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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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Analysis of the Boston Carpal Tunnel Questionnaire for End Stage- and Recurrent Carpal Tunnel Syndrome

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  • presenting/speaker Tom Lattré - Ziekenhuis Waregem, Waregem, Belgium
  • Carlo Van Holder - Ziekenhuis Waregem, Waregem, Belgium
  • Steven Parmentier - Ziekenhuis Waregem, Waregem, Belgium

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. DocIFSHT19-1032

doi: 10.3205/19ifssh1487, urn:nbn:de:0183-19ifssh14879

Published: February 6, 2020

© 2020 Lattré et al.
This is an Open Access article distributed under the terms of the Creative Commons Attribution 4.0 License. See license information at http://creativecommons.org/licenses/by/4.0/.

Outline

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Objective: In contrast to other articles where only the end scores are given, this study analyses the pre- operative outcome details of the Boston Carpal Tunnel Questionnaire (BCTQ) for patients diagnosed with "End Stage" and "Recurrent" carpal tunnel syndrome (CTS).

Materials and Methods: Patients with "End stage carpal tunnel syndrome" (ECTS) had no more neurophysiological continuity of the median nerve at wrist level and no history of carpal tunnel release. The "Recurrent" group (RCTS) patients received previously an open carpal tunnel release and were suffering again from the typical CTS symptoms.

The ECTS and the RCTS group contained respectively 32 and 20 patients.

The BCTQ is a patient reported outcome measurement, specific for CTS with 11 questions about the symptoms (A-part) and 8 questions concerning the functional status (B-part).

The BCTQ was filled in just before hypothenar pad flap surgery, resulting between 1 (no complaints) and 5 (maximum of complaints). Minor -, moderate- and high complaints were seen with a score respectively between 1 < 2; 2 < 3, 3 < 4.

Results: The ECTS group, a merely elderly population, demonstrated in general for both parts lower moderate complaints. In the A-part, high complaints were noted for numbness and picking up small things. The B-part showed that closing buttons of shirt and opening a jar were high scored.

The RCTS group showed in general a high symptom score and a moderate functional score. The highest score in the A-part concerned the tingling followed by the numbness feeling in the fingers. They suffered a moderate pain during the day and at night. The B-part showed high complaints about opening a jar and carrying a sack of vegetables.

Conclusions: This prospective study showed that the two CTS groups were clearly different in symptoms and functional status.

The BCTQ proved to be a good questionnaire, however small adaptions are suggested to make it more specific.