The Journal of hand surgery
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Randomized Controlled Trial
Open compared with 2-portal endoscopic carpal tunnel release: a 5-year follow-up of a randomized controlled trial.
The purpose of this investigation was to extend the previously reported short-term randomized trial of open and endoscopic carpal tunnel release in patients with carpal tunnel syndrome (CTS) to compare outcomes 5 years after surgery. ⋯ Therapeutic I.
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Comparative Study
Comparative responsiveness of the Michigan Hand Outcomes Questionnaire and the Carpal Tunnel Questionnaire after carpal tunnel release.
The literature supports self-administered questionnaire assessment tools for the measurement of outcome after surgical treatment of carpal tunnel syndrome (CTS). Traditional physical measures are less sensitive to clinical changes following carpal tunnel release (CTR) than fully validated designed outcome questionnaires. A number of validated outcome instruments have been compared to determine which is optimal with regard to sensitivity and responsiveness following surgery. To our knowledge, the Michigan Hand Outcomes Questionnaire (MHQ) and the Carpal Tunnel Questionnaire (CTQ) have not been compared in regard to their responsiveness and sensitivity to change following CTR. The aim of this prospective study was to compare the responsiveness of these 2 instruments when evaluating outcomes after CTR. ⋯ Diagnostic I.
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This study evaluated patient-reported outcome and the factors associated with disability after an upper extremity nerve injury. We hypothesized that patients at least 6 months after injury would report considerable disability and that pain would be the strongest predictor of the Disabilities of the Arm, Shoulder, and Hand (DASH) score. ⋯ Prognostic II.
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Case Reports
Shower emboli and digital necrosis after a single corticosteroid injection for trigger thumb: case report.
Local corticosteroid injection into the hand is the preferred initial step in the management of trigger finger owing to its safety and efficacy. We report the case of a patient with shower emboli and digital necrosis after a local corticosteroid injection for the treatment of trigger thumb. ⋯ The patient was managed conservatively and ultimately her symptoms resolved. No new areas of digital necrosis have appeared in 8 years of follow-up.