Joshy S, Thomas B, Ghosh S, Haidar S G, Deshmukh S C
Trauma and Orthopaedics, City Hospital, B18 7QH, Birmingham, UK.
Int Orthop. 2007 Feb;31(1):1-3. doi: 10.1007/s00264-006-0094-y. Epub 2006 May 17.
The aim of this study was to assess whether surgical decompression for carpal-tunnel syndrome (CTS) in the presence of primary or secondary osteoarthritis of the wrist is associated with poorer patient satisfaction. We did a retrospective matched cohort study. Twenty-four patients who underwent surgical decompression for CTS secondary to osteoarthritis were identified by reviewing the notes and the radiographs. A control group consisted of 24 patients without osteoarthritis of the wrist who underwent carpal-tunnel decompression. The control group was matched for age, sex, side, and neuro-physiological severity of the nerve compression. In the group with osteoarthritis of the wrist, 17 (71%) patients reported their symptom relief as satisfactory, and 7 (29%) reported the results as unsatisfactory. In the control group, 23 (96%) patients reported their symptom relief as satisfactory, and 1 (4%) reported the results as unsatisfactory (P=0.0325). In conclusion, patient satisfaction following surgical decompression in patients with secondary CTS due to osteoarthritis was significantly lower compared to patients without osteoarthritis of the wrist.
本研究的目的是评估在存在原发性或继发性腕关节骨关节炎的情况下，对腕管综合征（CTS）进行手术减压是否会导致患者满意度较低。我们进行了一项回顾性匹配队列研究。通过查阅病历和X光片，确定了24例因骨关节炎继发CTS而接受手术减压的患者。对照组由24例无腕关节骨关节炎且接受腕管减压术的患者组成。对照组在年龄、性别、患侧以及神经压迫的神经生理学严重程度方面进行了匹配。在腕关节骨关节炎组中，17例（71%）患者报告症状缓解令人满意，7例（29%）患者报告结果不满意。在对照组中，23例（96%）患者报告症状缓解令人满意，1例（4%）患者报告结果不满意（P=0.0325）。总之，与无腕关节骨关节炎的患者相比，因骨关节炎继发CTS的患者手术减压后的患者满意度显著较低。
