Open AccessOperative Treatment is Not Associated with More Relief of Depression Symptoms than Nonoperative Treatment in Patients with Common Hand Illness
Author(s) -
Tom J. Crijns,
David N. Bernstein,
Ron Gonzalez,
Danielle Wilbur,
Warren C. Hammert
Publication year - 2020
Publication title -
clinical orthopaedics and related research
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.178
H-Index - 204
eISSN - 1528-1132
pISSN - 0009-921X
DOI - 10.1097/corr.0000000000001170
Subject(s) - medicine , depression (economics) , physical therapy , mood , population , tendinopathy , disease , carpal tunnel syndrome , surgery , psychiatry , tendon , environmental health , economics , macroeconomics
Depression symptoms are prevalent in the general population, and as many as one in eight patients seeing a hand surgeon may have undiagnosed major depression. It is not clear to what degree lower mood is the consequence or cause of greater symptoms and limitations. If depressive symptoms are a consequence of functional limitations, they might be expected to improve when pathophysiology and impairment are ameliorated. Because surgical treatment is often disease-modifying or salvage, surgery might have a greater impact than nonoperative treatment, which is more often palliative (symptom relieving) than disease-modifying.