Long-term results of surgical treatment with the use of transverse carpal ligament reconstruction in patients with carpal tunnel syndrome depending on the age categories and severity of the disease

Abstract

Carpal tunnel syndrome is one of the most common neuropathies of the upper extremities. The disease is manifested by pain in the hand, accompanied by numbness, paresthesia, muscle weakness, a significant decrease in grip strength and a marked deterioration in the functional state of the hand as a whole, which causes disability of patients. Surgical treatment of pathology is considered the most effective. In order to assess the long-term results of surgical treatment with the use of transverse carpal ligament reconstruction, depending on the age and severity of the disease, a clinical examination of 48 patients was conducted in the periods before surgery and 6 months after surgery. The patients were divided into four groups by age categories: from 18 to 44 years old, from 45 to 60 years old, from 61 to 75 years old, over 75 years old, and into three groups according to the severity of the disease according to the classification of R. Szabo. The examination included a clinical examination with specialized provocative tests and questionnaires, dynamometry and electoroneuromyography. It was determined that patients with grade II severity of SPC of categories from 18 to 44 years and from 44 to 60 years had the best indicators.