Upper extremity entrapment neuropathy and tourniquet use in patients undergoing hemodialysis.
Patients with end-stage renal disease, undergoing hemodialysis, have been shown to have an increased prevalence of carpal tunnel syndrome. From mid-1981 through 1986, 21 patients undergoing hemodialysis were operated on for 33 cases of clinically diagnosed entrapment of the median and/or ulnar nerves, including 14 extremities with functioning vascular access. All patients report improvement in symptoms and function in the affected extremity. Preoperative tourniquet use did not have a permanent adverse effect on any access site. Electrophysiologic studies were not reliable predictors of clinically resolvable nerve entrapment.
Semer
N B
NB
University of Maryland Hospital, Baltimore, Md 21201.
Goldberg
N H
NH
Cuono
C B
CB
D000328:Adult; D000368:Aged; D002349:Carpal Tunnel Syndrome / Q000175:diagnosis / Q000209:etiology* / Q000601:surgery; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D009408:Nerve Compression Syndromes / Q000175:diagnosis / Q000209:etiology* / Q000601:surgery; D006435:Renal Dialysis / Q000009:adverse effects*; D014111:Tourniquets / Q000009:adverse effects*; D014459:Ulnar Nerve