Öz
Objectives: Carpal tunnel syndrome (CTS) is a common condition that often coexists with rheumatologic diseases, leading to significant functional impairment and reduced quality of life. This study aimed to evaluate the outcomes of open decompression surgery for CTS in individuals with rheumatologic diseases, focusing on symptom severity and functional status improvements.
Materials and Methods: A retrospective analysis was conducted on 27 patients diagnosed with CTS and concomitant rheumatologic diseases. These patients underwent open decompression surgery under local anesthesia between January 2021 and June 2023. Outcomes were assessed using the Boston symptom severity scale (BSSS) and the Boston functional status scale (BFSS) preoperatively and at follow-up appointments postoperatively.
Results: Postoperative evaluations revealed significant improvements in both BSSS and BFSS scores. Patients reported marked relief in symptom severity and improvements in their ability to perform daily activities. These improvements were consistent across the cohort, indicating the reliability of surgical intervention.
Conclusion: The findings suggest that open decompression surgery is an effective and reliable method for managing CTS symptoms in patients with rheumatologic diseases. This surgical approach not only alleviates symptom severity but also enhances functional capabilities, contributing to a better quality of life
Anahtar Kelimeler
Carpal tunnel syndrome rheumatologic diseases open decompression surgery Boston carpal tunnel questionnaire
Etik Beyan
Ethical approval was obtained from the Ankara University Human Research Ethics Committee (approval number: i11-898-24, date: 13.01.2025
Kaynakça
- 1. Feldon P, Terrono AL. Carpal tunnel syndrome in rheumatoid arthritis. Techniques in Orthopaedics. 2006;21:42-47.
- 2. Osiak K, Elnazir P, Walocha JA, Pasternak A. Carpal tunnel syndrome: stateof-the-art review. Folia Morphol (Warsz). 2022;81:851-862.
- 3. Bîrsanu L, Vulpoi GA, Cuciureanu DI, Antal C, Popescu I, Turliuc D. Carpal tunnel syndrome related to rheumatic disease (Review). Exp Ther Med. 2024;28.
- 4. Didier K, Bolko L, Giusti D, et al. Autoantibodies associated with connective tissue diseases: What meaning for clinicians? Front Immunol. 2018;9.
- 5 Al Maini M, Adelowo F, Al Saleh J, et al. The global challenges and opportunities in the practice of rheumatology: White paper by the world forum on rheumatic and musculoskeletal diseases. Clin Rheumatol. 2015;34:819-829
- 6. Vergara-Amador E, Rojas A. The rheumatoid wrist. Essential aspects in the treatment. Revista Colombiana de Reumatología (English Edition). 2016;23:24-33.
- 7. Joaquim AF, Appenzeller S. Neuropsychiatric manifestations in rheumatoid arthritis. Autoimmun Rev. 2015;14:1116-1122.
- 8. Kaya Subaşı P, Güler T, Yurdakul FG, Ataman Ş, Bodur H. Carpal tunnel syndrome in patients with rheumatoid arthritis and psoriatic arthritis: an electrophysiological and ultrasonographic study. Rheumatol Int. 2021;41:361-368.
- 9. Aktürk S, Büyükavcı R, Ersoy Y. Median nerve ultrasound in carpal tunnel syndrome with normal electrodiagnostic tests. Acta Neurol Belg. 2020;120:43-47.
- 10. Tezcan EA, Levendoglu F, Durmaz MS, et al. Carpal tunnel syndrome in patients with psoriatic arthritis: ultrasonography and magnetic resonance imaging findings. J Rheum Dis. 2023;30:36-44.
- 11. Birol A, Ulkatan S, Koçak M, Erkek E. Peripheral neuropathy in Behçet’s disease. J Dermatol. 2004;31:455-459.
- 12. Lee J, Cho S, Kim DY, Zheng Z, Park H, Bang D. Carpal tunnel syndrome in Behçet’s disease. Yonsei Med J. 2015;56:1015-1020.
