{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,26]],"date-time":"2026-09-26T17:31:07Z","timestamp":1790443867993,"version":"4.1.0"},"reference-count":33,"publisher":"British Editorial Society of Bone & Joint Surgery","issue":"9","license":[{"start":{"date-parts":[[2014,9,1]],"date-time":"2014-09-01T00:00:00Z","timestamp":1409529600000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/online.boneandjoint.org.uk\/TDM"}],"content-domain":{"domain":["online.boneandjoint.org.uk"],"crossmark-restriction":true},"short-container-title":["The Bone &amp; Joint Journal"],"published-print":{"date-parts":[[2014,9]]},"abstract":"<jats:p> There is conflicting evidence about the functional outcome and rate of satisfaction of super-elderly patients (\u2265 80 years of age) after carpal tunnel decompression. <\/jats:p><jats:p> We compiled outcome data for 756 patients who underwent a carpal tunnel decompression over an eight-year study period, 97 of whom were super-elderly, and 659 patients who formed a younger control group (&lt; 80 years old). There was no significant difference between the super-elderly patients and the younger control group in terms of functional outcome according to the mean (0 to 100) QuickDASH score (adjusted mean difference at one year 1.8; 95% confidence interval (CI) -3.4 to 7.0) and satisfaction rate (odds ratio (OR) 0.78; 95% CI 0.34 to 1.58). Super-elderly patients were, however, more likely to have thenar muscle atrophy at presentation (OR 9.2, 95% CI 5.8 to 14.6). When nerve conduction studies were obtained, super-elderly patients were more likely to have a severe conduction deficit (OR 12.4, 95% CI 3.0 to 51.3). <\/jats:p><jats:p> Super-elderly patients report functional outcome and satisfaction rates equal to those of their younger counterparts. They are more likely to have thenar muscle atrophy and a severe nerve conduction deficit at presentation, and may therefore warrant earlier decompression. <\/jats:p><jats:p> Cite this article: Bone Joint J 2014; 96-B:1234\u20138. <\/jats:p>","DOI":"10.1302\/0301-620x.96b9.34279","type":"journal-article","created":{"date-parts":[[2014,9,2]],"date-time":"2014-09-02T14:23:37Z","timestamp":1409667817000},"page":"1234-1238","update-policy":"https:\/\/doi.org\/10.1302\/crossmark-policy","source":"Crossref","is-referenced-by-count":24,"title":["Carpal tunnel decompression in the super-elderly"],"prefix":"10.1302","volume":"96-B","author":[{"given":"O. D.","family":"Stone","sequence":"first","affiliation":[{"name":"Queen Margaret Hospital, Department\rof Orthopaedic Surgery, Whitefield Road, Dunfermline, Fife, UK."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"N. D.","family":"Clement","sequence":"additional","affiliation":[{"name":"Queen Margaret Hospital, Department\rof Orthopaedic Surgery, Whitefield Road, Dunfermline, Fife, UK."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"A. D.","family":"Duckworth","sequence":"additional","affiliation":[{"name":"Queen Margaret Hospital, Department\rof Orthopaedic Surgery, Whitefield Road, Dunfermline, Fife, UK."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"P. J.","family":"Jenkins","sequence":"additional","affiliation":[{"name":"Glasgow Royal Infirmary, Department\rof Orthopaedic Surgery, Castle Street, Glasgow, G4\r0SF, UK."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"J. D.","family":"Annan","sequence":"additional","affiliation":[{"name":"Queen Margaret Hospital, Department\rof Orthopaedic Surgery, Whitefield Road, Dunfermline, Fife, UK."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"J. E.","family":"McEachan","sequence":"additional","affiliation":[{"name":"Queen Margaret Hospital, Department\rof Orthopaedic Surgery, Whitefield Road, Dunfermline, Fife, UK."}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"42","reference":[{"key":"r1","first-page":"36","volume":"57","author":"Bongers FJ","year":"2007","journal-title":"Br J Gen Pract"},{"key":"r2","doi-asserted-by":"publisher","DOI":"10.1136\/jnnp.74.12.1674"},{"key":"r3","doi-asserted-by":"publisher","DOI":"10.1016\/j.jhsa.2012.04.035"},{"key":"r4","first-page":"32","volume":"123","author":"Tomassini C","year":"2006","journal-title":"Popul Trends"},{"key":"r5","unstructured":"Cracknell RHouse of Commons Library Research: The ageing population. http:\/\/www.parliament.uk\/documents\/commons\/lib\/research\/key_issues\/Key%20Issues%20The%20ageing%20population2007.pdf (date last accessed, 13\u00a0June 2014)."