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Advances in Orthopedics
Volume 2011 (2011), Article ID 727689, 7 pages
http://dx.doi.org/10.4061/2011/727689
Clinical Study

Patient-Reported Outcome of Surgical Treatment of Nerve Entrapments in the Proximal Forearm

1Department of Plastic Surgery, Hand Surgery and Burns, Linköping University Hospital, 581 85 Linköping, Sweden
2Department of Clinical and Experimental Medicine, Faculty of Health Sciences, Linköping University, 581 85 Linköping, Sweden
3Department of Orthopaedics and Sports Medicine, Linköping University Hospital, 581 85 Linköping, Sweden

Received 13 April 2011; Accepted 23 June 2011

Academic Editor: Sokratis Varitimidis

Copyright © 2011 Birgitta Svernlöv et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

The outcome of decompression for long-standing symptoms of nerve entrapments in the proximal forearm was investigated in a retrospective study of 205 patients using a self-assessment questionnaire, 45 months after the operation. The questionnaire consisted of visual analogue scale recordings of pre- and postoperative pain during rest and activity, questions about remaining symptoms and appreciation of the result and the Disabilities of Arm, Shoulder and Hand form (DASH). Altogether, 59% of the patients were satisfied, 58% considered themselves improved, and 3% as being entirely relieved of all symptoms. Pain decreased significantly ( 𝑃 = 0 . 0 0 1 ). There was a significant correlation between preoperative duration and patient perceived post-operative pain. Preoperative pain was a chief complaint, and pain reduction appears to be the principal gain of the operation. Although the majority of the patients benefited from the operation, a substantial proportion was not satisfied. There is apparently room for improvement of the diagnostic and surgical methods applied in this study.