Paper Information

Journal:   KOWSAR MEDICAL JOURNAL   Summer 2004 , Volume 9 , Number Part 2; Page(s) 155 To 159.
 
Paper: 

PATIENTS ASSESSMENT OF POST-TRANSVERSE CARPAL LIGAMENT RELEASE

 
 
Author(s):  ALIZADEH KH.*, HOLISAZ M.T., REZAEI Y., HASANZADEH Z., GHAPHARPOOR S., VAZIRI K.
 
* 
 
Abstract: 
Objective. crs, occurs between the age of thirty and sixty, is the most common constructive neuropathy in the upper extremities with five times more prevalance in females. Any agent constricting the carpal tunnel may cause the syndrome, ranging from inflammatory conditions such as rhrumatoid arthritis, gout, non-specific tenosynovittis and infections to physiologic disorders like diabetes mellitus, alchoholism and so on. Due to symptoms like hand pain, numbness hypoesthesia and weakness, interening with daily activities surgical treatment may finally be indicated. Successful surgical treatment is evaluated by it is high efficacy and it is low rate of complications and recurrence having reliable criteria for grading patients satisifaction allows an acceptable future surgeries.
Materials and Methods. This semi-experimental pretest-post test study on 132 patients who had surgical release of T.C.L was performed. The simmon and levie symptom severity and functional scores obtained by patients were evaluated and statistically analysed.
Results. 121 patients (91.6%) out of total 132 were between 30-60 of ages and 110 patients (83.3%) were females. All ten different factors in triple scoring (before surgery, 4 and 16 weeks post surgery) meaningfully decreased (P value:0.00). Our extra question of the end of each lost interview suggests (91.7%) of patients are willing to have their contralateral hand operated.
Conclusion. A high level of satisfaction with TCL release.
 
Keyword(s): CTS, SIMMON AND LEVINE SCORE, ASSESMENT
 
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