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Journal of the Korean Society for Surgery of the Hand 2004;9(3):136-142.
Published online September 1, 2004.
Clinical Factors Related to the Change of Patients’Satisfaction after Carpal Tunnel Release -Preliminary Report-
Hyung Ho Kim, Joo Han Oh, Moon Sang Chung, Hyun Sik Gong, Sanglim Lee, Goo Hyun Baek
수근관 절개술 후 시간 경과에 따른 환자 만족도의 변화 및 이에 영향을 미치는 임상적 인자 -예비적 보고-
김형호, 오주한, 정문상, 공현식, 이상림, 백구현
The current study was designed to analyze perioperative change of symptoms and functions in patients with idiopathic carpal tunnel syndrome, and to identify predictive factors influencing postoperative patients’satisfaction. Materials and Methods: Eighty nine hands of 56 patients who underwent carpal tunnel release for idiopathic carpal tunnel syndrome by one surgeon were included in the cohort. Clinical features evaluated for prognostic factor were as follows: duration of symptom, paresthesia, nocturnal pain, cold intolerance, weakness, thenar atrophy, Tinel sign, Phalen test and electrophysiologic test. We used two forms of questionnaires (Boston questionnaire, DASH) for the prospective evaluation of patients’satisfaction preoperatively and postoperatively. Results: Overall symptoms and functions improved gradually after surgery. Short duration of symptom, nocturnal pain, cold intolerance and subjective weakness were related to postoperative satisfaction (p<0.05). No statistically ignificant correlation was found between electrophysiologic grades and patients’satisfaction. Conclusion: This mid-term prospective study suggests that symptom duration, noctunal pain, cold intolerance and subjective weakness can be predictive factors influencing patients’satisfaction after carpal tunnel release. As a preliminary report, however, the study needs larger investigation with sufficient follow-up.
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