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Neurophysiological recovery 5 years after carpal tunnel release in patients with diabetes
Author(s) -
Thomsen Niels O.B.,
Andersson Gert S.,
Björk Jonas,
Dahlin Lars B.
Publication year - 2017
Publication title -
muscle and nerve
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.025
H-Index - 145
eISSN - 1097-4598
pISSN - 0148-639X
DOI - 10.1002/mus.25633
Subject(s) - carpal tunnel syndrome , medicine , diabetes mellitus , wrist , median nerve , neurophysiology , carpal tunnel , peripheral neuropathy , nerve conduction velocity , nerve conduction , electromyography , polyneuropathy , diabetic neuropathy , carpal tunnel release , surgery , anesthesia , physical medicine and rehabilitation , endocrinology , psychiatry
: The long‐term results of neurophysiological recovery after carpal tunnel release in patients with diabetes have not been studied. Methods : Thirty‐five patients with diabetes and carpal tunnel syndrome (CTS) were matched with 31 patients without diabetes who had idiopathic CTS, and 27 and 30 patients, respectively, participated in this follow‐up study. Nerve conduction results at 5 years were compared with previously published results at baseline and 1 year. Results : Significant neurophysiological improvement continued from 1 to 5 years after carpal tunnel release for patients with and without diabetes. However, wrist–palm sensory conduction velocity was still abnormal for 85% and 43% of patients with and without diabetes, respectively. Although diabetes had an impact on 4 of 10 measured neurophysiological parameters, the influence of peripheral neuropathy seemed insignificant. Discussion : After carpal tunnel release, significant long‐term neurophysiological improvement is possible for patients with diabetes, and it is not influenced by the presence of peripheral neuropathy. Muscle Nerve 56 : E59–E64, 2017