Temporal changes in grip and pinch strength after open carpal tunnel release and the effect of ligament reconstruction

The Journal of Hand Surgery
D NetscherV Cohen

Abstract

Symptoms of pain and weakness are nearly ubiquitous after carpal tunnel release. This study investigates the length of time before restoration of grip and pinch strength after open carpal tunnel release, in a population of patients without workers' compensation-related injuries. Two different forms of carpal ligament reconstruction were carried out in 2 groups of patients, and a third group underwent no ligament reconstruction. Grip and pinch strengths were measured for participants in each group both preoperatively and at set postoperative intervals. Mean changes in strength were calculated and analysis of variance used to determine statistical significance of the changes. Grip strength at 6 weeks after surgery in the group that underwent transposition flap repair exceeded preoperative grip strength values and all 3 groups surpassed preoperative grip strength measurements at 12 weeks. By 6 weeks after surgery, all pinch measurements for 3 groups equaled or exceeded preoperative pinch measurements. The transposition flap repair group recovered faster than did the other 2 groups and surpassed those groups in maximum grip and pinch strength at 12 weeks. These results suggest that transverse carpal ligament reconstruction, particu...Continue Reading

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Citations

Jul 5, 2005·The Journal of Hand Surgery : Journal of the British Society for Surgery of the Hand·J KungZ P Luo
Mar 13, 2001·Journal of Hand Therapy : Official Journal of the American Society of Hand Therapists·J C MacDermidM Louzon
Mar 9, 2002·The Journal of Hand Surgery : Journal of the British Society for Surgery of the Hand·E ShiotaO Kawano
Jun 30, 2011·Indian Journal of Plastic Surgery : Official Publication of the Association of Plastic Surgeons of India·Praveen BhardwajS Raja Sabapathy
Nov 29, 2011·Hand Clinics·John A Pasquella, Pam Levine
Nov 23, 2010·Chirurgie de la main·C SavorninG Hoël
Aug 27, 2014·Hand Surgery : an International Journal Devoted to Hand and Upper Limb Surgery and Related Research : Journal of the Asia-Pacific Federation of Societies for Surgery of the Hand·Henry CallejaChristina Kaufman
Oct 26, 2016·Revista española de cirugía ortopédica y traumatología·M Castro-MenéndezA Montero-Viéites
Dec 4, 2008·Plastic and Reconstructive Surgery·Iain WhitakerIan Josty
Jul 6, 2004·The Journal of Hand Surgery : Journal of the British Society for Surgery of the Hand·K MathurS C Deshmukh
Apr 25, 2003·Plastic and Reconstructive Surgery·David T Netscher
Jul 22, 2011·Hand : Official Journal of the American Association for Hand Surgery·Teryl K NuckolsUNKNOWN Carpal Tunnel Quality Group
Apr 24, 2018·Plastic and Reconstructive Surgery·Leonidas PavlidisEfterpi Demiri
Sep 13, 2017·The Journal of Hand Surgery, European Volume·Rodrigo G Gutiérrez-MonclusMarcela Aguirre-Jerez
May 15, 2007·Plastic and Reconstructive Surgery·Fan LiuRonit Wollstein
Jun 26, 2010·ANZ Journal of Surgery·Alexandra TurnerJennifer Ball
Jul 28, 2010·Annals of Plastic Surgery·Leonidas PavlidisChristos G Dimitriou

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