Commentary on “Duration of Postoperative Dressing After Mini-Open Carpal Tunnel Release: A Prospective, Randomized Trial”

A prospective randomized trial was undertaken to compare the influence of absorbable and non-absorbable sutures on pillar pain, scar tenderness, extent of wound inflammation and overall outcome of the surgery following open carpal tunnel release. Forty hands in 33 patients (mean age, 51 years; range, 31–74 years) were randomized into group A (absorbable sutures) or group B (non-absorbable sutures). Clinical assessment was done at 2, 6 and 12 weeks follow-up. The outcome of surgery in terms of improvement of severity of symptoms and functional status of patients was assessed using a self-administered Boston Questionnaire. There was no significant difference between the two groups for any of our outcome measures at the final follow-up.

Download Full-text

Endoscopic versus open carpal tunnel release: A randomized trial

The Journal Of Hand Surgery ◽

10.1053/jhsu.2003.50080 ◽

2003 ◽

Vol 28 (3) ◽

pp. 475-480 ◽

Cited By ~ 130

Author(s):

Joy C. MacDermid ◽

Robert S. Richards ◽

James H. Roth ◽

Doug C. Ross ◽

Graham J.W. King

Keyword(s):

Randomized Trial ◽

Carpal Tunnel ◽

Carpal Tunnel Release ◽

Open Carpal Tunnel Release

Download Full-text

Outcomes of Mini-Open Carpal Tunnel Release in Patients With Unrecordable Preoperative Nerve Conduction Potentials at a Minimum of 5 Years

Hand ◽

10.1177/1558944719857815 ◽

2019 ◽

pp. 155894471985781

Author(s):

Dafang Zhang ◽

Peter Ostergaard ◽

Charles Cefalu ◽

Matthew Hall ◽

Brandon E. Earp ◽

...

Keyword(s):

Carpal Tunnel ◽

Nerve Conduction ◽

Carpal Tunnel Release ◽

Open Carpal Tunnel Release ◽

Mini Open

Download Full-text

Mini-open Carpal Tunnel Release

JBNC - JORNAL BRASILEIRO DE NEUROCIRURGIA ◽

10.22290/jbnc.v19i4.693 ◽

2018 ◽

Vol 19 (4) ◽

pp. 21-27

Author(s):

Paulo Henrique Pires De Aguiar ◽

Carlos Alexandre Martins Zicarelli ◽

Fabio V. C. Sparapani ◽

Pedro Augusto De Santana Jr ◽

Alexandros Theodoros Panagoupolos ◽

...

Keyword(s):

Carpal Tunnel Syndrome ◽

Carpal Tunnel ◽

Carpal Tunnel Release ◽

Neurological Deficits ◽

Motor Branch ◽

Tunnel Syndrome ◽

Open Carpal Tunnel Release ◽

Nerve Entrapment Syndrome ◽

Mini Open

Introduction: Median nerve compression is the most common nerve entrapment syndrome. After carpal tunnel release, patients often complain about the scar cosmetic appearance. Objective: The aim of our study was to evaluate the clinical outcome, surgical technique and complications of mini-open carpal release. Methods: We reviewed data from 48 surgical procedures for Carpal Tunnel Syndrome in 32 patients at the Pinheiros Neurologicaland Neurosurgical Clinic in the period of 2000 and 2008. The mean age was 49 years-old. We used a 2 cm incision and microscopic technique to obtain meticulous access of the palmar hand anatomy with special attention to both the recurrent motor branch and palmar cutaneous nerve. Results: Twenty-two patients had total resolution of symptoms. Two patients had no change of neurological symptoms. During the follow up no infection or neurological deficits were observed. Conclusion: Mini-open is a safe and effective approach for carpal tunnel syndrome release. However detailed palmar hand anatomy is mandatory to prevent lesion of branching palmar nerve. The use of microscope is desirable to help identify important structures and avoid complications.

Download Full-text