Does routine carpal tunnel release during fixation of distal radius fractures improve outcomes?

Injury ◽  
2017 ◽  
Vol 48 ◽  
pp. S30-S33 ◽  
Author(s):  
Antonio Medici ◽  
Luigi Meccariello ◽  
Giuseppe Rollo ◽  
Giancarlo De Nigris ◽  
Steven James Mccabe ◽  
...  
Keyword(s):  
Distal Radius ◽  
Carpal Tunnel ◽  
Carpal Tunnel Release ◽  
Distal Radius Fractures ◽  
Radius Fractures

A PROSPECTIVE PLAN TO MINIMISE MEDIAN NERVE RELATED COMPLICATIONS ASSOCIATED WITH OPERATIVELY TREATED DISTAL RADIUS FRACTURES

Hand Surgery ◽  
2007 ◽  
Vol 12 (03) ◽  
pp. 199-204 ◽  
Author(s):  
Mark Henry ◽  
Christopher Stutz
Keyword(s):  
Neuropathic Pain ◽  
Median Nerve ◽  
Distal Radius ◽  
Carpal Tunnel ◽  
Carpal Tunnel Release ◽  
Case Series ◽  
Distal Radius Fractures ◽  
Nerve Function ◽  
Radius Fractures ◽  
Neuropathic Pain Syndrome

Loss of median nerve function or a neuropathic pain syndrome may occur in around 20% of distal radius fractures if post-traumatic oedema in the carpal canal generates excessive pressure on the median nerve. No method currently exists to reliably distinguish which patients may benefit from a concomitant carpal tunnel release. This case series details the results of following a prospective plan designed to minimise median nerve related complications associated with distal radius fractures by measuring Semmes-Weinstein monofilament scores in 374 radius fracture patients who underwent surgical stabilisation. One hundred and sixty-nine patients with the clinical symptoms of median nerve compression, a decrement in monofilament score of grade 1 (out of 5) compared to the contralateral side or at least 4.31 g underwent concomitant carpal tunnel release. The remaining 205 patients did not have carpal tunnel release. There were no cases of neuropathic pain or loss of median nerve function.

Carpal Canal Pressures after Volar Plating of Distal Radius Fractures

2006 ◽  
Vol 31 (2) ◽  
pp. 236-239 ◽  
Author(s):  
D. A. FULLER ◽  
M. BARRETT ◽  
R. K. MARBURGER ◽  
R. HIRSCH
Keyword(s):  
Distal Radius ◽  
Carpal Tunnel ◽  
Research Study ◽  
Carpal Tunnel Release ◽  
Distal Radius Fractures ◽  
Volar Plating ◽  
Radius Fractures ◽  
Elevated Pressures ◽  
Nerve Dysfunction ◽  
Peak Pressures

Elevated pressures within the carpal canal are known to occur after distal radius fractures. Controversy exists regarding prophylactic carpal tunnel release after open reduction with internal fixation of distal radius fractures. The purpose of this study was to determine the tissue pressures within the carpal canal after volar plating of distal radius fractures. This study was a prospective, observational, IRB approved research study. Ten consecutive patients undergoing volar plating of distal radius fractures were enrolled. After the distal radius fractures were reduced and fixed with volar plates, slit catheters were inserted into the carpal canals for continuous postoperative pressure monitoring for 24 hours. The maximum recorded pressure was 65 mmHg, which occurred in the only patient with fracture blisters. Peak pressures remained at 40 mmHg or less (range 16–40, mean 29) in all patients without fracture blisters. At the conclusion of data collection, all pressures were at 31 mmHg or less. No patient complained of median nerve dysfunction during the study period. Routine prophylactic carpal tunnel release is not recommended after volar plating of distal radius fractures based on these pressure recordings.

The Value of Carpal Tunnel Release in Conjunction with Volar Plating of Distal Radius Fractures

2011 ◽  
Vol 36 (8) ◽  
pp. 8
Author(s):  
William D. Lanzinger ◽  
Randip R. Bindra ◽  
Cari Lee Cordell ◽  
Michael S. Bednar ◽  
Terry R. Light
Keyword(s):  
Distal Radius ◽  
Carpal Tunnel ◽  
Carpal Tunnel Release ◽  
Distal Radius Fractures ◽  
Volar Plating ◽  
Radius Fractures

Which Decisions For Management of Carpal Tunnel Syndrome and Distal Radius Fractures Should Be Shared?

