Mini-open versus extended open release for severe carpal tunnel syndrome

Hand : Official Journal of the American Association for Hand Surgery
Praveen G MurthyArthur Lee Osterman

Abstract

This study aims to compare surgical outcomes of severe carpal tunnel syndrome (CTS) treated with mini-incision versus extensile release. The method employed in this study was a retrospective review of patients with severe CTS, defined by electrophysiologic studies showing non-recordable distal sensory latency of the median nerve. Patients underwent either a mini-incision (2 cm) release of the transverse carpal ligament (group 1) or extensile release proximal to the wrist flexion crease (group 2). Exclusion criteria included prior carpal tunnel release, use of muscle flap, multiple concurrent procedures, or a prior diagnosis of peripheral neuropathy. Group 1 included 70 wrists (40 females, 30 males). Group 2 included 64 wrists (35 females, 29 males). Reported outcomes included pre- and post-operative grip strength as well as Boston Carpal Tunnel Questionnaires (BCTQ). Patients in group 1 had a 22.6 % increase in grip strength postoperatively (4.5 months ± 5.0), while patients in group 2 had a 59.3 % increase (10.0 months ± 6.9). BCTQ surveys from group 1 (n = 46) demonstrated a symptom severity score of 12.93 and functional status score of 9.39 at an average follow-up of 41.9 ± 10.6 months. Group 2 (n = 42) surveys demonstrated ...Continue Reading

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Citations

Nov 18, 2015·Complementary Therapies in Clinical Practice·Mohammad Hashem HashempurArman Zargaran
Jan 14, 2017·Hand : Official Journal of the American Association for Hand Surgery·Kevin F LutskyPedro K Beredjiklian
Nov 16, 2017·Plastic and Reconstructive Surgery·Jacob E TulipanJonas L Matzon
Jul 25, 2019·Archives of Plastic Surgery·Lieselotte R van den BroekeJan J van Wingerden
May 10, 2017·Neurology Research International·Rodrigo Ramos-ZúñigaLuis A Zepeda-Gutiérrez
Jan 13, 2018·Hand : Official Journal of the American Association for Hand Surgery·Sai K DevanaCasimir Dowd
Jan 30, 2021·Hand : Official Journal of the American Association for Hand Surgery·Braeden M LeibyAnthony E Joseph

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