A comparison of flexor tenosynovectomy, open carpal tunnel release, and open carpal tunnel release with flexor tenosynovectomy in the treatment of carpal tunnel syndrome

Plastic and Reconstructive Surgery
Lynn D Ketchum

Abstract

The purpose of this study was to identify the advantages and disadvantages of performing a flexor tenosynovectomy without dividing the transverse carpal ligament, an open carpal tunnel release, and an open carpal tunnel release with flexor tenosynovectomy in the treatment of carpal tunnel syndrome. From 1990 to 1998, a retrospective study was done in which a flexor tenosynovectomy was performed in 133 patients without division of the transverse carpal ligament and compared with 68 patients who had an open carpal tunnel release and 75 patients who had an open carpal tunnel release and flexor tenosynovectomy. Patients were followed up for an average period of 30 weeks with history and physical findings and nerve conduction velocities and for an average period of 2.6 years with telephone interviews. There was a 2.3 percent incidence of pillar pain in the flexor tenosynovectomy group, which may explain the earlier return to their regular jobs at an average time of 9.9 weeks, compared with 10.7 weeks for the carpal tunnel release group and 12.0 weeks for the carpal tunnel release/flexor tenosynovectomy group. The latter two groups had an incidence of pillar pain of 12.1 percent and 25.3 percent, respectively. Postoperative grip stre...Continue Reading

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Citations

Nov 26, 2010·Neurosurgery·Niyazi ÖztürkSerdar Tüzüner
Feb 10, 2010·The Journal of Hand Surgery·Neil G HarnessLiz W Paxton
Aug 9, 2006·Journal of Orthopaedic Research : Official Publication of the Orthopaedic Research Society·Anke M EttemaKai-Nan An
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Apr 4, 2019·Hand : Official Journal of the American Association for Hand Surgery·Chase T KluemperMarshall D Jemison
Jul 31, 2021·Clinical Biomechanics·Mohammad Hosseini-FaridPeter C Amadio

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