Dawod Moh'd S, Alswerki Mohammad N, Alelaumi Ahmad F, Alqawasmi Mahmmud S, Khasawneh Salahaldeen Y, Alrayes Bourhan, Hamadeen Ahmed E, Alqudah Mohammadrasoul, Al-Amer Khaled, Khanfar Aws
Faculty of Medicine, Mutah University, Karak, Jordan.
Orthopedic Department, Jordan University Hospital, P.O. Box: 13046, Amman, 11942, Jordan.
Sci Rep. 2025 Oct 1;15(1):34224. doi: 10.1038/s41598-025-16058-6.
Carpal tunnel syndrome (CTS) presents with pain, numbness, and occasional weak hand grip. Diagnosis is predominantly clinical, with initial management involving conservative measures; surgery is considered for non-responsive cases. The Boston Carpal Tunnel Questionnaire (BCTQ), an efficient patient-reported outcome measure, is increasingly utilized for objective treatment assessment. Our study aimed to apply the BCTQ in patients who underwent carpal tunnel release surgery, contributing to the growing use of this effective assessment tool, and utilizing it in assessing patient-reported outcomes after carpal tunnel release surgery in Jordanian population. A retrospective cohort study design was utilized, enrolling 681 patients who underwent carpal tunnel release surgery. Inclusion criteria encompassed patients undergoing open primary carpal tunnel release surgery within a 5-year period (2018-2022), excluding cases of revision surgery, endoscopic surgery, surgery site trauma or fracture, peripheral neuropathies, and those with lost follow-up. In our study (n = 681), patients had a mean age of 52.0 years. Females comprised 77.2%. Diabetes and hypertension were prevalent, with 67.8% and 38.5% of patients, respectively. The mean self-reported functional disability score was 7.2. On BCTQ analysis, females exhibited a significantly higher mean S score compared to males (3.27 vs. 2.9, p = 0.002). We found significantly higher S score differences in patients reporting pain (-1.78 vs. -1.02, p < 0.001), paresthesia (-1.77 vs. -0.77, p < 0.001), nocturnal symptoms (-1.83 vs. -1.05, p < 0.001. Similarly, F score differences were statistically significant for pain (-1.32 vs. -0.080, p < 0.001), and nocturnal symptoms (-1.33 vs. -0.97, p = 0.003). In our cohort, females showed greater symptomatic and functional improvements than males. Smoking and comorbidities had no clear impact on BCTQ scores. Patients with night symptoms, paresthesia, disabling pain, and subjective weak grip displayed significant BCTQ score improvements.
腕管综合征（CTS）表现为疼痛、麻木，偶尔伴有手部握力减弱。诊断主要依靠临床症状，初始治疗包括保守措施；对无反应的病例考虑手术治疗。波士顿腕管问卷（BCTQ）是一种有效的患者报告结局测量工具，越来越多地用于客观的治疗评估。我们的研究旨在将BCTQ应用于接受腕管松解手术的患者，促进这种有效评估工具的更多使用，并将其用于评估约旦人群腕管松解手术后患者报告的结局。采用回顾性队列研究设计，纳入681例接受腕管松解手术的患者。纳入标准包括在5年期间（2018 - 2022年）接受开放性原发性腕管松解手术的患者，排除翻修手术、内镜手术、手术部位创伤或骨折、周围神经病变以及失访患者。在我们的研究（n = 681）中，患者的平均年龄为52.0岁。女性占77.2%。糖尿病和高血压很常见，分别有67.8%和38.5%的患者患有这些疾病。自我报告的功能障碍平均评分为7.2。在BCTQ分析中，女性的平均S评分显著高于男性（3.27对2.9，p = 0.002）。我们发现，在报告疼痛（-1.78对-1.02，p < 0.001）、感觉异常（-1.77对-0.77，p < 0.001）、夜间症状（-1.83对-1.05，p < 0.001）的患者中，S评分差异显著。同样，F评分在疼痛（-1.32对-0.080，p < 0.001）和夜间症状（-1.33对-0.97，p = 0.003）方面的差异具有统计学意义。在我们的队列中，女性在症状和功能改善方面比男性更明显。吸烟和合并症对BCTQ评分没有明显影响。有夜间症状、感觉异常、致残性疼痛和主观握力减弱的患者，BCTQ评分有显著改善。
