{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,12,13]],"date-time":"2025-12-13T07:15:20Z","timestamp":1765610120475},"reference-count":40,"publisher":"Scientific Scholar","license":[{"start":{"date-parts":[[2021,3,15]],"date-time":"2021-03-15T00:00:00Z","timestamp":1615766400000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"content-domain":{"domain":["ruralneuropractice.com"],"crossmark-restriction":true},"short-container-title":["JNRP"],"abstract":"<jats:title>Abstract<\/jats:title>\n<jats:p>\n<jats:bold>Background<\/jats:bold>\u2003The effectiveness of open carpal tunnel release (OCTR) in treating carpal tunnel syndrome (CTS) is well known. However, the role of ancillary external neurolysis of the median nerve is not well-documented. The Boston carpal tunnel questionnaire (BCTQ) is a commonly used disease-specific outcome instrument for CTS, which is validated across major languages of the world. No such validated Hindi version of BCTQ exists.<\/jats:p>\n<jats:p>\n<jats:bold>Objectives<\/jats:bold>\u2003To analyze and compare the long-term outcome in patients who underwent OCTR alone and OCTR with external neurolysis of the median nerve, using BCTQ\u2013Hindi version, while checking its validity.<\/jats:p>\n<jats:p>\n<jats:bold>Materials and Methods<\/jats:bold>\u2003A retrospective, cross-sectional study was conducted at a tertiary care institute. The BCTQ was translated into Hindi language by a language expert. Eighty-four consecutive patients who underwent either unilateral\/bilateral OCTR, with or without external neurolysis of the median nerve, between 2009 and 2019 were included in the study. Outcome analysis was done using BCTQ\u2013Hindi version and patient satisfaction scoring. BCTQ\u2013Hindi version was examined for statistical validity. Subgroup analysis of the outcome based on surgical technique (OCTR vs. OCTR with external neurolysis) used was carried out.<\/jats:p>\n<jats:p>\n<jats:bold>Results<\/jats:bold>\u2003Response rate was 80.9%. Total hands evaluated were 108. BCTQ\u2013Hindi version showed statistical validity. Overall symptom severity score (SSS) and functional severity score (FSS) were 1.14 \u00b1 0.4 and 1.12 \u00b1 0.35, respectively. Subgroup analysis of outcome revealed statistically significant results in favor of OCTR with external neurolysis of the median nerve.<\/jats:p>\n<jats:p>\n<jats:bold>Conclusions<\/jats:bold>\u2003BCTQ\u2013Hindi version is statistically validated. OCTR with external neurolysis of the median nerve is a promising avenue in surgical management of CTS. Further prospective studies are warranted.<\/jats:p>","DOI":"10.1055\/s-0041-1723100","type":"journal-article","created":{"date-parts":[[2021,3,16]],"date-time":"2021-03-16T08:31:56Z","timestamp":1615883516000},"page":"470-477","update-policy":"http:\/\/dx.doi.org\/10.25259\/crossmark_policy","source":"Crossref","is-referenced-by-count":5,"title":["Analysis of the Long-Term Outcome in Open Carpal Tunnel Release Surgeries with and without External Neurolysis of Median Nerve, Using Boston Carpal Tunnel Questionnaire (BCTQ)\u2013Hindi Version"],"prefix":"10.25259","volume":"12","author":[{"given":"Sanjeev","family":"Pattankar","sequence":"first","affiliation":[{"name":"Department of Neurosurgery & Gamma Knife Radiosurgery, P D Hinduja Hospital & MRC, Mumbai, India"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Rohan","family":"Roy","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery & Gamma Knife Radiosurgery, P D Hinduja Hospital & MRC, Mumbai, India"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Anshu","family":"Warade","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery & Gamma Knife Radiosurgery, P D Hinduja Hospital & MRC, Mumbai, India"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ketan","family":"Desai","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery & Gamma Knife Radiosurgery, P D Hinduja Hospital & MRC, Mumbai, India"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"10894","published-online":{"date-parts":[[2021,3,15]]},"reference":[{"issue":"2","key":"10.1055\/s-0041-1723100\/ref-1","doi-asserted-by":"crossref","first-page":"153","DOI":"10.1001\/jama.282.2.153","article-title":"Prevalence of carpal tunnel syndrome in a general population","volume":"282","author":"Atroshi","year":"1999","journal-title":"JAMA"},{"issue":"1","key":"10.1055\/s-0041-1723100\/ref-2","first-page":"6","article-title":"Carpal tunnel syndrome","volume":"77","author":"Aroori","year":"2008","journal-title":"Ulster Med J"},{"issue":"4","key":"10.1055\/s-0041-1723100\/ref-3","doi-asserted-by":"crossref","first-page":"172","DOI":"10.2176\/nmc.ra.2016-0225","article-title":"Importance of recognizing carpal tunnel syndrome for neurosurgeons: a review","volume":"57","author":"Yunoki","year":"2017","journal-title":"Neurol Med Chir (Tokyo)"},{"issue":"3","key":"10.1055\/s-0041-1723100\/ref-4","doi-asserted-by":"crossref","first-page":"674","DOI":"10.4103\/0028-3886.232320","article-title":"Carpal tunnel syndrome: the lessons learnt and the points often overlooked in its management","volume":"66","author":"Desai","year":"2018","journal-title":"Neurol India"},{"issue":"12","key":"10.1055\/s-0041-1723100\/ref-5","doi-asserted-by":"crossref","first-page":"1273","DOI":"10.1016\/S1474-4422(16)30231-9","article-title":"Carpal tunnel syndrome: clinical features, diagnosis, and management","volume":"15","author":"Padua","year":"2016","journal-title":"Lancet Neurol"},{"issue":"4","key":"10.1055\/s-0041-1723100\/ref-6","doi-asserted-by":"crossref","first-page":"585","DOI":"10.1007\/s00402-013-1898-z","article-title":"Effectiveness and safety of endoscopic versus open carpal tunnel decompression","volume":"134","author":"Chen","year":"2014","journal-title":"Arch Orthop Trauma Surg"},{"key":"10.1055\/s-0041-1723100\/ref-7","doi-asserted-by":"crossref","first-page":"86","DOI":"10.1016\/j.jor.2020.03.060","article-title":"Analysis of surgical options for patients with bilateral carpal tunnel syndrome","volume":"22","author":"Kaplan","year":"2020","journal-title":"J Orthop"},{"issue":"2","key":"10.1055\/s-0041-1723100\/ref-8","first-page":"87","article-title":"The gliding apparatus of peripheral nerve and its clinical significance","volume":"9","author":"Millesi","year":"1990","journal-title":"Ann Chir Main Memb Super"},{"issue":"7","key":"10.1055\/s-0041-1723100\/ref-9","doi-asserted-by":"crossref","first-page":"430","DOI":"10.1002\/micr.1920140703","article-title":"Microsurgical neurolysis: its anatomical and physiological basis and its classification","volume":"14","author":"Millesi","year":"1993","journal-title":"Microsurgery"},{"issue":"3","key":"10.1055\/s-0041-1723100\/ref-10","doi-asserted-by":"crossref","first-page":"248","DOI":"10.1002\/micr.1920100321","article-title":"Internal neurolysis and flexor tenosynovectomy: adjuncts in the treatment of chronic median nerve compression at the wrist in hemodialysis patients","volume":"10","author":"Corradi","year":"1989","journal-title":"Microsurgery"},{"issue":"2","key":"10.1055\/s-0041-1723100\/ref-11","doi-asserted-by":"crossref","first-page":"315","DOI":"10.1016\/S0749-0712(02)00027-6","article-title":"Role of ancillary procedures in surgical management of carpal tunnel syndrome: