The Effect of Diabetes Mellitus on Postoperative Electrodiagnostic Outcomes of Carpal Tunnel Syndrome
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Objective: The aim of this study was to compare the electrodiagnostic outcomes of carpal tunnel release in patients with and without diabetes with carpal tunnel syndrome (CTS), and to evaluate the effect of diabetes mellitus (DM) on electrodiagnostic outcomes. Method: We conducted a retrospective analysis of 67 patients with electro-diagnostic evidence of CTS. Patients were classified into two groups according to the presence of DM. Both groups were evaluated using nerve conduction studies preoperatively and 3 weeks and 3 months postoperatively. Results: There were no statistical differences in any of the electrodiagnostic parameters between groups 3 weeks postoperatively. However, there were statistical differences in the amplitude and the latency of compound muscle action potential, and sensory nerve conduction velocity 3 months postoperatively. Conclusion: Patients with DM did not show a significantly different outcome 3 weeks after surgery but showed a worse electrodiagnostic outcome 3 months after surgery than those without DM.
Abstract
Objective: The aim of this study was to compare the electrodiagnostic outcomes of carpal tunnel release in patients with and without diabetes with carpal tunnel syndrome (CTS), and to evaluate the effect of diabetes mellitus (DM) on electrodiagnostic outcomes. Method: We conducted a retrospective analysis of 67 patients with electro-diagnostic evidence of CTS. Patients were classified into two groups according to the presence of DM. Both groups were evaluated using nerve conduction studies preoperatively and 3 weeks and 3 months postoperatively. Results: There were no statistical differences in any of the electrodiagnostic parameters between groups 3 weeks postoperatively. However, there were statistical differences in the amplitude and the latency of compound muscle action potential, and sensory nerve conduction velocity 3 months postoperatively. Conclusion: Patients with DM did not show a significantly different outcome 3 weeks after surgery but showed a worse electrodiagnostic outcome 3 months after surgery than those without DM.
참고문헌 (24)
- Werner RA, "Carpal tunnel syndrome. pathophysiology and clinical neurophysiology", Clin Neurophysiol, 113, pp.1373~1381 (2002)
- Pomerance J, "The cost-effectiveness of nonsurgical versus surgical treatment for carpal tunnel syndrome", J Hand Surg, 34, pp.1193~1200 (2009)
- Gerritsen AA, "Splinting vs surgery in the treatment of carpal tunnel syndrome. a randomized controlled trial", Jama, 288, pp.1245~1251 (2002)
- Tubiana R., "Carpal tunnel syndrome. some views on its management", Ann Chir Main Memb Super, 9, pp.325~330 (1990)
- Ettema AM, "Surgery versus conservative therapy in carpal tunnel syndrome in people aged 70 years and older", Plast Reconstr Surg, 118, pp.947~958 (2006)
- Zyluk A, "A comparison of outcomes of carpal tunnel release in diabetic and non-diabetic patients", J Hand Surg Eur Vol, 38, pp.485~488 (2013)
- Pourmemari MH, "Diabetes as a risk factor for carpal tunnel syndrome. a systematic review and meta-analysis", Diabet Med, 33, pp.10~16 (2016)
- Becker J, "An evaluation of gender, obesity, age and diabetes mellitus as risk factors for carpal tunnel syndrome", Clin Neurophysiol, 113, pp.1429~1434 (2002)
- Dyck PJ, "The prevalence by staged severity of various types of diabetic neuropathy, retinopathy, and nephropathy in a population-based cohort. the Rochester Diabetic Neuropathy Study", Neurology, 43, pp.817~824 (1993)
- Albers JW, "Frequency of median mononeuropathy in patients with mild diabetic neuropathy in the early diabetes intervention trial (EDIT). Tolrestat Study Group For Edit (Early Diabetes Intervention Trial)", Muscle Nerve, 19, pp.140~146 (1996)
- Celiker R, "Early detection of neurological involvement in diabetes mellitus", Electromyogr Clin Neurophysiol, 36, pp.29~35 (1996)
- Perkins BA, "Carpal tunnel syndrome in patients with diabetic polyneuropathy", Diabetes Care, 25, pp.565~569 (2002)
- 양서연, "Clinical Differences of Diabetic Polyneuropathy or Carpal Tunnel Syndrome in Patients with Diabetes", 대한근전도 전기진단의학회지, 17(1), pp.14~19 (2015), 대한근전도전기진단의학회[DOI]
- Gazioglu S, "Electrodiagnosis of carpal tunnel syndrome in patients with diabetic polyneuropathy", Clin Neurophysiol, 122, pp.1463~1469 (2011)
- Haupt WF, "Longterm results of carpal tunnel decompression. Assessment of 60 cases", J Hand Surg, 18, pp.471~474 (1993)
- Gulabi D, "Carpal tunnel release in patients with diabetes result in poorer outcome in longterm study", Eur J Orthop Surg Traumatol, 24, pp.1181~1184 (2014)
- Ozkul Y, "Outcomes of carpal tunnel release in diabetic and non-diabetic patients", Acta Neurol Scand, 106, pp.168~172 (2002)
- Mondelli M, "Outcome of surgical release among diabetics with carpal tunnel syndrome", Arch Phys Med Rehabil, 85, pp.7~13 (2004)
- American Diabetes A., "Diagnosis and classification of diabetes mellitus", Diabetes Care, 34(supp1), pp.S62~S69 (2011)
- The Diabetes Control, "The effect of intensive diabetes therapy on the development and progression of neuropathy", Ann Intern Med, 122, pp.561~568 (1995)
- 송황준, "손목터널증후군의 위험인자로써 손과 손목 형태, 당뇨병 및 비만의 평가", 대한근전도 전기진단의학회지, 13(1), pp.6~11 (2011), 대한근전도전기진단의학회[DOI]
- Stevens JC., "AAEM minimonograph #26. the electrodiagnosis of carpal tunnel syndrome. American Association of Electrodiagnostic Medicine", Muscle Nerve, 20, pp.1477~1486 (1997)
- Tomlinson DR, "Defects of axonal transport in diabetes mellitus--a possible contribution to the aetiology of diabetic neuropathy", J Auton Pharmacol, 4, pp.59~72 (1984)
- Chopra JS, "The pathogenesis of sural nerve changes in diabetes mellitus", Brain, 92, pp.391~418 (1969)