The Journal of bone and joint surgery. American volume
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J Bone Joint Surg Am · Jul 2002
Randomized Controlled Trial Multicenter Study Comparative Study Clinical TrialSingle-portal endoscopic carpal tunnel release compared with open release : a prospective, randomized trial.
Carpal tunnel syndrome is a common condition causing hand pain and numbness. Endoscopic carpal tunnel release has been demonstrated to reduce recovery time, although previous studies have raised concerns about an increased rate of complications. The purpose of this prospective, randomized study was to compare open carpal tunnel release with single-portal endoscopic carpal tunnel release. ⋯ Good clinical outcomes and patient satisfaction are achieved more quickly when the endoscopic method of carpal tunnel release is used. Single-portal endoscopic surgery is a safe and effective method of treating carpal tunnel syndrome.
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J Bone Joint Surg Am · Jul 2002
Influence of comorbidity on self-assessment instrument scores of patients with idiopathic adhesive capsulitis.
The purpose of this study was to determine whether comorbid factors influence the results of self-assessment instruments completed by patients with idiopathic adhesive capsulitis of the shoulder. We hypothesized that an increased number of comorbidities would be correlated with greater pain and worse function as measured by general and shoulder-specific outcome tools. ⋯ Idiopathic adhesive capsulitis is a debilitating condition. Comorbid factors have a significant effect on the pain and dysfunction (as measured on shoulder-specific and general health instruments) experienced by patients with this disorder. These findings can be applied to the evaluation of these patients and may help to identify patients who potentially require a longer treatment course or those whose outcome will be less satisfactory.