دورية أكاديمية
Radius palmar plate removal without carpal tunnel release: Correlation between plate position and median nerve symptoms.
| العنوان: | Radius palmar plate removal without carpal tunnel release: Correlation between plate position and median nerve symptoms. |
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| المؤلفون: | Lee JG; School of Medicine, Kyungpook National University, Daegu, Korea., Seonwoo SM; School of Medicine, Kyungpook National University, Daegu, Korea., Lee HK; School of Medicine, Kyungpook National University, Daegu, Korea., Lee HJ; Department of Orthopedic Surgery, School of Medicine, Kyungpook National University, Kyungpook National University Hospital, Daegu, Korea. Electronic address: lidmania@daum.net., Deslivia MF; Orthopedics and Traumatology Department, Sanglah Hospital, Udayana University, Denpasar, Bali, Indonesia., Lee YM; Department of Preventive Medicine, School of Medicine, Kyungpook National University, Daegu, Korea., Yoon JP; Department of Orthopedic Surgery, School of Medicine, Kyungpook National University, Kyungpook National University Hospital, Daegu, Korea., Kim JW; Department of Orthopedic Surgery, School of Medicine, Kyungpook National University, Kyungpook National University Hospital, Daegu, Korea., Oh CW; Department of Orthopedic Surgery, School of Medicine, Kyungpook National University, Kyungpook National University Hospital, Daegu, Korea. |
| المصدر: | Hand surgery & rehabilitation [Hand Surg Rehabil] 2023 Jun; Vol. 42 (3), pp. 230-235. Date of Electronic Publication: 2023 Apr 20. |
| نوع المنشور: | Journal Article; Research Support, Non-U.S. Gov't |
| اللغة: | English |
| بيانات الدورية: | Publisher: Elsevier Masson SAS Country of Publication: France NLM ID: 101681801 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 2468-1210 (Electronic) Linking ISSN: 24681210 NLM ISO Abbreviation: Hand Surg Rehabil Subsets: MEDLINE |
| أسماء مطبوعة: | Original Publication: Issy-les-Moulineaux : Elsevier Masson SAS, [2016]- |
| مواضيع طبية MeSH: | Palmar Plate* , Radius Fractures*/surgery , Carpal Tunnel Syndrome*/surgery , Median Neuropathy*/surgery, Humans ; Median Nerve/surgery ; Median Nerve/injuries ; Radius |
| مستخلص: | We aimed to report the clinical results of volar plate removal without carpal tunnel release in patients with late-onset median neuropathy and to evaluate the relationship between plate position and median nerve symptoms. Part I. Twelve consecutive patients with late-onset median neuropathy treated with volar plate removal without carpal tunnel release were enrolled for analysis. Pre- and post-operative Tinel sign, Phalen and Ten test, subjective rating of tingling sensation, Mayo wrist score and Disabilities of the Arm, Shoulder and Hand (DASH) score were collected. Part II. 232 consecutive patients underwent volar plating for distal radius fracture. The relationships between median nerve symptoms and volar plate prominence on the Soong classification, fracture classification, gender and age were investigated. All cases except one showed complete symptom resolution at final follow-up, with negative Tinel sign and Ten test score of 10/10. Tingling was rated 0 at final follow-up. Mean Mayo wrist and DASH scores improved to 86.7 and 23.1, respectively. The incidence of the median nerve symptoms in our cohort was 5.6%. Even though the odds ratio in Soong grade 2 was 4.0957 (95% CI, 0.93-16.9) compared to the combination of grades 0 and 1, no statistically significant relationship was found between the median nerve symptoms and volar plate prominence (p > 0.05). Plate removal without carpal tunnel release adequately relieved symptoms of late-onset median neuropathy after volar plating in patients with distal radius fracture. LEVEL OF EVIDENCE: IV; Therapeutic. (Copyright © 2023 SFCM. Published by Elsevier Masson SAS. All rights reserved.) |
| فهرسة مساهمة: | Keywords: Ablation de matériel d’ostéosynthèse; Compression du nerf médian; Distal radius fracture; Fracture du radius distal; Late-onset median neuropathy; Ostéosynthèse par plaque antérieure; Volar plate removal |
| تواريخ الأحداث: | Date Created: 20230421 Date Completed: 20230529 Latest Revision: 20230606 |
| رمز التحديث: | 20240628 |
| DOI: | 10.1016/j.hansur.2023.04.003 |
| PMID: | 37084866 |
| قاعدة البيانات: | MEDLINE |
Full Text Finder | تدمد: | 2468-1210 |
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| DOI: | 10.1016/j.hansur.2023.04.003 |