Trends in carpal tunnel surgery: an online survey of members of the American Society for Surgery of the Hand

The Journal of Hand Surgery
Justin J Munns, Hisham M Awan

Abstract

To investigate the current treatment patterns of carpal tunnel surgery by members of the American Society of Surgeons of the Hand today and to assess how several elements of practice vary by surgeon location and experience. An online survey consisting of 10 questions was sent electronically to members of the American Society of Surgeons of the Hand (N = 2,413). A brief description of the study and a link were sent to participants by the investigators. Results were anonymously uploaded to an online spreadsheet. 716 hand surgeons (30%) responded to the survey. Surgeons were nearly equally represented by region. A wide variation in surgeon experience was observed. A majority (65%) performed most of their surgery at an outpatient surgical center. Preoperative electrodiagnostic testing was used, at least occasionally, by 90% of surgeons. Approximately one-half did not administer preoperative antibiotics at the time of surgery. Intravenous sedation with local anesthesia was the most common practice (43%), followed by Bier block (18%). A mini-open incision was most commonly used (50%). A minority reported using an orthosis postoperatively (29%), and they rarely prescribed a course of postoperative therapy (12%). Postoperative pain man...Continue Reading

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Citations

Feb 3, 2016·The Journal of Hand Surgery·Brandon S SmetanaJ Megan M Patterson
Jul 30, 2016·Journal of Hand Therapy : Official Journal of the American Society of Hand Therapists·Erin M MackTerese L Chmielewski
Aug 4, 2016·JBJS Reviews·Ebrahim ParyaviKenneth R Means
Mar 30, 2017·Hand : Official Journal of the American Association for Hand Surgery·John C DunnMark Pallis
Nov 16, 2017·Plastic and Reconstructive Surgery·Jacob E TulipanJonas L Matzon
Jul 8, 2017·Hand : Official Journal of the American Association for Hand Surgery·Zachary DeutchHisham M Awan
Jul 26, 2018·Hand : Official Journal of the American Association for Hand Surgery·Logan CarrJohn Ingraham
Mar 19, 2019·Hand : Official Journal of the American Association for Hand Surgery·Garrhett G ViaKanu S Goyal
Apr 16, 2019·Hand : Official Journal of the American Association for Hand Surgery·Henrik C BäckerRobert Neviaser
Aug 10, 2019·Plastic and Reconstructive Surgery·Kevin C ChungRod J Rohrich
Feb 8, 2020·Plastic and Reconstructive Surgery·Egemen Ayhan, Filiz Akaslan
Nov 22, 2018·Hand : Official Journal of the American Association for Hand Surgery·Natalie VaughnMichael Darowish
Nov 13, 2019·The Journal of the American Academy of Orthopaedic Surgeons·Lakshmanan SivasundaramKevin J Malone
Apr 26, 2020·Plastic and Reconstructive Surgery·Egemen Ayhan, Filiz Akaslan
Feb 2, 2018·Hand : Official Journal of the American Association for Hand Surgery·Logan W CarrRandy M Hauck
Feb 6, 2018·HSS Journal : the Musculoskeletal Journal of Hospital for Special Surgery·Joseph J SchreiberJeffrey Yao
Nov 28, 2018·Journal of Foot and Ankle Research·Mr Ravi Krishān ModhaIan Reilly
Aug 1, 2020·The Journal of the American Academy of Orthopaedic Surgeons·Lakshmanan SivasundaramKevin J Malone
Nov 4, 2020·The Journal of Hand Surgery·Aviram M GiladiStephen A Kennedy
Jan 12, 2021·The Journal of Hand Surgery·Jessica I BilligUNKNOWN M-CHIQS Collaborators
Apr 10, 2021·Hand : Official Journal of the American Association for Hand Surgery·Ian WellingtonAnthony Parrino
Jun 2, 2021·The Journal of Hand Surgery·Lauren E WesselDaniel A Osei

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