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서지반출
Predictive Value of Sensory Nerve Conduction in Carpal Tunnel Syndrome
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  • Predictive Value of Sensory Nerve Conduction in Carpal Tunnel Syndrome
  • Predictive Value of Sensory Nerve Conduction in Carpal Tunnel Syndrome
저자명
Park. Sa-Kyuk,Lee. Jung-Ho,Lee. Hyuk-Gee,Ryu. Kee-Young,Kang. Dong-Gee,Kim. Sang-Chul
간행물명
Journal of Korean neurosurgical society
권/호정보
2006년|40권 6호|pp.401-405 (5 pages)
발행정보
대한신경외과학회
파일정보
정기간행물|ENG|
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이 논문은 한국과학기술정보연구원과 논문 연계를 통해 무료로 제공되는 원문입니다.
서지반출

기타언어초록

Objective : Electrodiagnostic test has shown diagnostic sensitivity and specificity in carpal tunnel syndrome[CTS]. This study was to evaluate the correlation between clinical outcome of endoscopic carpal tunnel ligament release[ECTR] and the predictive value of sensory nerve conduction. Methods : From January 1998 to December 2004, 87 patients [44 right hand, 37 left hand, 6 bilateral hands] with CTS who underwent ECTR were followed up in our hospital for an average of 24 months. We retrospectively analyzed the results with previous medical records. All patients underwent electrodiagnostic test and ECTR. The patients were divided into three groups according to the electrodiagnostic test results. Group [A] was normal sensory nerve response, Group [B] was slowing sensory response and Group [C] was no sensory response. Improvement of the symptom after ECTR was assessed using a visual analogue scale[VAS] score. Results : Differences between the three groups on the correlation of severity of sensory potential and duration of preoperative symptoms were significant. The mean value of improved VAS scores for the three groups were $6.0{pm}0.96$ in the Group A, $6.11{pm}0.48$ in the Group B and $6.14{pm}0.53$ in the Group C. There was no statistically significant difference between the severity of sensory nerve response and improvement in VAS score after ECTR. Complications included a wound infection, a case of skin necrosis, and two patients with persistent symptoms without any improvement. Conclusion : Although electrodiagnostic test has been known to be useful, sensory nerve response is considered not to be a good prognostic value for carpal tunnel syndrome after ECTR.