gms | German Medical Science

14th Triennial Congress of the International Federation of Societies for Surgery of the Hand (IFSSH), 11th Triennial Congress of the International Federation of Societies for Hand Therapy (IFSHT)

17.06. - 21.06.2019, Berlin

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Evaluation of altered little finger sensation in patients with carpal tunnel syndrome treated with median nerve surgical release

Meeting Abstract

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  • presenting/speaker Larissa Miyashiro Yamashita - Universidade Federal de São Paulo, São Paulo, Brazil
  • Carlos Fernandes - Universidade Federal de São Paulo, São Paulo, Brazil
  • Lia Miyamoto Meirelles - Universidade Federal de São Paulo, São Paulo, Brazil
  • Flavio Faloppa - Universidade Federal de São Paulo, São Paulo, Brazil
  • João Baptista Gomes Dos Santos - Universidade Federal de São Paulo, São Paulo, Brazil

International Federation of Societies for Surgery of the Hand. International Federation of Societies for Hand Therapy. 14th Triennial Congress of the International Federation of Societies for Surgery of the Hand (IFSSH), 11th Triennial Congress of the International Federation of Societies for Hand Therapy (IFSHT), 11th Triennial Congress of the International Federation of Societies for Hand Therapy (IFSHT). Berlin, 17.-21.06.2019. Düsseldorf: German Medical Science GMS Publishing House; 2020. DocIFSSH19-122

doi: 10.3205/19ifssh0648, urn:nbn:de:0183-19ifssh06488

Veröffentlicht: 6. Februar 2020

© 2020 Miyashiro Yamashita et al.
Dieser Artikel ist ein Open-Access-Artikel und steht unter den Lizenzbedingungen der Creative Commons Attribution 4.0 License (Namensnennung). Lizenz-Angaben siehe http://creativecommons.org/licenses/by/4.0/.

Gliederung

Text

Objectives/Interrogation: Symptoms of altered sensation are frequently observed in patients with the diagnosis of carpal tunnel syndrome (CTS). The majority of these patients present with paresthesia and/or numbness in the median nerve distribution. We have observed that some of the CTS diagnosed subjects also reported the same symptoms in the little finger. The aim of this study was to evaluate the follow-up of altered sensation in the little finger in patients who underwent carpal tunnel surgical release.

Methods: One hundred and seventy patients with CTS and little finger paresthesia and/or numbness have been analyzed. Clinical exam and electrodiagnostic studies were performed in all patients and no signs of ulnar nerve compression were found. The sensory evaluation was assessed with Semmes-Weinstein nylon monofilaments both preoperatively and postoperatively (with two weeks, one month, three months and six months-time).

Results and Conclusions: The results were statistically analyzed and reviewed. We observed that there was improvement of little finger monofilament sensory findings from the first postoperative evaluation only two weeks after the procedure of carpal tunnel release, and that the major sensory gain in relation to preoperative values was noticed six months postoperatively. We concluded that in patients with CTS and decreased little finger sensation evaluated by Semmes Weinstein nylon monofilaments, the median nerve surgical decompression causes improved little finger sensation.