Surgical Outcomes of Carpal Tunnel Syndrome in Rheumatologic Patients
Abstract
Objectives: Carpal tunnel syndrome (CTS) is a common condition that often coexists with rheumatologic diseases, leading to significant functional impairment and reduced quality of life. This study aimed to evaluate the outcomes of open decompression surgery for CTS in individuals with rheumatologic diseases, focusing on symptom severity and functional status improvements.
Materials and Methods: A retrospective analysis was conducted on 27 patients diagnosed with CTS and concomitant rheumatologic diseases. These patients underwent open decompression surgery under local anesthesia between January 2021 and June 2023. Outcomes were assessed using the Boston symptom severity scale (BSSS) and the Boston functional status scale (BFSS) preoperatively and at follow-up appointments postoperatively.
Results: Postoperative evaluations revealed significant improvements in both BSSS and BFSS scores. Patients reported marked relief in symptom severity and improvements in their ability to perform daily activities. These improvements were consistent across the cohort, indicating the reliability of surgical intervention.
Conclusion: The findings suggest that open decompression surgery is an effective and reliable method for managing CTS symptoms in patients with rheumatologic diseases. This surgical approach not only alleviates symptom severity but also enhances functional capabilities, contributing to a better quality of life
Keywords
Ethical Statement
Ethical approval was obtained from the Ankara University Human Research Ethics Committee (approval number: i11-898-24, date: 13.01.2025
References
- 1. Feldon P, Terrono AL. Carpal tunnel syndrome in rheumatoid arthritis. Techniques in Orthopaedics. 2006;21:42-47.
- 2. Osiak K, Elnazir P, Walocha JA, Pasternak A. Carpal tunnel syndrome: stateof-the-art review. Folia Morphol (Warsz). 2022;81:851-862.
- 3. Bîrsanu L, Vulpoi GA, Cuciureanu DI, Antal C, Popescu I, Turliuc D. Carpal tunnel syndrome related to rheumatic disease (Review). Exp Ther Med. 2024;28.
- 4. Didier K, Bolko L, Giusti D, et al. Autoantibodies associated with connective tissue diseases: What meaning for clinicians? Front Immunol. 2018;9.
- 5 Al Maini M, Adelowo F, Al Saleh J, et al. The global challenges and opportunities in the practice of rheumatology: White paper by the world forum on rheumatic and musculoskeletal diseases. Clin Rheumatol. 2015;34:819-829
- 6. Vergara-Amador E, Rojas A. The rheumatoid wrist. Essential aspects in the treatment. Revista Colombiana de Reumatología (English Edition). 2016;23:24-33.
- 7. Joaquim AF, Appenzeller S. Neuropsychiatric manifestations in rheumatoid arthritis. Autoimmun Rev. 2015;14:1116-1122.
- 8. Kaya Subaşı P, Güler T, Yurdakul FG, Ataman Ş, Bodur H. Carpal tunnel syndrome in patients with rheumatoid arthritis and psoriatic arthritis: an electrophysiological and ultrasonographic study. Rheumatol Int. 2021;41:361-368.
Details
Primary Language
English
Subjects
Orthopaedics
Journal Section
Research Article
Publication Date
July 1, 2025
Submission Date
January 21, 2025
Acceptance Date
March 5, 2025
Published in Issue
Year 2025 Volume: 78 Number: 2
APA
Kıratlıoğlı, Y., & Bezirgan, U. (2025). Surgical Outcomes of Carpal Tunnel Syndrome in Rheumatologic Patients. Ankara Üniversitesi Tıp Fakültesi Mecmuası, 78(2), 106-112. https://doi.org/10.4274/atfm.galenos.2025.57983
AMA
1.Kıratlıoğlı Y, Bezirgan U. Surgical Outcomes of Carpal Tunnel Syndrome in Rheumatologic Patients. Ankara Üniversitesi Tıp Fakültesi Mecmuası. 2025;78(2):106-112. doi:10.4274/atfm.galenos.2025.57983
Chicago
Kıratlıoğlı, Yusuf, and Uğur Bezirgan. 2025. “Surgical Outcomes of Carpal Tunnel Syndrome in Rheumatologic Patients”. Ankara Üniversitesi Tıp Fakültesi Mecmuası 78 (2): 106-12. https://doi.org/10.4274/atfm.galenos.2025.57983.
EndNote
Kıratlıoğlı Y, Bezirgan U (July 1, 2025) Surgical Outcomes of Carpal Tunnel Syndrome in Rheumatologic Patients. Ankara Üniversitesi Tıp Fakültesi Mecmuası 78 2 106–112.
IEEE
[1]Y. Kıratlıoğlı and U. Bezirgan, “Surgical Outcomes of Carpal Tunnel Syndrome in Rheumatologic Patients”, Ankara Üniversitesi Tıp Fakültesi Mecmuası, vol. 78, no. 2, pp. 106–112, July 2025, doi: 10.4274/atfm.galenos.2025.57983.
ISNAD
Kıratlıoğlı, Yusuf - Bezirgan, Uğur. “Surgical Outcomes of Carpal Tunnel Syndrome in Rheumatologic Patients”. Ankara Üniversitesi Tıp Fakültesi Mecmuası 78/2 (July 1, 2025): 106-112. https://doi.org/10.4274/atfm.galenos.2025.57983.
JAMA
1.Kıratlıoğlı Y, Bezirgan U. Surgical Outcomes of Carpal Tunnel Syndrome in Rheumatologic Patients. Ankara Üniversitesi Tıp Fakültesi Mecmuası. 2025;78:106–112.
MLA
Kıratlıoğlı, Yusuf, and Uğur Bezirgan. “Surgical Outcomes of Carpal Tunnel Syndrome in Rheumatologic Patients”. Ankara Üniversitesi Tıp Fakültesi Mecmuası, vol. 78, no. 2, July 2025, pp. 106-12, doi:10.4274/atfm.galenos.2025.57983.
Vancouver
1.Yusuf Kıratlıoğlı, Uğur Bezirgan. Surgical Outcomes of Carpal Tunnel Syndrome in Rheumatologic Patients. Ankara Üniversitesi Tıp Fakültesi Mecmuası. 2025 Jul. 1;78(2):106-12. doi:10.4274/atfm.galenos.2025.57983