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ACROPARAESTHESIA AND THE “CARPAL TUNNEL SYNDROME”
Author(s) -
Opit L. J.,
Rieger R. A.
Publication year - 1962
Publication title -
australian and new zealand journal of surgery
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.111
H-Index - 51
eISSN - 1445-2197
pISSN - 0004-8682
DOI - 10.1111/j.1445-2197.1962.tb06318.x
Subject(s) - medicine , rheumatoid arthritis , carpal tunnel syndrome , etiology , concomitant , surgery , disease , arthritis , retrospective cohort study
Summary Forty‐two patients were reviewed 2 to 6 years after being subjected to retinaculotomy following a diagnosis of carpal tunnel syndrome. A relapse rate of 21 per cent, was found, a further 10 per cent, having developed other symptoms as a result of operation. The majority of recurrences occurred about two years post‐operatively. Retrospective examination failed to reveal a clear‐cut compressive syndrome in the successful cases. Three patients had evidence strongly suggesting rheumatoid arthritis as a concomitant disease and a further 12 were classified as possibly having rheumatoid arthritis. Vascular symptoms occurred frequently, especially in the cases thought to have rheumatoid arthritis. The aetiology of acroparesthesia is discussed and the suggestion made that a systemic disease is a common cause for this symptom. No satisfactory method of selecting cases for operation is apparent, although immediate post‐operative relief guarantees a successful outcome.