Carpal tunnel syndrome in hemodialyzed patients.
A total of 18 hemodialyzed patients submitted to surgery for the treatment of carpal tunnel syndrome are examined. In all of the cases pre- and postoperative EMG and biopsy were performed. Six months after surgery all of the patients showed improved pain symptoms, in 66% there was good recovery of sensitivity and of the function of the hand: these results were confirmed by EMG monitoring. In all of the biopsies amyloid deposits, particularly diffused in the tendinous and nervous sheaths, were observed. At 2-year follow-up 75% of the patients showed recurrence of pain symptoms. Thus, surgery does not seem to definitively resolve symptoms.
IV Division, Istituto Ortopedico Rizzoli, Bologna.
G
G
Vellani
D
D
Dallari
F
F
Fatone
D
D
Martella
V
V
Bonomini
G
G
Gualtieri
D000328:Adult; D000368:Aged; D000682:Amyloid / Q000378:metabolism; D001706:Biopsy; D002349:Carpal Tunnel Syndrome / Q000378:metabolism / Q000473:pathology / Q000601:surgery*; D005260:Female; D006801:Humans; D007676:Kidney Failure, Chronic / Q000378:metabolism / Q000473:pathology / Q000601:surgery; D008023:Ligaments, Articular / Q000378:metabolism / Q000473:pathology / Q000601:surgery; D008297:Male; D008475:Median Nerve / Q000378:metabolism / Q000473:pathology / Q000601:surgery; D008875:Middle Aged; D006435:Renal Dialysis; D013710:Tendons / Q000378:metabolism / Q000473:pathology / Q000601:surgery; D014955:Wrist Joint
D000682:Amyloid