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A retrospective follow-up study of a population-based case series was conducted to determine the clinical course and outcomes of carpal tunnel syndrome (CTS). A total of 425 cases first diagnosed between 1979 and 1988 were followed through 1993. Among patients who did not have surgery, median duration of symptoms was between 6 and 9 months, but 22% had symptoms for 8 years or longer. Patients who had surgery were about 6 times more likely to have resolution of their symptoms than were patients who did not have surgery. Patients who had surgery 3 or more years after their initial diagnosis of CTS were less than half as likely to have symptom resolution than were patients who had surgery within 3 years of diagnosis. The results indicate that surgery is a highly effective treatment, but duration of CTS prior to surgery is a key determinant of surgical outcome.
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- Work-related cumulative trauma disorders of the upper extremity.JAMA. 1992; 267: 838-842
- (Washington DC, USDL-94-213)Work injuries and illnesses by selected characteristics 1992.April 1994
- The US prevalence of self-reported carpal tunnel syndrome: 1988 national health interview survey data.Am J Public Health. 1994; 84: 1846-1848
- Carpal tunnel syndrome: prevalence in the general population.J Clin Epidemiol. 1992; 45: 373-376
- A self-administered questionnaire for the assessment of severity of symptoms and functional status in carpal tunnel syndrome.J Bone Joint Surg. 1993; 75A: 1585-1592
- The carpal-tunnel syndrome: seventeen years' experience in diagnosis and treatment of six hundred fifty-four hands.J Bone Joint Surg. 1966; 48A: 211-228
- The carpal-tunnel syndrome: clinical evaluation of 598 hands.Clin Orthop. 1972; 83: 29-40
- Carpal tunnel syndrome: course and prognosis.J Neurol. 1984; 231: 83-86
- The carpal tunnel syndrome: a retrospective study of 400 operated patients.Acta Orthop Scand. 1975; 46: 610-620
- Long-term analysis of patients having surgical treatment for carpal tunnel syndrome.J Hand Surg. 1986; 11A: 59-66
- Long-term results of operation for carpal tunnel syndrome.Mayo Clin Proc. 1966; 41: 232-241
- Predictive factors in the non-surgical treatment of carpal tunnel syndrome.J Hand Surg. 1990; 15B: 106-108
- The surgical treatment of the carpal-tunnel syndrome correlated with preoperative nerve-conduction studies.J Bone Joint Surg. 1979; 61A: 93-98
- Carpal tunnel syndrome: a statistical analysis of 214 cases.Orthopedics. 1983; 6: 1283-1287
- Outcome of carpal tunnel surgery in Washington state workers' compensation.Am J Ind Med. 1994; 25: 527-536
- Carpal tunnel surgery outcomes in workers: effect of workers' compensation status.J Hand Surg. 1995; 20A: 354-360
- Carpal tunnel syndrome: results of surgical decompression.Lancet. 1969; 1: 918-919
- Carpal tunnel syndrome: an analysis of 1,201 cases.Orthop Rev. 1976; V: 25-35
- Responsiveness of self-reported and objective measures of disease severity in carpal tunnel syndrome.Med Care. 1994; 32: 1127-1133
- Epidemiologic research in an integrated regional medical care system: the Marshfield Epidemiologic Study Area.J Clin Epidemiol. 1996; 49: 643-652
- Validation of a surveillance case definition of carpal tunnel syndrome.Am J Public Health. 1991; 81: 189-193
- AAEE minimonograph #26: the electrodiagnosis of carpal tunnel syndrome.Muscle Nerve. 1987; 10: 99-113
- Literature review of the usefulness of nerve conduction studies.Muscle Nerve. 1993; 16: 1392-1414
- Receiver operating characteristic curve analysis in the prediction of carpal tunnel syndrome: a model for reporting electrophysiological data.Muscle Nerve. 1993; : 787-796
- The selection and definition of target work-related conditions for surveillance under SENSOR.Am J Public Health. 1989; 79: 21-25
- Applied logistic regression.John Wiley and Sons, New York1989
- Statistical methods for survival analysis.2nd ed. John Wiley and Sons, New York1992
- Regression models and life tables.Journal Royal Statistical Society, Series B. 1972; 34: 187-220
- Anthropometric reference data and prevalence of overweight, United States.Am J Clin Nutr. 1992; 55: 495S-502S
- Statistical methods in cancer research: volume II, the design and analysis of cohort studies. International Agency for Research on Cancer, Lyon, France1987
- Carpal tunnel syndrome in Rochester, Minnesota, 1961 to 1980.Neurology. 1988; 38: 134-138
- Treatment of carpal tunnel syndrome by members of the American Society for Surgery of the Hand: results of a questionnaire.J Hand Surg. 1987; 12A: 384-391
- Carpal tunnel syndrome and other disorders of the median nerve.Butterworth-Heinemann, Boston1993
Accepted: September 15, 1996
Received: September 6, 1994
*This study was supported by grant #U07/CCU507126 from the National Institute for Occupational Safety and Health.
**No benefits in any form have been received or will be received from a commerical party related directly or indirectly to the subject of this article.
© 1997 The American Society for Surgery of the Hand. All rights reserved. Published by Elsevier Inc.