2020 ◽  
Vol 45 (8) ◽  
pp. 690-697.e7
Author(s):  
Thompson Zhuang ◽  
Lauren M. Shapiro ◽  
David Ring ◽  
Edward Akelman ◽  
David S. Ruch ◽  
...  
Keyword(s):  
Carpal Tunnel Syndrome ◽  
Distal Radius ◽  
Carpal Tunnel ◽  
Distal Radius Fractures ◽  
Radius Fractures ◽  
Tunnel Syndrome

Concurrent Minimally Invasive Carpal Tunnel Release Techniques in Distal Radius Open Reduction Internal Fixation

2016 ◽  
Vol 21 (01) ◽  
pp. 121-124 ◽  
Author(s):  
O-Wern Low ◽  
Andre E. J. Cheah
Keyword(s):  
Minimally Invasive ◽  
Internal Fixation ◽  
Distal Radius Fracture ◽  
Distal Radius ◽  
Carpal Tunnel ◽  
Open Reduction ◽  
Carpal Tunnel Release ◽  
Minimally Invasive Techniques ◽  
Radius Fractures ◽  
Invasive Techniques

Carpal tunnel syndrome is a common complication associated with distal radius fractures. Open carpal tunnel release in the same setting as open reduction and internal fixation of distal radius fractures is widely accepted. In this paper, we describe the technical details of a minimally invasive carpal tunnel release in the same setting as the fixation of a distal radius fracture via the same incision. Two options of minimally invasive techniques are described: The Knifelight® (Stryker, Kalamazoo, Michigan, USA) instrument and the single portal carpal tunnel release system (Agee, 3M Healthcare, St Paul, Minnesota, USA). Being well known and accepted techniques of carpal tunnel release, we believe that the techniques described in this paper provide a viable alternative for carpal tunnel release in the setting of distal radius fracture fixation; with the added advantages of the original minimally invasive techniques.

scholarly journals The rate and associated risk factors for acute carpal tunnel syndrome complicating a fracture of the distal radius

2021 ◽  
Author(s):  
Jun Min Leow ◽  
Nicholas D. Clement ◽  
Margaret M. McQueen ◽  
Andrew D. Duckworth
Keyword(s):  
Risk Factors ◽  
Carpal Tunnel Syndrome ◽  
Distal Radius ◽  
Carpal Tunnel ◽  
Distal Radius Fractures ◽  
Radius Fractures ◽  
Articular Fractures ◽  
Tunnel Syndrome ◽  
Type C ◽  
Acute Carpal Tunnel Syndrome

Abstract Background Acute carpal tunnel syndrome (ACTS) is a known complication of distal radius fractures. This study aimed to document the demographics, range of presenting symptoms and risk factors of patients who develop ACTS following a fracture of the distal radius. Methods A retrospective review of 1189 patients with an acute distal radius fracture treated in the study centre over a one-year period were identified. Demographic and clinical variables were collected and compared between controls (did not develop ACTS) and those patients who did develop ACTS to identify factors associated with developing ACS. Results There were 51 (4.3%) distal radius fractures complicated by ACTS. The mean age of patients who developed ACTS was 56 years (range, 16–89) and 73% were female. The median time of onset post-injury was one week (range, 1–12). There was no association between patient background and comorbidities with the development of ACTS. AO-OTA Type C fractures had significantly increased rates of developing ACTS. Conclusion Four percent of distal radius fractures were complicated by ACTS. There was no association between patient background and comorbidities with the development of ACTS. AO-OTA type C complete articular fractures had a significantly higher rate of ACTS. A suggested treatment algorithm for patients presenting with ACTS has been presented. Level of evidence: III.

scholarly journals Comparison of Risk of Carpal Tunnel Syndrome in Patients with Distal Radius Fractures After 7 Treatments

2015 ◽  
Vol 21 ◽  
pp. 2837-2844 ◽  
Author(s):  
Huan-Li Zhao ◽  
Gui-Bin Wang ◽  
Yue-Qing Jia ◽  
Shi-Cai Zhu ◽  
Feng-Fang Zhang ◽  
...  
Keyword(s):  
Carpal Tunnel Syndrome ◽  
Distal Radius ◽  
Carpal Tunnel ◽  
Distal Radius Fractures ◽  
Radius Fractures ◽  
Tunnel Syndrome
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