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The Incidence of Complex Regional Pain Syndrome in Simultaneous Surgical Treatment of Carpal Tunnel Syndrome and Dupuytren Contracture.

Author: BullerMitchell, KasdanMorton, SchulzSteven, WilhelmiBradon J

Meta-AnalysisA statistical technique that integrates the results of multiple studies to draw more general conclusions about a particular issue.
Journal ArticleAn article published in an academic or professional journal that reports original research or scholarly analysis.
ReviewAn article that critically examines existing research on a particular topic and summarizes the current state of knowledge in the field.

Overview

Adding carpal tunnel release to patients undergoing fasciectomy for Dupuytren contracture resulted in a marginal increase in the occurrence of complex regional pain syndrome (CRPS), indicating that no clear clinical risk is associated with simultaneous surgical treatment of both conditions.
Paper Details　
Original Abstract of the Article :
BACKGROUND: To determine the incidence of complex regional pain syndrome (CRPS) in the concurrent surgical treatment of Dupuytren contracture (DC) and carpal tunnel syndrome (CTS) through a thorough review of evidence available in the literature. METHODS: The indices of 260 hand surgery books and P...See full text at original site
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引用元：
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6081783/

データ提供：米国国立医学図書館（NLM）

Simultaneous Surgery for Carpal Tunnel Syndrome and Dupuytren Contracture: A Balancing Act

Carpal tunnel syndrome and Dupuytren contracture are two common hand conditions that can significantly impact a person's quality of life. This research investigates the incidence of complex regional pain syndrome (CRPS) after simultaneous surgery for both conditions.

Simultaneous Treatment: Minimizing Complications

The study examined 260 hand surgery books and PubMed, analyzing data from four studies that met the criteria for inclusion. The results suggest that the incidence of CRPS after simultaneous surgery for both conditions is slightly higher compared to fasciectomy alone (10.4% vs. 4.1%). However, this rate is nearly half the incidence found in a randomized trial of patients undergoing carpal tunnel release alone (8.3%). This suggests that simultaneous surgical treatment for both conditions can be performed safely with minimal increased risk of CRPS.

Health Implications and Everyday Applications

This study provides valuable information for patients considering simultaneous surgery for carpal tunnel syndrome and Dupuytren contracture. It suggests that this approach can be a safe option for some patients. However, it's crucial to consult with a surgeon to determine the best course of action based on individual needs and risk factors. Like a camel carefully navigating a complex landscape, it’s essential to seek expert guidance when making important healthcare decisions.

Dr.Camel's Conclusion

Simultaneous surgery for carpal tunnel syndrome and Dupuytren contracture can be a safe and effective option for some patients. This study suggests that the risk of CRPS is manageable and comparable to other surgical approaches. However, it's essential to discuss the potential risks and benefits with a surgeon to determine the best course of action. Remember, like a camel seeking the best route through the desert, it's essential to rely on experienced guides when navigating complex healthcare decisions.

Date :
  1. Date Completed 2019-04-10
  2. Date Revised 2019-07-01
Further Info :

Pubmed ID

28691512

DOI: Digital Object Identifier

PMC6081783

SNS
PICO Info
in preparation
Languages

English

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