epineurotomy, internal neurolysis, tenosynovectomy, and tendon transfers","volume":"18","author":"Ting","year":"2002","journal-title":"Hand Clin"},{"issue":"2","key":"10.1055\/s-0041-1723100\/ref-12","doi-asserted-by":"crossref","first-page":"211","DOI":"10.1016\/S0363-5023(10)80099-1","article-title":"Internal neurolysis fails to improve the results of primary carpal tunnel decompression","volume":"16","author":"Mackinnon","year":"1991","journal-title":"J Hand Surg Am"},{"issue":"4","key":"10.1055\/s-0041-1723100\/ref-13","doi-asserted-by":"crossref","first-page":"983","DOI":"10.1097\/01.PRS.0000076222.77125.1F","article-title":"Poor outcome for neural surgery (epineurotomy or neurolysis) for carpal tunnel syndrome compared with carpal tunnel release alone: a meta-analysis of global outcomes","volume":"112","author":"Chapell","year":"2003","journal-title":"Plast Reconstr Surg"},{"issue":"11","key":"10.1055\/s-0041-1723100\/ref-14","doi-asserted-by":"crossref","first-page":"1585","DOI":"10.2106\/00004623-199311000-00002","article-title":"A self-administered questionnaire for the assessment of severity of symptoms and functional status in carpal tunnel syndrome","volume":"75","author":"Levine","year":"1993","journal-title":"J Bone Joint Surg Am"},{"issue":"20","key":"10.1055\/s-0041-1723100\/ref-15","doi-asserted-by":"crossref","first-page":"1281","DOI":"10.1080\/09638280600621469","article-title":"Assessment of symptom severity and functional status in patients with carpal tunnel syndrome: reliability and functionality of the Turkish version of the Boston Questionnaire","volume":"28","author":"Sezgin","year":"2006","journal-title":"Disabil Rehabil"},{"issue":"5","key":"10.1055\/s-0041-1723100\/ref-16","doi-asserted-by":"crossref","first-page":"593","DOI":"10.1177\/1558944717725379","article-title":"Reliability and validation of the greek version of the boston carpal tunnel questionnaire","volume":"13","author":"Bougea","year":"2018","journal-title":"Hand (N Y)"},{"issue":"2","key":"10.1055\/s-0041-1723100\/ref-17","doi-asserted-by":"crossref","first-page":"200","DOI":"10.1177\/1753193414540083","article-title":"The Korean version of the carpal tunnel questionnaire. Cross cultural adaptation, reliability, validity and responsiveness","volume":"40","author":"Kim","year":"2015","journal-title":"J Hand Surg Eur Vol"},{"issue":"1","key":"10.1055\/s-0041-1723100\/ref-18","doi-asserted-by":"crossref","first-page":"82","DOI":"10.3109\/17453679809002363","article-title":"Self-administered outcome instrument in carpal tunnel syndrome. Reliability, validity and responsiveness evaluated in 102 patients","volume":"69","author":"Atroshi","year":"1998","journal-title":"Acta Orthop Scand"},{"issue":"6","key":"10.1055\/s-0041-1723100\/ref-19","doi-asserted-by":"crossref","first-page":"924","DOI":"10.1016\/j.bjps.2018.12.032","article-title":"The Polish version of the Boston carpal tunnel questionnaire: associations between patient-rated outcome measures and nerve conduction studies","volume":"72","author":"Trybus","year":"2019","journal-title":"J Plast Reconstr Aesthet Surg"},{"issue":"5","key":"10.1055\/s-0041-1723100\/ref-20","doi-asserted-by":"crossref","first-page":"671","DOI":"10.1177\/1753193409101469","article-title":"Carpal tunnel syndrome in Indian patients: use of modified questionnaires for assessment","volume":"34","author":"Mody","year":"2009","journal-title":"J Hand Surg Eur Vol"},{"issue":"12","key":"10.1055\/s-0041-1723100\/ref-21","doi-asserted-by":"crossref","first-page":"1477","DOI":"10.1002\/(SICI)1097-4598(199712)20:12<1477::AID-MUS1>3.0.CO;2-5","article-title":"AAEM minimonograph #26: the electrodiagnosis of carpal tunnel syndrome","volume":"20","author":"Stevens","year":"1997","journal-title":"Muscle Nerve"},{"key":"10.1055\/s-0041-1723100\/ref-22","first-page":"3","article-title":"Open carpal tunnel release","volume":"21","author":"Rodner","year":"2006","journal-title":"Tech Orthop"},{"issue":"4","key":"10.1055\/s-0041-1723100\/ref-23","doi-asserted-by":"crossref","first-page":"493","DOI":"10.1016\/j.jht.2019.12.011","article-title":"Using carpal tunnel questionnaire in clinical practice: a systematic review of its measurement properties","volume":"33","author":"Mehta","year":"2020","journal-title":"J Hand Ther"},{"issue":"4","key":"10.1055\/s-0041-1723100\/ref-24","doi-asserted-by":"crossref","first-page":"697","DOI":"10.1016\/S0363-5023(98)80058-0","article-title":"Maine carpal tunnel study: outcomes of operative and nonoperative therapy for carpal tunnel syndrome in a community-based cohort","volume":"23","author":"Katz","year":"1998","journal-title":"J Hand Surg Am"},{"issue":"3","key":"10.1055\/s-0041-1723100\/ref-25","doi-asserted-by":"crossref","first-page":"242","DOI":"10.1007\/s11552-012-9429-x","article-title":"Long-term outcomes of carpal tunnel release: a critical review of the literature","volume":"7","author":"Louie","year":"2012","journal-title":"Hand (N Y)"},{"issue":"10","key":"10.1055\/s-0041-1723100\/ref-26","doi-asserted-by":"crossref","first-page":"1348","DOI":"10.1302\/0301-620X.99B10.BJJ-2016-0587.R2","article-title":"Long-term outcome of carpal tunnel release surgery in patients with severe carpal tunnel syndrome","volume":"99-B","author":"Tang","year":"2017","journal-title":"Bone Joint J"},{"issue":"3","key":"10.1055\/s-0041-1723100\/ref-27","doi-asserted-by":"crossref","first-page":"161","DOI":"10.1080\/14992027.2017.1393565","article-title":"A good practice guide for translating and adapting hearing-related questionnaires for different languages and cultures","volume":"57","author":"Hall","year":"2018","journal-title":"Int J Audiol"},{"key":"10.1055\/s-0041-1723100\/ref-28","doi-asserted-by":"crossref","first-page":"307","DOI":"10.1016\/S0140-6736(86)90837-8","article-title":"Statistical methods for assessing agreement between two methods of clinical measurement","volume":"1","author":"Bland","year":"1986","journal-title":"Lancet"},{"key":"10.1055\/s-0041-1723100\/ref-29","year":"1987","unstructured":"Feinstein AR. Clinimetrics. New Haven: Yale University Press"},{"issue":"4","key":"10.1055\/s-0041-1723100\/ref-30","doi-asserted-by":"crossref","first-page":"663","DOI":"10.1007\/s00701-019-03839-y","article-title":"Long-term outcome after carpal tunnel release and identification of prognostic factors","volume":"161","author":"De Kleermaeker","year":"2019","journal-title":"Acta Neurochir (Wien)"},{"issue":"6","key":"10.1055\/s-0041-1723100\/ref-31","doi-asserted-by":"crossref","first-page":"1020","DOI":"10.1016\/S0363-5023(09)91050-4","article-title":"Results of treatment of severe carpal tunnel syndrome","volume":"17","author":"Nolan","year":"1992","journal-title":"J Hand Surg Am"},{"issue":"12","key":"10.1055\/s-0041-1723100\/ref-32","doi-asserted-by":"crossref","first-page":"554","DOI":"10.2176\/nmc.48.554","article-title":"Carpal tunnel syndrome: electrophysiological grading and surgical results by minimum incision open carpal tunnel release","volume":"48","author":"Iida","year":"2008","journal-title":"Neurol Med Chir (Tokyo)"},{"issue":"3","key":"10.1055\/s-0041-1723100\/ref-33","doi-asserted-by":"crossref","first-page":"737","DOI":"10.1097\/PRS.0000000000006549","article-title":"Carpal tunnel release without a tourniquet: A