Carpal tunnel decompression in the super-elderly: functional outcome and patient satisfaction are equal to those of their younger counterparts.
Bone Joint J
; 96-B(9): 1234-8, 2014 Sep.
Article
in En
| MEDLINE
| ID: mdl-25183596
ABSTRACT
There is conflicting evidence about the functional outcome and rate of satisfaction of super-elderly patients (≥ 80 years of age) after carpal tunnel decompression. We compiled outcome data for 756 patients who underwent a carpal tunnel decompression over an eight-year study period, 97 of whom were super-elderly, and 659 patients who formed a younger control group (< 80 years old). There was no significant difference between the super-elderly patients and the younger control group in terms of functional outcome according to the mean (0 to 100) QuickDASH score (adjusted mean difference at one year 1.8; 95% confidence interval (CI) -3.4 to 7.0) and satisfaction rate (odds ratio (OR) 0.78; 95% CI 0.34 to 1.58). Super-elderly patients were, however, more likely to have thenar muscle atrophy at presentation (OR 9.2, 95% CI 5.8 to 14.6). When nerve conduction studies were obtained, super-elderly patients were more likely to have a severe conduction deficit (OR 12.4, 95% CI 3.0 to 51.3). Super-elderly patients report functional outcome and satisfaction rates equal to those of their younger counterparts. They are more likely to have thenar muscle atrophy and a severe nerve conduction deficit at presentation, and may therefore warrant earlier decompression.
Key words
Full text:
1
Collection:
01-internacional
Database:
MEDLINE
Main subject:
Carpal Tunnel Syndrome
/
Decompression, Surgical
Type of study:
Evaluation_studies
/
Observational_studies
/
Prognostic_studies
Limits:
Adult
/
Aged
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Aged80
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Female
/
Humans
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Male
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Middle aged
Language:
En
Journal:
Bone Joint J
Year:
2014
Document type:
Article
Affiliation country: