An analysis of the course of carpal tunnel syndrome before operation / Piotr PUCHALSKI in Acta Orthopaedica Belgica, Vol.83/1 (Mars 2017)

Public ISBD [article]  inActa Orthopaedica Belgica > Vol.83/1 (Mars 2017) . - p. 22-29 Titre : An analysis of the course of carpal tunnel syndrome before operation Type de document : texte imprimé Auteurs : Piotr PUCHALSKI, Auteur ; Andrzej ZYLUK, Auteur Année de publication : 2017 Article en page(s) : p. 22-29 Langues : Anglais (eng) Résumé : This work reports the results of an analysis into the course of carpal tunnel syndrome before operation in 479 patients, predominantly women, aged a mean of 58 years, who were scheduled for carpal tunnel operation. The patients were asked to characterise in detail the course of the disease and what determined the decision to undergo surgery. Results. We identified two specific patterns of CTS course: progressive and preservative/mild. Patients with short-lasting disease suffer first of all from symptoms, but the longer the duration, the more pronounced the functional impairment. In a proportion of patients with longer-lasting disease, spontaneous resolution may occur, for up to a year or more. Bilateral involvement is more common than unilateral and the interval between involvement of the other hand is a mean of 10 months. For most patients the primary motivation to undergo surgery is troublesome symptoms (pain and paraesthesia). Functional impairment is of secondary importance, however, its prominence increases in older patients and in those with longer-lasting disease. Permalink : ./index.php?lvl=notice_display&id=92965 [article] An analysis of the course of carpal tunnel syndrome before operation [texte imprimé] / Piotr PUCHALSKI, Auteur ; Andrzej ZYLUK, Auteur . - 2017 . - p. 22-29. Langues : Anglais (eng) in Acta Orthopaedica Belgica > Vol.83/1 (Mars 2017) . - p. 22-29 Résumé : This work reports the results of an analysis into the course of carpal tunnel syndrome before operation in 479 patients, predominantly women, aged a mean of 58 years, who were scheduled for carpal tunnel operation. The patients were asked to characterise in detail the course of the disease and what determined the decision to undergo surgery. Results. We identified two specific patterns of CTS course: progressive and preservative/mild. Patients with short-lasting disease suffer first of all from symptoms, but the longer the duration, the more pronounced the functional impairment. In a proportion of patients with longer-lasting disease, spontaneous resolution may occur, for up to a year or more. Bilateral involvement is more common than unilateral and the interval between involvement of the other hand is a mean of 10 months. For most patients the primary motivation to undergo surgery is troublesome symptoms (pain and paraesthesia). Functional impairment is of secondary importance, however, its prominence increases in older patients and in those with longer-lasting disease. Permalink : ./index.php?lvl=notice_display&id=92965

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Hand Disorders Associated With Diabetes : A Review / Andrzej ZYLUK in Acta Orthopaedica Belgica, Vol 81/2 (Juin 2015)

Public ISBD [article]  inActa Orthopaedica Belgica > Vol 81/2 (Juin 2015) . - p.191-196 Titre : Hand Disorders Associated With Diabetes : A Review Type de document : texte imprimé Auteurs : Andrzej ZYLUK, Auteur ; Piotr PUCHALSKI, Auteur Année de publication : 2015 Article en page(s) : p.191-196 Langues : Anglais (eng) Mots-clés : Diabetes mellitus complications  Diabetic hand  Microvascular disease Résumé : The diabetes may cause damage many structures and organs of a human body and predispose to secondary disorders, including involvement of the hand. Carpal tunnel syndrome, trigger finger or Dupuytren’s disease occur more frequently in diabetic patients as well as other, poorer recognized conditions such as limited joint mobility, or hand weakness. The paper presents these disorders, emphasizes differences in clinical presentation, methods and outcomes of treatment, comparing to the non-diabetic patients. Although there are not call complications, some evidence suggests that they may be, as their prevalence is related to the duration of the diabetes, poor metabolic control and occurrence of other disorders such as retino- and nephropathy. Permalink : ./index.php?lvl=notice_display&id=40534 [article] Hand Disorders Associated With Diabetes : A Review [texte imprimé] / Andrzej ZYLUK, Auteur ; Piotr PUCHALSKI, Auteur . - 2015 . - p.191-196. Langues : Anglais (eng) in Acta Orthopaedica Belgica > Vol 81/2 (Juin 2015) . - p.191-196 Mots-clés : Diabetes mellitus complications  Diabetic hand  Microvascular disease Résumé : The diabetes may cause damage many structures and organs of a human body and predispose to secondary disorders, including involvement of the hand. Carpal tunnel syndrome, trigger finger or Dupuytren’s disease occur more frequently in diabetic patients as well as other, poorer recognized conditions such as limited joint mobility, or hand weakness. The paper presents these disorders, emphasizes differences in clinical presentation, methods and outcomes of treatment, comparing to the non-diabetic patients. Although there are not call complications, some evidence suggests that they may be, as their prevalence is related to the duration of the diabetes, poor metabolic control and occurrence of other disorders such as retino- and nephropathy. Permalink : ./index.php?lvl=notice_display&id=40534

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