Carpal tunnel pressure in patients with carpal tunnel syndrome due to long-term hemodialysis.
We studied carpal tunnel pressure and outcome of endoscopic carpal tunnel release in 42 patients (53 hands) with carpal tunnel syndrome (CTS) and receiving long-term hemodialysis. We compared these results with those of 41 patients (49 hands) with idiopathic CTS. Pressure was measured peroperatively: first, before dilation of the carpal tunnel; second, after dilation but before release of the transverse carpal ligament; and third, after completion of the release. In patients receiving long-term hemodialysis, the highest pressures were 76.9, 56.0, and 7.8 mmHg respectively. In patients with idiopathic CTS, pressures were 68.8, 44.1, and 4.0 mmHg respectively. The clinical outcome was inferior in patients receiving long-term hemodialysis.
Sekiya
H
H
Department of Orthopaedic Surgery, Jichi Medical School, 3311-1 Yakushiji, Kawachi-machi, Kawachi-gun, Tochigi, 329-0498 Japan. hsekiya@aol.com
Sugimoto
N
N
Kariya
Y
Y
Hoshino
Y
Y
D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D000704:Analysis of Variance; D002349:Carpal Tunnel Syndrome / Q000209:etiology* / Q000503:physiopathology / Q000601:surgery*; D019299:Decompression, Surgical; D004724:Endoscopy; D005260:Female; D006801:Humans; D008297:Male; D008475:Median Nerve / Q000503:physiopathology; D008875:Middle Aged; D006435:Renal Dialysis / Q000009:adverse effects*; D016896:Treatment Outcome