title: Risk factors for re-recurrent carpal tunnel syndrome in patients undergoing long-term hemodialysis.
abstract: The purpose of this study was to evaluate risk factors for re-recurrent carpal tunnel syndrome (CTS) in long-term renal hemodialysis (HD) patients. Fifteen wrists of ten HD patients, follow-up period of minimum seven years after reoperation of CTS, were included in this study. Duration of HD, period from first operation to reoperation, shunt side was involved or not, presence of trigger finger and cervical destructive spondyloarthritis, and operative procedure performed during the reoperation (synovectomy was performed or not) were evaluated. Re-recurrent CTS was identified in four out of 15 wrists (27%). The period from first operation to reoperation, which was 3.8 years in the re-recurrence group and eight years in the no re-recurrence group, and the operative procedure had significant differences (synovectomy groups had no re-recurrence vs. no synovectomy groups had 82% re-recurrence). The results of this study suggested that synovectomy would be necessary for recurrent CTS in HD patients.
authors: Department of Orthopedic Surgery, Japanese Red Cross Fukuoka Hospital, Fukuoka, Japan. kakiku1975@yahoo.co.jp
authors: Katsuhiko
authors: K
authors: Kikuchi
authors: Koji
authors: K
authors: Matsumoto
authors: Ken-Ichi
authors: K
authors: Seo
authors: Yasumasa
authors: Y
authors: Ito
authors: Shinji
authors: S
authors: Tomari
mesh_terms: D000368:Aged; D002349:Carpal Tunnel Syndrome / Q000150:complications / Q000453:epidemiology* / Q000601:surgery; D019299:Decompression, Surgical; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D015994:Incidence; D007564:Japan / Q000453:epidemiology; D007676:Kidney Failure, Chronic / Q000150:complications / Q000628:therapy; D008297:Male; D008875:Middle Aged; D019637:Orthopedic Procedures / Q000379:methods; D012008:Recurrence; D006435:Renal Dialysis; D012189:Retrospective Studies; D018570:Risk Assessment; D012307:Risk Factors; D013997:Time Factors