthopaedic Surgery, University of Pittsburgh Medical Center, 3471 Fifth Avenue, Suite 1010, Pittsburgh PA 15213, USA. E-mail: Tomainomm{at}msx.upmc.edu

Because more advanced stages of nerve compression are likely to result in intraneural changes including intrinsic fibrosis and axon loss, we hypothesised that carpal tunnel release for advanced carpal tunnel syndrome might not result in satisfactory resolution of symptoms. We were particularly interested in evaluating a population of elderly patients 70 years and older for whom relief of symptoms is the overwhelming objective of surgery. Our retrospective assessment of symptom resolution and patient satisfaction in 13 patients with advanced carpal tunnel syndrome utilized a validated self-administered questionnaire and revealed minimal symptoms in 11 patients. Although carpal tunnel release is unlikely to result in the total elimination of symptoms when performed in elderly patients with advanced disease, outcome from the patient’s perspective appears to be satisfactory and the surgery quite justified.

Journal of Hand Surgery (British and European Volume), Vol. 26, No. 5, 481-483 (2001)
DOI: 10.1054/jhsb.2001.0614
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 J Hand Surg Eur VolHome page
T. B. HANSEN and K. LARSEN
Age is an important predictor of short-term outcome in endoscopic carpal tunnel release
J Hand Surg Eur Vol., October 1, 2009; 34(5): 660 - 664.
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