Results of endoscopic management of carpal-tunnel syndrome in long-term haemodialysis versus idiopathic patients.
The purpose of this paper is to compare the results of our endoscopic management of carpal-tunnel syndrome caused by long-term haemodialysis to that with no apparent cause (idiopathic). We have operated on 551 hands in 370 patients using the Universal Subcutaneous Endoscope system under local anaesthesia without a pneumatic tourniquet on an out-patient basis since 1986. Ninety-six hands in 64 patients who suffered from carpal-tunnel syndrome from long-term haemodialysis and 85 hands in 52 patients who suffered from carpal-tunnel syndrome for no apparent cause were statistically analysed using complete pre- and postoperative electrophysiological and clinical studies for periods of time ranging from over 6 months to 4.8 years (mean 16.9 months). Electrophysiological and clinical results showed that our endoscopic management in long-term haemodialysis patients is effective, safe and yields the same results as in patients who suffered from carpal-tunnel syndrome for no apparent cause.
Okutsu
I
I
Department of Orthopaedic Surgery, Japanese Red Cross Medical Center, Tokyo.
Hamanaka
I
I
Ninomiya
S
S
Takatori
Y
Y
Shimizu
K
K
Ugawa
Y
Y
D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D002349:Carpal Tunnel Syndrome / Q000209:etiology* / Q000503:physiopathology / Q000601:surgery*; D004594:Electrophysiology; D004724:Endoscopy; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D009068:Movement; D011183:Postoperative Complications; D011930:Reaction Time; D012008:Recurrence; D006435:Renal Dialysis / Q000009:adverse effects*; D012677:Sensation; D013997:Time Factors; D016896:Treatment Outcome