Eppink, Koen (2024) Secondary Carpal Tunnel Release after Surgical Fixation of the Distal Radius: Exploring the Frequency and Risk Factors. thesis, Medicine.
Full text available on request.Abstract
Introduction: Carpal tunnel syndrome is a common complication seen after surgical fixation of the distal radius fracture (DRF), potential resulting in severe complications, including muscle atrophy and permanent nerve damage. Despite increased surgical treatments for DRFs, the frequency and risk factors for secondary carpal tunnel release (CTR) after DRF fixation remain unclear. This study aims to identify the frequency and risk factors associated with secondary CTR. Methods: A retrospective matched case-control study was conducted. The institutional clinical research database identified patients 18 years and older who either underwent secondary CTR within one year after surgical fixation of the DRF, or concomitant CTR between 2001 and 2023. Secondary CTR cases were matched 1:4 to concomitant CTR controls. Patient, diagnosis, and treatment characteristics were collected and analyzed. Multivariate logistic regression was performed to identify risk factors for secondary CTR. Results: Seventy-seven patients were identified for the case group, matched to 306 controls. In the case group, the mean age was 58 years (SD ± 12.9), the mean BMI was 27.4 (SD ± 5.0), there were 21 patients (27.3%) with labor-intensive jobs, 15 smokers (19.5%), and 17 patients (22.1%) had hypothyroidism. Nerve compression symptoms before initial surgical fixation of the DRF were observed in 26 patients (33.8%). Treatment using volar plate fixation was done in 76 patients (98.7%). Multivariate logistic regression revealed a statistical significant association between secondary CTR and labor. Correlations were observed between secondary CTR and hypothyroidism, as well as smoking. Conclusion: For every 12 patients who underwent concomitant CTR during surgical fixation of the DRF, one patient required secondary CTR. Labor-intensive jobs are associated with secondary CTR and should be considered in surgical planning for DRF fixation.
| Item Type: | Thesis (UNSPECIFIED) |
|---|---|
| Supervisor name: | den Hengst, PhD candidate, S. and Dr. Bhashyam, MD, PhD, A.R. and Dr. Rakhorst, MD, PhD, H. |
| Date Deposited: | 16 Sep 2024 11:39 |
| Last Modified: | 16 Sep 2024 11:39 |
| URI: | https://umcg.studenttheses.ub.rug.nl/id/eprint/3759 |
Actions (login required)
 |
View Item |