Evaluation of Hand Pain, Disability and Quality of Life after Carpal Tunnel Release for patients had Median Nerve Entrapment secondary to Distal Radius Fracture Fixation: A Prospective Interventional Study
Bibliographic record
Abstract
Background: Carpal tunnel syndrome (CTS) is a compression median nerve neuropathy at the wrist. Surgical treatment of distal radius fracture (DRF) might expose patients to developing CTS.Objectives: To assess the feasibility and success rate of open carpal tunnel release (OCTR) for patients with symptomatizing CTS secondary to DRF fixation.Patients and methods: 17 patients were evaluated preoperatively and 1,4,6,8 and 12-wk postoperative (PO) using the short-form McGill Pain Questionnaire (SF-MPQ), the Boston Carpal Tunnel Questionnaire (BCTQ), Patient-Reported Outcomes Measurement Information System (PROMIS) and the Quick Disabilities of the Arm, Shoulder & Hand (DASH) Questionnaire. Surgeries were performed as day-case surgery through mini-volar incision (1-inch) along the radial border of the extended ring finger. The study outcome is the reduction of pain scoring and improved physical function (PF) scores by >50% at 4-wk after surgery relative to preoperative scores.Results: All surgeries were performed uneventfully with improved PO scores of the assessed items. At 8-wk PO, SF-MPQ increased significantly (P<0.001), while BCTQ scores increased insignificantly (P=0.529) in comparison to 4-wk scores. PF scorings decreased insignificantly (P=0.130), but mental function scores were significantly (P=0.0155) lower at 8-wk than at 4-wk PO. Total PROMIS score and DASH questionnaire scorings decreased significantly (P=0.0019 and 0.0001, respectively) at 8-wk than at 4-wk PO. Conclusion: OCTR for symptomatic CTS secondary to DRF through small volar incision is safe and efficient approach in terms of improvement of pain, functional and mental scorings of patients with no procedure-related complications.
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How this classification was reachedexpand
Full frame machine prediction
Teacher imitationNot calibrated prevalence, not ground truth. Human validation pending. The Gemma side is a direct model label for every work in the frame, read from the title-only record. The Codex side is a classifier learned from the 10,348 direct Codex labels and calibrated to design-weighted sample rates; fields without enough sample support carry no Codex call. Candidate is the union of the two sides; consensus is their intersection. These outputs are machine_predicted_unvalidated and are not human labels.
Distilled classifier scores by category (both heads)
| Category | Codex | Gemma |
|---|---|---|
| Metaresearch | 0.001 | 0.001 |
| Meta-epidemiology (narrow) | 0.000 | 0.000 |
| Meta-epidemiology (broad) | 0.001 | 0.001 |
| Bibliometrics | 0.000 | 0.000 |
| Science and technology studies | 0.000 | 0.000 |
| Scholarly communication | 0.000 | 0.000 |
| Open science | 0.000 | 0.000 |
| Research integrity | 0.001 | 0.001 |
| Insufficient payload (model declined to judge) | 0.001 | 0.000 |
Machine scores (provisional)
The two teacher heads of the student model, read on this work. A score orders the frame for review; it never asserts a category, and the validation status ships verbatim with every row.
Baseline scores from an immature model (maturity gate not passed, 7 training rounds). Scores rank; they never assert a category.
score_only:v0-immature-baseline · verbatim from the scoring run: score_only means the number may rank works, and no category label ships from itClassification
machine, unvalidatedMachine predicted; a candidate call from one source (direct Gemma or distilled Codex), not a consensus.
How this classification was reached, model by model and score by score, is at the end of the page under "How this classification was reached".