title: Evaluation and Management of Sleep Disorders in the Hand Surgery Patient.
abstract: Despite posing a significant public health threat, sleep disorders remain poorly understood and often underdiagnosed and mismanaged. Although sleep disorders are seemingly unrelated, hand surgeons should be mindful of these because numerous conditions of the upper extremity have known associations with sleep disturbances that can adversely affect patient function and satisfaction. In addition, patients with sleep disorders are at significantly higher risk for severe, even life-threatening medical comorbidities, further amplifying the role of hand surgeons in the recognition of this condition.
authors.affiliation: Philadelphia Hand Center, PC, Department of Orthopedic Surgery, Thomas Jefferson University, Philadelphia, PA. Electronic address: michaelpgaspar@gmail.com.
authors.forename: Michael P
authors.initials: MP
authors.lastname: Gaspar
authors.affiliation: Philadelphia Hand Center, PC, Department of Orthopedic Surgery, Thomas Jefferson University, Philadelphia, PA.
authors.forename: Patrick M
authors.initials: PM
authors.lastname: Kane
authors.affiliation: Philadelphia Hand Center, PC, Department of Orthopedic Surgery, Thomas Jefferson University, Philadelphia, PA.
authors.forename: Sidney M
authors.initials: SM
authors.lastname: Jacoby
authors.affiliation: Department of Anesthesiology, Harborside Surgical Center, Oxon Hill, MD.
authors.forename: Patrick S
authors.initials: PS
authors.lastname: Gaspar
authors.affiliation: Philadelphia Hand Center, PC, Department of Orthopedic Surgery, Thomas Jefferson University, Philadelphia, PA.
authors.forename: A Lee
authors.initials: AL
authors.lastname: Osterman
mesh_terms: D015897:Comorbidity; D005260:Female; D005500:Follow-Up Studies; D006225:Hand / Q000503:physiopathology / Q000601:surgery*; D006801:Humans; D008297:Male; D019637:Orthopedic Procedures / Q000009:adverse effects* / Q000379:methods; D017286:Polysomnography / Q000379:methods; D011182:Postoperative Care / Q000379:methods; D011183:Postoperative Complications / Q000517:prevention & control; D011300:Preoperative Care / Q000379:methods; D018570:Risk Assessment; D020181:Sleep Apnea, Obstructive / Q000175:diagnosis / Q000628:therapy; D012893:Sleep Wake Disorders / Q000175:diagnosis* / Q000628:therapy*; D016896:Treatment Outcome
keywords: Insomnia; carpal tunnel syndrome; hand surgery; obstructive sleep apnea; sleep disorders