La cirugía del síndrome del túnel carpiano en pacientes de edad avanzada

Resum

Purpose: We present in this article the long term outcomes of median nerve release at the wrist in elderly pa- tients. Methods: Historical prospective long term study over 98 patients that received surgical treatment of carpal tunnel syndrome considered by aging and with a mean follow-up of ten years. A clinical-functional (with the Levine Questionnaire), electromyographic and dynamometric evaluation of the patients studied have been ca- rried out. Results: For most of the items of the Questionnaire of Levine, as well as for the values of sensitive velocity and motor latency of the median nerve, we have found favourable differences with respect to the preoperative eva- luation. The data of grip strength are unfavourable. Conclusions: In elderly patients, complete section of the carpal transverse ligament, allows maintaining favou- rable differences in most of the parameters studied, after ten years from the surgery, being the surgical treat- ment a recommendable option