| HOME | HELP | FEEDBACK | SUBSCRIPTIONS | ARCHIVE | SEARCH | TABLE OF CONTENTS |
|
|
|
|||||||
|
|||||||||
From the Istituto di Neurologia (Drs. L. Padua, Aprile, and Tonali), Università Cattolica S.C., Rome; AFaR–CRCCS Centro di Statistica Medica (Drs. L. Padua and Pasqualetti), Osp. Fatebenefratelli Isola Tiberina, Rome; Istituto Pro Iuventute (Dr. L. Padua), Don C. Gnocchi, Rome; Dipartimento Ortopedia (Dr. R. Padua), Ospedale S. Giacomo, Rome; IRCCS (Dr. Pasqualetti), Centro S. Giovanni di Dio, FBF, Brescia; and CSS Hospital (Dr. Tonali), IRCCS, S. Giovanni Rotondo, Italy.
Address correspondence and reprint requests to Dr. Luca Padua, Institute of Neurology, Università Cattolica, L.go F. Vito 1 00168, Rome, Italy; e-mail: lpadua{at}mclink.it
Objective: To assess the course of untreated carpal tunnel syndrome (CTS).
Methods: The Italian CTS Study Group prospectively followed up (10 to 15 months) 196 untreated patients (274 hands) with idiopathic CTS with multiple measurements of CTS. Baseline factors were used to predict the evolution of untreated CTS in multiple regression analysis. Results: Comparison of baseline and follow-up data showed a significant spontaneous improvement of patient-oriented and neurophysiologic measurements. A significant correlation between evolution and initial severity of CTS was observed. CTS measurements improved in patients with more severe initial impairment whereas they worsened in patients with milder initial impairment. The main positive prognostic factor was short duration of symptoms. Similarly, spontaneous improvement was more frequently associated with young age. Conversely, baseline bilateral symptoms and positive Phalen predicted a poor prognosis. Conclusions: Some patients with CTS improve spontaneously without surgical treatment.
This article has been cited by other articles:
|
|
 |
|
  L H Visser, M H Smidt, and M L Lee High-resolution sonography versus EMG in the diagnosis of carpal tunnel syndrome J. Neurol. Neurosurg. Psychiatry, January 1, 2008; 79(1): 63 - 67. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 J. D P Bland Carpal tunnel syndrome BMJ, August 18, 2007; 335(7615): 343 - 346. [Full Text] [PDF]
|
|
|
|
 |
|
 A.C.F. Hui, S. Wong, C. H. Leung, P. Tong, V. Mok, D. Poon, C. W. Li-Tsang, L. K. Wong, and R. Boet A randomized controlled trial of surgery vs steroid injection for carpal tunnel syndrome Neurology, June 28, 2005; 64(12): 2074 - 2078. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 V. Agarwal, R. Singh, A. Sachdev, Wiclaff, S. Shekhar, and D. Goel A prospective study of the long-term efficacy of local methyl prednisolone acetate injection in the management of mild carpal tunnel syndrome Rheumatology, May 1, 2005; 44(5): 647 - 650. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 S. M. Wong, J. F. Griffith, A. C. F. Hui, S. K. Lo, M. Fu, and K. S. Wong Carpal Tunnel Syndrome: Diagnostic Usefulness of Sonography Radiology, July 1, 2004; 232(1): 93 - 99. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 F. Goodyear-Smith and B. Arroll What Can Family Physicians Offer Patients With Carpal Tunnel Syndrome Other Than Surgery? A Systematic Review of Nonsurgical Management Ann. Fam. Med, May 1, 2004; 2(3): 267 - 273. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
A A M Gerritsen, I B C Korthals-De Bos, P M Laboyrie, H C W de Vet, R J P M Scholten, and L M Bouter Splinting for carpal tunnel syndrome: prognostic indicators of success J. Neurol. Neurosurg. Psychiatry, September 1, 2003; 74(9): 1342 - 1344. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 B. A. Graham Commentary J. Bone Joint Surg. Am., August 1, 2003; 85(8): 1624 - 1624. [Full Text] [PDF]
|
|
|
|
|
|
M-H Chang, L-P Ger, P F Hsieh, and S-Y Huang A randomised clinical trial of oral steroids in the treatment of carpal tunnel syndrome: a long term follow up J. Neurol. Neurosurg. Psychiatry, December 1, 2002; 73(6): 710 - 714. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
L. Padua, I. Aprile, P. Caliandro, M. Mondelli, P. Pasqualetti, and P.A. Tonali Carpal tunnel syndrome in pregnancy: Multiperspective follow-up of untreated cases Neurology, November 26, 2002; 59(10): 1643 - 1646. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
S. Wiebe and M. W Nicolle Recent developments: Recent developments in neurology BMJ, March 16, 2002; 324(7338): 656 - 660. [Full Text] [PDF]
|
|
|
|
 |
|
 The Natural History of Untreated Carpal Tunnel Syndrome Journal Watch Neurology, September 20, 2001; 2001(920): 5 - 5. [Full Text]
|
|
|
|
|
|
R. K. Olney Carpal tunnel syndrome: Complex issues with a "simple" condition Neurology, June 12, 2001; 56(11): 1431 - 1432. [Full Text] [PDF]
|
|
| HOME | HELP | FEEDBACK | SUBSCRIPTIONS | ARCHIVE | SEARCH | TABLE OF CONTENTS |
