title: Patient-reported outcome of surgical treatment of nerve entrapments in the proximal forearm.
abstract: The outcome of decompression for long-standing symptoms of nerve entrapments in the proximal forearm was investigated in a retrospective study of 205 patients using a self-assessment questionnaire, 45 months after the operation. The questionnaire consisted of visual analogue scale recordings of pre- and postoperative pain during rest and activity, questions about remaining symptoms and appreciation of the result and the Disabilities of Arm, Shoulder and Hand form (DASH). Altogether, 59% of the patients were satisfied, 58% considered themselves improved, and 3% as being entirely relieved of all symptoms. Pain decreased significantly (P = 0.001). There was a significant correlation between preoperative duration and patient perceived post-operative pain. Preoperative pain was a chief complaint, and pain reduction appears to be the principal gain of the operation. Although the majority of the patients benefited from the operation, a substantial proportion was not satisfied. There is apparently room for improvement of the diagnostic and surgical methods applied in this study.
authors: Department of Plastic Surgery, Hand Surgery and Burns, Linköping University Hospital, 581 85 Linköping, Sweden.
authors: Birgitta
authors: B
authors: Svernlöv
authors: Göran
authors: G
authors: Nylander
authors: Lars
authors: L
authors: Adolfsson