The carpal tunnel syndrome in chronic dialysis patients, it is a late complication of the arterio-venous fistula?

Détails

ID Serval
serval:BIB_3E3B017CDB44
Type
Article: article d'un périodique ou d'un magazine.
Collection
Publications
Institution
Titre
The carpal tunnel syndrome in chronic dialysis patients, it is a late complication of the arterio-venous fistula?
Périodique
Annales de Chirurgie de la Main
Auteur⸱e⸱s
Poulenas  I., Spertini  F., Wauters  J. P.
ISSN
0753-9053 (Print)
Statut éditorial
Publié
Date de publication
1983
Volume
2
Numéro
3
Pages
244-9
Notes
Journal Article
Résumé
Out of 100 patients undergoing chronic hemodialysis in Lausanne (Switzerland), 12 developed a carpal tunnel syndrome (i.e. 8 men and 4 women, from 34 to 76 years old). Out of 66 patients with an arteriovenous fistula for less than 4 years, it is interesting to note that only 3 carpal tunnel syndrome were observed; whereas, out of 34 hemodialysis patients being dialyzed more than 4 years, 9 of them showed that syndrome. The symptomatology of the carpal tunnel syndrome is described by the authors. It has always been confirmed by EMG. On 10 patients, the symptoms were so acute that they needed a decompression of the median nerve. Five cases were bilateral. The operation is performed under axillary block, without tourniquet. The results were very satisfactory. Paresthesias disappeared after a few hours or a few days following the operation. No relationship could be established between CTS and the type of nephropathy, severity of polyneuropathy, Ca and P metabolism, vascular access complications, efficacity of dialysis, fluid overload or medical treatment. The authors are investigating the etiology of the carpal tunnel syndrome, ship hypothesize particularly concerning the direct or remote relation between the carpal tunnel syndrome and the arteriovenous fistula.
Mots-clé
Adult Aged Arteriovenous Shunt, Surgical/*adverse effects Axilla/innervation Calcium/metabolism Carpal Tunnel Syndrome/diagnosis/*etiology/surgery Catheters, Indwelling Electromyography Female Hemodialysis Solutions/therapeutic use Humans Hypesthesia/surgery Kidney Failure, Chronic/therapy Male Median Nerve/physiopathology/surgery Middle Aged Nerve Block Paresthesia/surgery Patient Satisfaction Phosphorus/metabolism Polyneuropathies/complications Radial Artery/surgery Renal Dialysis/*adverse effects Time Factors Tourniquets Veins/surgery
Pubmed
Création de la notice
25/01/2008 15:20
Dernière modification de la notice
20/08/2019 13:34
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