Combined Carpal Tunnel Release and Palmar Fasciectomy for Dupuytren’s Contracture Does Not Increase the Risk for Complex Regional Pain Syndrome
dc.contributor.author | Loewenstein, Scott Nathan | |
dc.contributor.author | Duquette, Stephen P. | |
dc.contributor.author | Adkinson, Joshua M. | |
dc.contributor.department | Surgery, School of Medicine | en_US |
dc.date.accessioned | 2018-10-25T13:24:20Z | |
dc.date.available | 2018-10-25T13:24:20Z | |
dc.date.issued | 2018-08 | |
dc.description.abstract | Background: 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.version | Author's manuscript | en_US |
dc.identifier.citation | Loewenstein, 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.uri | https://hdl.handle.net/1805/17637 | |
dc.language.iso | en | en_US |
dc.publisher | Wolters Kluwer | en_US |
dc.relation.isversionof | 10.1097/PRS.0000000000004838 | en_US |
dc.relation.journal | Plastic and Reconstructive Surgery | en_US |
dc.rights | Publisher Policy | en_US |
dc.source | Author | en_US |
dc.subject | carpal tunnel syndrome | en_US |
dc.subject | Dupuytren’s contracture | en_US |
dc.subject | Complex Regional Pain Syndrome | en_US |
dc.title | Combined Carpal Tunnel Release and Palmar Fasciectomy for Dupuytren’s Contracture Does Not Increase the Risk for Complex Regional Pain Syndrome | en_US |
dc.type | Article | en_US |