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Pubmed for Handhelds

PUBMED FOR HANDHELDS

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  • Title: Management of carpal tunnel syndrome in renal dialysis patients using an extended carpal tunnel release procedure.
    Author: Wilson SW, Pollard RE, Lees VC.
    Journal: J Plast Reconstr Aesthet Surg; 2008 Sep; 61(9):1090-4. PubMed ID: 17889634.
    Abstract:
    BACKGROUND: Chronic dialysis patients are susceptible to median nerve compression. This may be due to oedema or vascular insufficiency related to a dialysis shunt or fistula. Patients with renal failure may also develop amyloid disease. Amyloid infiltration of the synovium within the carpal canal may be a contributing factor to the nerve compression. Traditional carpal tunnel release, although simple to perform, is associated with a much higher recurrence rate in this group than in nonrenal patients. Our aim was to modify the carpal tunnel release procedure and prevent these recurrences. METHODS: A retrospective review of 24 extended carpal tunnel decompressions in 19 dialysis patients was performed, with reference to patient records. The surgical technique is detailed and the clinical results analysed. RESULTS: All patients noted an early and sustained improvement in symptoms; those patients with established sensory or motor signs had poorer results following surgery. There were no instances of recurrence of nerve compression during this follow-up period, range 2-6 years. CONCLUSIONS: Carpal tunnel decompression enhances hand function and quality of life in this group.
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