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PUBMED FOR HANDHELDS

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  • Title: Results of endoscopic management of carpal-tunnel syndrome in long-term haemodialysis versus idiopathic patients.
    Author: Okutsu I, Hamanaka I, Ninomiya S, Takatori Y, Shimizu K, Ugawa Y.
    Journal: Nephrol Dial Transplant; 1993; 8(10):1110-4. PubMed ID: 8272225.
    Abstract:
    The purpose of this paper is to compare the results of our endoscopic management of carpal-tunnel syndrome caused by long-term haemodialysis to that with no apparent cause (idiopathic). We have operated on 551 hands in 370 patients using the Universal Subcutaneous Endoscope system under local anaesthesia without a pneumatic tourniquet on an out-patient basis since 1986. Ninety-six hands in 64 patients who suffered from carpal-tunnel syndrome from long-term haemodialysis and 85 hands in 52 patients who suffered from carpal-tunnel syndrome for no apparent cause were statistically analysed using complete pre- and postoperative electrophysiological and clinical studies for periods of time ranging from over 6 months to 4.8 years (mean 16.9 months). Electrophysiological and clinical results showed that our endoscopic management in long-term haemodialysis patients is effective, safe and yields the same results as in patients who suffered from carpal-tunnel syndrome for no apparent cause.
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