- 13. Khedr EM, Rashad SM, Hamed SA, El-Zharaa F, Abdalla AKH. Neurological complications of ankylosing spondylitis: Neurophysiological assessment. Rheumatol Int. 2009;29:1031-1040.
- 14. Gündüz OH, Kiralp MZ, Özçakar L, Çakar E, Yildirim P, Akyuz G. Nerve conduction studies in patients with ankylosing spondylitis. J Natl Med Assoc. 2010;102:243-246.
- 15. Akpolat T, Yilmaz E, Akpolat I, Dilek M, Karagoz F, Balci B, Ozen S. Amyloidosis in
- 16. Bademci G, Erdemoglu AK, Evliyaoglu C, Atasoy P, Keskil S. Bilateral carpal tunnel syndrome associated to familial Mediterranean fever. Clin Neurol Neurosurg. 2005;108:77-79.
- 17. Nestle FO, Burg G. Bilateral carpal tunnel syndrome as a clue for the diagnosis of systemic amyloidosis. In: Dermatology. 2001;202:353-355.
- 18. Mahmoud W, El-Naby MM, Awad AA. Carpal tunnel syndrome in rheumatoid arthritis patients: the role of combined ultrasonographic and electrophysiological assessment. Egyptian Rheumatology and Rehabilitation. 2022;49:62.
- 19. Gervasio A, Stelitano C, Bollani P, Giardini A, Vanzetti E, Ferrari M. Carpal tunnel sonography. J Ultrasound. 2020;23:337-347.
- 20. Padua L, Lo Monaco M, Padua R, Gregori B, Tonali P. Neurophysiological classification of carpal tunnel syndrome: Assessment of 600 symptomatic hands. Ital J Neurol Sci. 1997;18:145-150.
- 21. Sakthiswary R, Singh R. Has the median nerve involvement in rheumatoid arthritis been overemphasized? Rev Bras Reumatol. 2017;57:122-128.
- 22. Filippucci E, Gabba A, Di Geso L, Girolimetti R, Salaffi F, Grassi W. Hand tendon involvement in rheumatoid arthritis: An ultrasound study. Semin Arthritis Rheum. 2012;41:752-760.
- 23. López-Ferrer A, Laiz A, Puig L. Psoriatic arthritis. Med Clin (Barc). 2022;159:40-46.
- 24. Heybeli N, Kutluhan S, Demirci S, Kerman M, Mumcu EF. Assessment of outcome of carpal tunnel syndrome: a comparison of electrophysiological findings and a self-administered Boston questionnaire. J Hand Surg Br. 2002;27:259-264.
Öz
Kaynakça
- 1. Feldon P, Terrono AL. Carpal tunnel syndrome in rheumatoid arthritis. Techniques in Orthopaedics. 2006;21:42-47.
- 2. Osiak K, Elnazir P, Walocha JA, Pasternak A. Carpal tunnel syndrome: stateof-the-art review. Folia Morphol (Warsz). 2022;81:851-862.
- 3. Bîrsanu L, Vulpoi GA, Cuciureanu DI, Antal C, Popescu I, Turliuc D. Carpal tunnel syndrome related to rheumatic disease (Review). Exp Ther Med. 2024;28.
- 4. Didier K, Bolko L, Giusti D, et al. Autoantibodies associated with connective tissue diseases: What meaning for clinicians? Front Immunol. 2018;9.
- 5 Al Maini M, Adelowo F, Al Saleh J, et al. The global challenges and opportunities in the practice of rheumatology: White paper by the world forum on rheumatic and musculoskeletal diseases. Clin Rheumatol. 2015;34:819-829
- 6. Vergara-Amador E, Rojas A. The rheumatoid wrist. Essential aspects in the treatment. Revista Colombiana de Reumatología (English Edition). 2016;23:24-33.
- 7. Joaquim AF, Appenzeller S. Neuropsychiatric manifestations in rheumatoid arthritis. Autoimmun Rev. 2015;14:1116-1122.
