Journal Title: زمستان 89
Article title: Assessment of the Results of Carpal Tunnel Syndrome Treatment with Less Invasive Method in Sina Hospital during 2007-2009

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Article abstract:
Introduction & Objective: Carpal tunnel syndrome is the most prevalent peripheral neuropathy. Surgery through a less invasive method has not been studied in Iran and there is no reliable data about the effectiveness, safety, success and side effects of this method. This study is performed in order to assess the outcome of carpal Tunnel Release treatment with less invasive method by DASH (Disability of Arm, Shoulder and Hand) questionnaire and visual analogue scale (VAS) in patients attending the orthopedic clinic of Sina hospital, during 2007-2009. Materials & Methods: In the present cross sectional study, patients who had attended orthopaedic clinic of Sina hospital from 2007 to 2009 and who were candidates for decompression surgery with less invasive method for carpal tunnel syndrome and who had signed for inclusion in this study were included. After performing limited open surgical approach, patients were assessed by DASH score on days 21, 42 and 84 days after their operation. Post operative pain was assessed by visual analogue scale (VAS). All gathered data was analysed using SPSS 15. Results: Sixty two patients (43 female, 19 male, with mean age of 49.76±9.65 years) were entered in this study. The mean duration of symptoms before surgery was 21.2±3.4 months. The mean operation time was 39.33±6.9 minutes. No major complication occurred during the operation. The mean DASH and VAS score declined significantly during the follow up period (P=0.00). There was no statistically significant relationship between DASH and VAS scores, operation period, patients' age and sex, but there was significant relationship between all score of pre and post operation with pre-operative symptoms' duration (P=0.00). There was no statistically significant relationship between post operative pain and parasthesia, operation period, patients' age and sex and duration of symptoms before surgery. Conclusions: Based on DASH and VAS scores after surgery, this method is effective in decreasing symptoms.
Article KeyWords:
Carpal Tunnel Syndrome, Less Invasive Method
Article Authors:

	دکتر بابک سیاوشی	First Author	Siavashi@Tums.ac.ir
	دکتر محمد مهدی غیلیان	Other Author
	دکتر محمد رضا گلبخش	Other Author
	دکتر محمد جواد زهتاب	Other Author
	دکتر میر مصطفی سادات	Other Author