Outcomes of Carpal Tunnel Release in Diabetic and Non-Diabetic Patients.

, Yoon, Dae Won; , Kwon, Hee Kyu

Original Article

Journal of the Korean Academy of Rehabilitation Medicine 2005;29(1):70-75.

Yoon, Dae Won , Kwon, Hee Kyu

Department of Rehabilitation Medicine, Korea University College of Medicine, Korea. hkkwon@korea.ac.kr

수근관 증후군 환자에서 당뇨병 동반 유무에 따른 수술 치료 후 경과

윤대원, 권희규

고려대학교 의과대학 재활의학교실

Abstract

Objective
To compare the surgical outcomes of carpal tunnel release in diabetic and non-diabetic patients.
Method
Among the patients who underwent carpal tunnel release for carpal tunnel syndrome, 44 subjects (77 hands) were recruited and classified into two patient groups: group 1 composed of 20 subject (36 hands) with diabetes mellitus and group 2 with 24 subjects (41 hands) without diabetes mellitus. Electrodiagnostic parameters were included onset latency, peak latency, and amplitude of median motor and sensory nerves pre- and postoperatively. Also symptom (visual analogue scale) and complication were assessed.
Results
Postoperative evaluation was done at 42.8 months and 84.5 months in patients groups 1 and 2, respectively. All the electrodiagnostic parameters and symptoms showed improvement postoperatively in both groups of patients (p＜0.05), but showed no significant difference between the two groups (p＞0.05).
Conclusion
To relieve the carpal tunnel syndrome in diabetic patients, as in non diabetic patients, surgical release of carpal tunnel would be considered positively. (J Korean Acad Rehab Med 2005; 29: 70-75)

Key Words: Carpal tunnel syndrome, Diabetes mellitus, Carpal tunnel release