Pillar Pain as a Postoperative Complication of Carpal Tunnel Release a Review of the Literature

. 2018 Mar;13(2):137-142.

doi: 10.1177/1558944717701240. Epub 2017 April 7.

Outcomes Following Carpal Tunnel Release in Patients Receiving Workers' Compensation: A Systematic Review

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• PMID: 28387162
• PMCID: PMC5950969
• DOI: x.1177/1558944717701240

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Outcomes Following Carpal Tunnel Release in Patients Receiving Workers' Bounty: A Systematic Review

John C Dunn  et al. Hand (N Y). 2018 Mar .

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Abstract

Background: Carpal tunnel syndrome (CTS) is a common occupational pathology, representing a loftier percentage of workers' bounty (WC) claims.

Methods: The literature was reviewed for all studies evaluating CTS outcomes including WC patients between 1993 and 2016. A total of 348 articles were identified; 25 of which met inclusion and exclusion criteria. A systematic review was generated; patient demographics, outcomes, and complications were recorded. Weighted averages were calculated for the demographic and outcome information. Chiselled data such as complications were pooled from the studies and used to determine the overall complication rate. Statistical significance was determined between WC and non-WC cohorts when applicative with the chi-square statistic.

Results: The WC cohort included 1586 wrists, and the non-WC cohort included 2781 wrists. The WC cohort was younger and more oftentimes involved the dominant extremity. The WC cohort was less probable to accept advisable physical examination findings confirming diagnosis and electrodiagnostic studies. WC patients took near 5 weeks longer to return to work, were 16% less likely to return to preinjury vocation, and had lower Standard Form (SF)-36 scores. Finally, WC patients had nearly three times the number of complications and most twice the charge per unit of persistent hurting.

Conclusions: WC patients undergoing carpal tunnel release (CTR) fare poorly every bit compared with non-WC patients in nigh every metric. Higher rates of postoperative pain with delayed return to work can be predictable in a WC accomplice. In addition, WC patients receive suboptimal preoperative workup, and information technology is possible that unnecessary surgery is being completed in these cases. These findings are important to consider when treating the WC patient with CTS.

Keywords: carpal tunnel release; carpal tunnel syndrome; disability; workers' compensation.

Conflict of interest argument

Declaration of Conflicting Interests: The writer(s) declared no potential conflicts of involvement with respect to the research, authorship, and/or publication of this commodity.

Figures

Figure 1.

Breakdown of PubMed database systematic review. Note. CTS = carpal tunnel syndrome; WC = workers' compensation.

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Source: https://pubmed.ncbi.nlm.nih.gov/28387162/

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