- 8. Kaya Subaşı P, Güler T, Yurdakul FG, Ataman Ş, Bodur H. Carpal tunnel syndrome in patients with rheumatoid arthritis and psoriatic arthritis: an electrophysiological and ultrasonographic study. Rheumatol Int. 2021;41:361-368.
- 9. Aktürk S, Büyükavcı R, Ersoy Y. Median nerve ultrasound in carpal tunnel syndrome with normal electrodiagnostic tests. Acta Neurol Belg. 2020;120:43-47.
- 10. Tezcan EA, Levendoglu F, Durmaz MS, et al. Carpal tunnel syndrome in patients with psoriatic arthritis: ultrasonography and magnetic resonance imaging findings. J Rheum Dis. 2023;30:36-44.
- 11. Birol A, Ulkatan S, Koçak M, Erkek E. Peripheral neuropathy in Behçet’s disease. J Dermatol. 2004;31:455-459.
- 12. Lee J, Cho S, Kim DY, Zheng Z, Park H, Bang D. Carpal tunnel syndrome in Behçet’s disease. Yonsei Med J. 2015;56:1015-1020.
- 13. Khedr EM, Rashad SM, Hamed SA, El-Zharaa F, Abdalla AKH. Neurological complications of ankylosing spondylitis: Neurophysiological assessment. Rheumatol Int. 2009;29:1031-1040.
- 14. Gündüz OH, Kiralp MZ, Özçakar L, Çakar E, Yildirim P, Akyuz G. Nerve conduction studies in patients with ankylosing spondylitis. J Natl Med Assoc. 2010;102:243-246.
- 15. Akpolat T, Yilmaz E, Akpolat I, Dilek M, Karagoz F, Balci B, Ozen S. Amyloidosis in
- 16. Bademci G, Erdemoglu AK, Evliyaoglu C, Atasoy P, Keskil S. Bilateral carpal tunnel syndrome associated to familial Mediterranean fever. Clin Neurol Neurosurg. 2005;108:77-79.
- 17. Nestle FO, Burg G. Bilateral carpal tunnel syndrome as a clue for the diagnosis of systemic amyloidosis. In: Dermatology. 2001;202:353-355.
- 18. Mahmoud W, El-Naby MM, Awad AA. Carpal tunnel syndrome in rheumatoid arthritis patients: the role of combined ultrasonographic and electrophysiological assessment. Egyptian Rheumatology and Rehabilitation. 2022;49:62.
- 19. Gervasio A, Stelitano C, Bollani P, Giardini A, Vanzetti E, Ferrari M. Carpal tunnel sonography. J Ultrasound. 2020;23:337-347.
- 20. Padua L, Lo Monaco M, Padua R, Gregori B, Tonali P. Neurophysiological classification of carpal tunnel syndrome: Assessment of 600 symptomatic hands. Ital J Neurol Sci. 1997;18:145-150.
- 21. Sakthiswary R, Singh R. Has the median nerve involvement in rheumatoid arthritis been overemphasized? Rev Bras Reumatol. 2017;57:122-128.
- 22. Filippucci E, Gabba A, Di Geso L, Girolimetti R, Salaffi F, Grassi W. Hand tendon involvement in rheumatoid arthritis: An ultrasound study. Semin Arthritis Rheum. 2012;41:752-760.
- 23. López-Ferrer A, Laiz A, Puig L. Psoriatic arthritis. Med Clin (Barc). 2022;159:40-46.
- 24. Heybeli N, Kutluhan S, Demirci S, Kerman M, Mumcu EF. Assessment of outcome of carpal tunnel syndrome: a comparison of electrophysiological findings and a self-administered Boston questionnaire. J Hand Surg Br. 2002;27:259-264.
Ayrıntılar
| Birincil Dil | İngilizce |
|---|---|
| Konular | Ortopedi |
| Bölüm | Makaleler |
| Yazarlar | |
| Yayımlanma Tarihi | 1 Temmuz 2025 |
| Gönderilme Tarihi | 21 Ocak 2025 |
| Kabul Tarihi | 5 Mart 2025 |
| Yayımlandığı Sayı | Yıl 2025 Cilt: 79 Sayı: 2 |