systematic review and meta-analysis","volume":"145","author":"Olaiya","year":"2020","journal-title":"Plast Reconstr Surg"},{"issue":"6","key":"10.1055\/s-0041-1723100\/ref-34","doi-asserted-by":"crossref","first-page":"768","DOI":"10.1016\/j.clineuro.2011.12.035","article-title":"External neurolysis may result in early return of function in some muscle groups following brachial plexus surgery","volume":"114","author":"Swartz","year":"2012","journal-title":"Clin Neurol Neurosurg"},{"issue":"6","key":"10.1055\/s-0041-1723100\/ref-35","doi-asserted-by":"crossref","first-page":"547","DOI":"10.1111\/j.1365-2990.1986.tb00159.x","article-title":"Chronic human nerve compression\u2013a histological assessment","volume":"12","author":"Mackinnon","year":"1986","journal-title":"Neuropathol Appl Neurobiol"},{"issue":"10","key":"10.1055\/s-0041-1723100\/ref-36","doi-asserted-by":"crossref","first-page":"933","DOI":"10.1016\/j.jhsa.2018.03.057","article-title":"The management of persistent and recurrent cubital tunnel syndrome","volume":"43","author":"Grandizio","year":"2018","journal-title":"J Hand Surg Am"},{"key":"10.1055\/s-0041-1723100\/ref-37","doi-asserted-by":"crossref","first-page":"S47","DOI":"10.4103\/0028-3886.250704","article-title":"Radiation-induced brachial plexus neuropathy: A review","volume":"67","author":"Warade","year":"2019","journal-title":"Neurol India"},{"key":"10.1055\/s-0041-1723100\/ref-38","doi-asserted-by":"crossref","first-page":"S82","DOI":"10.4103\/0028-3886.250703","article-title":"Injection-related iatrogenic peripheral nerve injuries: Surgical experience of 354 operated cases","volume":"67","author":"Desai","year":"2019","journal-title":"Neurol India"},{"issue":"2","key":"10.1055\/s-0041-1723100\/ref-39","first-page":"113","article-title":"Management of true recurrent carpal tunnel syndrome: is it worthwhile to bring vascularized tissue?","volume":"17","author":"Duclos","year":"1998","journal-title":"Chir Main"},{"issue":"3","key":"10.1055\/s-0041-1723100\/ref-40","doi-asserted-by":"crossref","first-page":"225","DOI":"10.1097\/BPB.0b013e328016830b","article-title":"Carpal tunnel syndrome in lysosomal storage disorders: simple decompression or external neurolysis?","volume":"16","author":"Sri-Ram","year":"2007","journal-title":"J Pediatr Orthop B"}],"container-title":["Journal of Neurosciences in Rural Practice"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/ruralneuropractice.com\/analysis-of-the-long-term-outcome-in-open-carpal-tunnel-release-surgeries-with-and-without-external-neurolysis-of-median-nerve-using-boston-carpal-tunnel-questionnaire-bctq-hindi-version\/","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/ruralneuropractice.com\/analysis-of-the-long-term-outcome-in-open-carpal-tunnel-release-surgeries-with-and-without-external-neurolysis-of-median-nerve-using-boston-carpal-tunnel-questionnaire-bctq-hindi-version\/","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,8,5]],"date-time":"2023-08-05T04:40:10Z","timestamp":1691210410000},"score":1,"resource":{"primary":{"URL":"https:\/\/ruralneuropractice.com\/analysis-of-the-long-term-outcome-in-open-carpal-tunnel-release-surgeries-with-and-without-external-neurolysis-of-median-nerve-using-boston-carpal-tunnel-questionnaire-bctq-hindi-version\/"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2021,3,15]]},"references-count":40,"alternative-id":["10.1055\/s-0041-1723100"],"URL":"https:\/\/doi.org\/10.1055\/s-0041-1723100","relation":{},"ISSN":["0976-3147"],"issn-type":[{"value":"0976-3147","type":"electronic"}],"subject":[],"published":{"date-parts":[[2021,3,15]]},"article-number":"470"}}