Carpal tunnel syndrome in hemodialyzed patients

Chir Organi Mov. Jan-Mar 1993;78(1):15-8.
[Article in En, Italian]

Abstract

A total of 18 hemodialyzed patients submitted to surgery for the treatment of carpal tunnel syndrome are examined. In all of the cases pre- and postoperative EMG and biopsy were performed. Six months after surgery all of the patients showed improved pain symptoms, in 66% there was good recovery of sensitivity and of the function of the hand: these results were confirmed by EMG monitoring. In all of the biopsies amyloid deposits, particularly diffused in the tendinous and nervous sheaths, were observed. At 2-year follow-up 75% of the patients showed recurrence of pain symptoms. Thus, surgery does not seem to definitively resolve symptoms.

MeSH terms

  • Adult
  • Aged
  • Amyloid / metabolism
  • Biopsy
  • Carpal Tunnel Syndrome / metabolism
  • Carpal Tunnel Syndrome / pathology
  • Carpal Tunnel Syndrome / surgery*
  • Female
  • Humans
  • Kidney Failure, Chronic / metabolism
  • Kidney Failure, Chronic / pathology
  • Kidney Failure, Chronic / surgery
  • Ligaments, Articular / metabolism
  • Ligaments, Articular / pathology
  • Ligaments, Articular / surgery
  • Male
  • Median Nerve / metabolism
  • Median Nerve / pathology
  • Median Nerve / surgery
  • Middle Aged
  • Renal Dialysis*
  • Tendons / metabolism
  • Tendons / pathology
  • Tendons / surgery
  • Wrist Joint

Substances

  • Amyloid