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Carpal tunnel release in patients with diffuse peripheral neuropathy.
The Journal of Hand Surgery
|May 1, 1987
Summary
Carpal tunnel decompression effectively treats carpal tunnel syndrome even when patients also have peripheral neuropathy. Most patients experienced symptom relief, with many achieving complete symptom resolution after the procedure.
Area of Science:
- Neurosurgery
- Orthopedic Surgery
- Neurology
Background:
- Carpal tunnel syndrome (CTS) is a common condition often treated with surgical decompression.
- The presence of coexisting peripheral neuropathy can complicate CTS diagnosis and treatment decisions.
Purpose of the Study:
- To evaluate the efficacy of carpal tunnel decompression in patients with combined carpal tunnel syndrome and peripheral neuropathy.
Main Methods:
- A retrospective review of 60 carpal tunnel decompression surgeries performed on 44 patients.
- Patients had confirmed carpal tunnel syndrome and coexisting peripheral neuropathy.
Main Results:
- Symptomatic improvement was observed in 92% of patients.
- Complete relief of carpal tunnel syndrome symptoms was achieved in 72% of patients.
Conclusions:
- Peripheral neuropathy does not contraindicate carpal tunnel decompression.
- Surgical decompression is a viable and effective treatment option for patients with combined CTS and peripheral neuropathy.