Details

Autor(en) / Beteiligte

• Mendelaar, Nienke H.A.
• Hundepool, Caroline A.
• Hoogendam, Lisa
• Duraku, Liron S.
• Zöphel, Oliver T.
• Selles, Ruud W.
• Zuidam, J. Michiel
• Blomme, Richard Arjen Michiel
• van der Avoort, Dirk-Jan
• Halbesma, Gert-Jan
• Kroeze, Alexander
• Smit, Jeronimus (Jeroen) Maria
• Debeij, Jan
• Walbeehm, Erik Taco
• van Couwelaar, Gijs Marijn
• Vermeulen, Guus Maarten
• de Schipper, Johannes (Hans) Pieter
• Temming, Johannes (Hans) Frederikes Maria
• van Uchelen, Jeroen Hein
• de Boer, Herman Luitzen
• de Haas, Nicoline
• Harmsen, Kennard
• Zöphel, Oliver Theodor
• Feitz, Reinier
• Souer, John Sebastiaan
• Koch, Richard
• Hovius, Steven Eric Ruden
• Moojen, Thybout Matthias
• Smit, Xander
• van Huis, Rob
• Pennehouat, Pierre-Yves Alain Adriaan
• Schoneveld, Karin
• van Kooij, Yara Eline
• Wouters, Robbert Maarten
• Fink, Alexandra
• Lopez, Lisa Esteban
• de Ridder, Willemijn Anna
• Slijper, Harm Pieter
• Selles, Ruud Willem
• Tsehaie, Jonathan
• Poelstra, Ralph
• van der Oest, Mark Johannes Willem
• Teunissen, Joris Sebastiaan
• Koopman, Jaimy Emerentiana
• Loos, Nina Louisa
• ter Stege, Marloes Hendrina Paulina
• Zuidam, Jelle Michiel
• van Nieuwenhoven, Christianne
• Hundepool, Caroline Anna
• van der Heijden, Brigitte
• Colaris, Joost
• Bijlsma, Ward Rogier

Titel

Multiple Compression Syndromes of the Same Upper Extremity: Prevalence, Risk Factors, and Treatment Outcomes of Concomitant Treatment

Ist Teil von

• The Journal of hand surgery (American ed.), 2023-05, Vol.48 (5), p.479-488

Ort / Verlag

United States: Elsevier Inc

Erscheinungsjahr

2023

Quelle

MEDLINE

Beschreibungen/Notizen

• Multiple nerve compression syndromes can co-occur. Little is known about this coexistence, especially about risk factors and surgical outcomes. Therefore, this study aimed to describe the prevalence of multiple nerve compression syndromes in the same arm in a surgical cohort and determine risk factors. Additionally, the surgical outcomes of concomitant treatment were studied. The prevalence of surgically treated multiple nerve compression syndromes within one year was assessed using a review of patients’ electronic records. Patient characteristics, comorbidities, and baseline scores of the Boston Carpal Tunnel Questionnaire were considered as risk factors. To determine the treatment outcomes of simultaneous treatment, patients who underwent concomitant carpal tunnel release (CTR) and cubital tunnel release (CubTR) were selected. The treatment outcomes were Boston Carpal Tunnel Questionnaire scores at intake and at 3 and 6 months after the surgery, satisfaction 6 months after the surgery, and return to work within the first year. A total of 7,867 patients underwent at least one nerve decompression between 2011 and 2021. Of these patients, 2.9% underwent multiple decompressions for the same upper extremity within one year. The risk factors for this were severe symptoms, younger age, and smoking. Furthermore, the treatment outcomes of concomitant CTR and CubTR did not differ from those of CubTR alone. The median time to return to work after concomitant treatment was 6 weeks. Patients who underwent CTR or CubTR alone returned to work after 4 weeks. Approximately 3% of the patients who underwent surgical treatment for nerve compression syndrome underwent decompression for another nerve within 1 year. Patients who report severe symptoms at intake, are younger, or smoke are at a greater risk. Patients with carpal and cubital tunnel syndrome may benefit from simultaneous decompression. The time to return to work may be less than if they underwent decompressions in separate procedures, whereas their surgical outcomes are comparable with those of CubTR alone. Therapeutic IV.