},{"key":"r6","doi-asserted-by":"publisher","DOI":"10.1302\/0301-620X.93B6.25596"},{"key":"r7","doi-asserted-by":"publisher","DOI":"10.1016\/j.injury.2009.06.011"},{"key":"r8","doi-asserted-by":"publisher","DOI":"10.1111\/j.1445-2197.2009.05175.x"},{"key":"r9","doi-asserted-by":"publisher","DOI":"10.1002\/1529-0131(200105)44:5<1184::AID-ANR202>3.0.CO;2-A"},{"key":"r10","doi-asserted-by":"publisher","DOI":"10.1302\/0301-620X.84B5.0840688"},{"key":"r11","doi-asserted-by":"publisher","DOI":"10.1016\/J.JHSB.2006.03.165"},{"key":"r12","doi-asserted-by":"publisher","DOI":"10.2106\/00004623-199311000-00002"},{"key":"r13","doi-asserted-by":"publisher","DOI":"10.1177\/1753193413477080"},{"key":"r14","doi-asserted-by":"publisher","DOI":"10.1016\/j.jhsa.2004.08.005"},{"key":"r15","unstructured":"No authors listed. National Records of Scotland. Population projections for Scottish Areas, 2010. http:\/\/www.gro-scotland.gov.uk\/files\/02\/population-projections-scottishareas-appendixb.pdf (date last accessed 23 June 2014)."},{"key":"r16","doi-asserted-by":"publisher","DOI":"10.1016\/j.jhsa.2014.03.039"},{"key":"r17","first-page":"1038","volume":"87","author":"Beaton DE","year":"2005","journal-title":"J Bone Joint Surg [Am]"},{"key":"r18","doi-asserted-by":"publisher","DOI":"10.1302\/0301-620X.94B6.29174"},{"key":"r19","doi-asserted-by":"publisher","DOI":"10.1186\/1471-2474-7-44"},{"key":"r20","doi-asserted-by":"publisher","DOI":"10.1302\/0301-620X.89B7.19091"},{"key":"r21","doi-asserted-by":"publisher","DOI":"10.1302\/0301-620X.94B3.27425"},{"key":"r22","unstructured":"No authors listed. Office for National Statistics. http:\/\/www.statistics.gov.uk\/cci\/nugget.asp?ID=949 (date last accessed 13 June 2014)."},{"key":"r23","author":"Prieto-Alhambra D","year":"2013","journal-title":"Ann Rheum Dis"},{"key":"r24","doi-asserted-by":"publisher","DOI":"10.1136\/jech.39.3.197"},{"key":"r25","doi-asserted-by":"publisher","DOI":"10.1016\/J.JHSB.2004.02.009"},{"key":"r26","doi-asserted-by":"publisher","DOI":"10.1002\/mus.1091"},{"key":"r27","doi-asserted-by":"publisher","DOI":"10.1016\/j.jhsa.2004.11.006"},{"key":"r28","doi-asserted-by":"publisher","DOI":"10.1016\/j.jhsa.2011.02.021"},{"key":"r29","doi-asserted-by":"publisher","DOI":"10.1302\/0301-620X.88B4.17223"},{"key":"r30","doi-asserted-by":"publisher","DOI":"10.1177\/1753193413481302"},{"key":"r31","doi-asserted-by":"publisher","DOI":"10.1016\/J.JHSB.2005.07.005"},{"key":"r32","doi-asserted-by":"publisher","DOI":"10.1016\/j.jhsa.2004.02.003"},{"key":"r33","doi-asserted-by":"publisher","DOI":"10.1016\/j.jhsa.2008.06.019"}],"container-title":["The Bone &amp; Joint Journal"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/online.boneandjoint.org.uk\/doi\/pdf\/10.1302\/0301-620X.96B9.34279","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/online.boneandjoint.org.uk\/doi\/full-xml\/10.1302\/0301-620X.96B9.34279","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/online.boneandjoint.org.uk\/doi\/pdf\/10.1302\/0301-620X.96B9.34279","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2021,10,19]],"date-time":"2021-10-19T05:55:12Z","timestamp":1634622912000},"score":1,"resource":{"primary":{"URL":"https:\/\/online.boneandjoint.org.uk\/doi\/10.1302\/0301-620X.96B9.34279"}},"subtitle":["functional outcome and patient satisfaction are equal to those of their younger counterparts"],"short-title":[],"issued":{"date-parts":[[2014,9]]},"references-count":33,"journal-issue":{"issue":"9","published-print":{"date-parts":[[2014,9]]}},"alternative-id":["10.1302\/0301-620X.96B9.34279"],"URL":"https:\/\/doi.org\/10.1302\/0301-620x.96b9.34279","relation":{},"ISSN":["2049-4394","2049-4408"],"issn-type":[{"value":"2049-4394","type":"print"},{"value":"2049-4408","type":"electronic"}],"subject":[],"published":{"date-parts":[[2014,9]]},"assertion":[{"value":"2014-04-15","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2014-06-13","order":2,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2014-09-01","order":3,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}