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HAND
Published in: HAND 3/2014

01-09-2014

Long-term outcomes following single-portal endoscopic carpal tunnel release

Authors: K. R. Means Jr., N. H. Dubin, K. M. Patel, J. D. Pletka

Published in: HAND | Issue 3/2014

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Abstract

Background

There is limited published information about long-term outcomes and recurrence rates following single-portal endoscopic carpal tunnel release.

Methods

We reviewed symptom and function outcomes from a prospectively collected database of patients who underwent single-portal endoscopic carpal tunnel release at a minimum of 8 years follow-up. Out of 207 patients in the original database, we were able to confirm correct current contact information for 106 patients. Of these, 91 patients with 115 single-portal endoscopic carpal tunnel releases agreed to participate. All of these patients were eligible for this long-term follow-up study based on documented preoperative and 6-month postoperative Levine-Katz questionnaire scores. Patients then completed a current update of the Levine-Katz questionnaires to assess function and symptom outcomes at latest follow-up.

Results

The average 6-month postoperative scores were significantly lower compared with the average preoperative scores and were maintained at long-term follow-up. There were no significant differences in average change in scores at long-term follow-up compared to 6-months postoperative.

Conclusions

Single-portal endoscopic carpal tunnel release is an effective surgical treatment for carpal tunnel syndrome. Low recurrence rates and maintenance of low symptom and function scores can be expected at 8 to 10 years following this technique.
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Metadata
Title
Long-term outcomes following single-portal endoscopic carpal tunnel release
Authors
K. R. Means Jr.
N. H. Dubin
K. M. Patel
J. D. Pletka
Publication date
01-09-2014
Publisher
Springer US
Published in
HAND / Issue 3/2014
Print ISSN: 1558-9447
Electronic ISSN: 1558-9455
DOI
https://doi.org/10.1007/s11552-014-9614-1

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