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RISK FACTORS FOR RE-RECURRENT CARPAL TUNNEL SYNDROME IN PATIENTS UNDERGOING LONG-TERM HEMODIALYSIS

Department of Orthopedic Surgery, Japanese Red Cross Fukuoka Hospital, Fukuoka, Japan

Correspondence to: Dr. Katsuhiko Kikuchi, Department of Orthopedic Surgery, Japanese Red Cross Fukuoka Hospital, 3-1-1 Okusu, Minami-ku, Fukuoka 815-8555, Japan. Tel: +(81) 92-521-1211, Fax: +(81) 92-522-3066.

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Koji Matsumoto

Matsumoto Orthopedic Clinic, Fukuoka, Japan

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Ken-Ichi Seo

Department of Orthopedic Surgery, Japanese Red Cross Fukuoka Hospital, Fukuoka, Japan

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Yasumasa Ito

Department of Orthopedic Surgery, Japanese Red Cross Fukuoka Hospital, Fukuoka, Japan

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, and

Shinji Tomari

Department of Orthopedic Surgery, Japanese Red Cross Fukuoka Hospital, Fukuoka, Japan

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https://doi.org/10.1142/S0218810413500123Cited by:1 (Source: Crossref)

Abstract

The purpose of this study was to evaluate risk factors for re-recurrent carpal tunnel syndrome (CTS) in long-term renal hemodialysis (HD) patients. Fifteen wrists of ten HD patients, follow-up period of minimum seven years after reoperation of CTS, were included in this study. Duration of HD, period from first operation to reoperation, shunt side was involved or not, presence of trigger finger and cervical destructive spondyloarthritis, and operative procedure performed during the reoperation (synovectomy was performed or not) were evaluated. Re-recurrent CTS was identified in four out of 15 wrists (27%). The period from first operation to reoperation, which was 3.8 years in the re-recurrence group and eight years in the no re-recurrence group, and the operative procedure had significant differences (synovectomy groups had no re-recurrence vs. no synovectomy groups had 82% re-recurrence). The results of this study suggested that synovectomy would be necessary for recurrent CTS in HD patients.

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