Combined Carpal Tunnel Release and Palmar Fasciectomy for Dupuytren’s Contracture Does Not Increase the Risk for Complex Regional Pain Syndrome

dc.contributor.authorLoewenstein, Scott Nathan
dc.contributor.authorDuquette, Stephen P.
dc.contributor.authorAdkinson, Joshua M.
dc.contributor.departmentSurgery, School of Medicineen_US
dc.date.accessioned2018-10-25T13:24:20Z
dc.date.available2018-10-25T13:24:20Z
dc.date.issued2018-08
dc.description.abstractBackground: Hand surgery dogma suggests that simultaneous surgical treatment of carpal tunnel syndrome (CTS) and Dupuytren’s contracture (DC) results in an increased incidence of Complex Regional Pain Syndrome (CRPS). As a result, many surgeons do not perform surgery for the two conditions concurrently. Our goal was to determine the extent of this association. Methods: We identified all patients undergoing surgical treatment for CTS, DC, or both between April 1982 and March 2017 using the Indiana Network for Patient Care (INPC), a large, multi-institutional, statewide information exchange. Demographics, comorbidities, and 1-year post-operative incidence of CRPS were recorded. Results: A total of 51,739 (95.6%) patients underwent carpal tunnel release (CTR) only, 2,103 (3.9%) underwent palmar fasciectomy (PF) only, and 305 (0.6%) underwent concurrent CTR and PF. There was no difference in the likelihood of developing CRPS (p=0.163) between groups. Independent risk factors for developing CRPS were younger age, anxiety, depression, epilepsy, gout, and history of fracture of the radius, ulna, or the carpus. Conclusions: Concurrent CTR and PF is not associated with an increased risk for developing CRPS. Patient demographics, medical comorbidities, and a history of upper extremity trauma are associated with the development of CRPS after surgery and should be discussed preoperatively as potential risk factors.en_US
dc.eprint.versionAuthor's manuscripten_US
dc.identifier.citationLoewenstein, S. N., Duquette, S. P., & Adkinson, J. M. (2018). Combined Carpal Tunnel Release and Palmar Fasciectomy for Dupuytren’s Contracture Does Not Increase the Risk for Complex Regional Pain Syndrome, 1.en_US
dc.identifier.urihttps://hdl.handle.net/1805/17637
dc.language.isoenen_US
dc.publisherWolters Kluweren_US
dc.relation.isversionof10.1097/PRS.0000000000004838en_US
dc.relation.journalPlastic and Reconstructive Surgeryen_US
dc.rightsPublisher Policyen_US
dc.sourceAuthoren_US
dc.subjectcarpal tunnel syndromeen_US
dc.subjectDupuytren’s contractureen_US
dc.subjectComplex Regional Pain Syndromeen_US
dc.titleCombined Carpal Tunnel Release and Palmar Fasciectomy for Dupuytren’s Contracture Does Not Increase the Risk for Complex Regional Pain Syndromeen_US
dc.typeArticleen_US
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