scholarly journals Wrist immobilization after carpal tunnel release: a prospective study

2006 ◽  
Vol 64 (3a) ◽  
pp. 596-599 ◽  
Author(s):  
Roberto S. Martins ◽  
Mario G. Siqueira ◽  
Hougelli Simplício
Keyword(s):  
Prospective Study ◽  
Carpal Tunnel ◽  
Outcome Measurement ◽  
Carpal Tunnel Release ◽  
Neutral Position ◽  
Significant Difference ◽  
Group B ◽  
A Prospective Study ◽  
Open Carpal Tunnel Release

This prospective study evaluates the possible advantages of wrist imobilization after open carpal tunnel release comparing the results of two weeks immobilization and no immobilization. Fifty two patients with idiopathic carpal tunnel syndrome were randomly selected in two groups after open carpal tunnel release. In one group (A, n=26) the patients wore a neutral-position wrist splint continuosly for two weeks. In the other group (B, n=26) no wrist immobilization was used. Clinical assessment was done pre-operatively and at 2 weeks follow-up and included the two-point discrimination test at the second finger and two questionnaires as an outcome measurement of symptoms severity and intensity. All the patients presented improvement in the postoperative evaluations in the three analyzed parameters. There was no significant difference between the two groups for any of the outcome measurements at the final follow-up. We conclude that wrist immobilization in the immediate post-operative period have no advantages when compared with no immobilization in the end result of carpal tunnel release.

scholarly journals Outcome of Carpal Tunnel Release: a prospective study

2013 ◽  
Vol 1 (1) ◽  
Author(s):  
NMS Pradhan ◽  
JA Khan ◽  
BM Acharya ◽  
P Devkota ◽  
A Rajbhandari
Keyword(s):  
Carpal Tunnel Syndrome ◽  
Conservative Treatment ◽  
Prospective Study ◽  
Carpal Tunnel ◽  
Outcome Measurement ◽  
Carpal Tunnel Release ◽  
Signs And Symptoms ◽  
Tunnel Syndrome ◽  
A Prospective Study ◽  
Open Carpal Tunnel Release

BACKGROUND: Carpal tunnel syndrome (CTS) is the most common peripheral entrapment neuropathy and is manifested by characteristic signs and symptoms resulting from median nerve compression at the carpal tunnel. The diagnosis is essentially clinical, which is further confirmed by nerve conduction studies. Surgical release of the transverse carpal ligament is advised when conservative treatment fails.  METHODS: This prospective study evaluates the outcome of standard open carpal tunnel release performed at our center* from June 2004 to July 2007. Thirty two patients with idiopathic carpal tunnel syndrome, with failed conservative treatments, either with NSAIDs and/or local infiltration with corticosteroid injections plus night splint, or recurrence after conservative treatment were subjected to open carpal tunnel release after getting approval from the local ethical committee and getting a written and informed consent from the patient. Clinical assessment was done preoperatively and at 6 weeks, 3 months and 6 months following the procedure and included the two-point discrimination test at the tip of the index finger and Boston questionnaires as an outcome measurement of symptoms severity. All the patients were followed up for a period of six months. RESULTS: All the patients presented improvement in the postoperative evaluations in all the analyzed parameters. CONCLUSION: Open carpal tunnel release is a safe and effective method for the treatment of CTS and can be carried out when the conservative means fail to relieve the symptoms. DOI: http://dx.doi.org/10.3126/noaj.v1i1.8129 Nepal Orthopaedic Association Journal Vol.1(1) 2010

Prospective Randomized Trial Comparing Absorbable and Non-Absorbable Sutures in Open Carpal Tunnel Release

2005 ◽  
Vol 30 (1) ◽  
pp. 92-95 ◽  
Author(s):  
N. KHARWADKAR ◽  
S. NAIQUE ◽  
P. J. A. MOLITOR
Keyword(s):  
Randomized Trial ◽  
Carpal Tunnel ◽  
Carpal Tunnel Release ◽  
Prospective Randomized Trial ◽  
Absorbable Sutures ◽  
Significant Difference ◽  
Group A ◽  
Group B ◽  
Open Carpal Tunnel Release

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.

Outcome analysis of limited open carpal tunnel release: A prospective study

2014 ◽  
Vol 7 (2) ◽  
pp. 161
Author(s):  
ChandrashekaraChowdipalya Maliyappa ◽  
MulamoottilAbraham George ◽  
Bader SaidKhamis Al-Marboi
Keyword(s):  
Prospective Study ◽  
Carpal Tunnel ◽  
Carpal Tunnel Release ◽  
Outcome Analysis ◽  
A Prospective Study ◽  
Open Carpal Tunnel Release

scholarly journals Open Carpal Tunnel Release and Diabetes—A Prospective Study Using National Quality Registries

2018 ◽  
Vol 43 (9) ◽  
pp. S56-S57
Author(s):  
Malin Zimmerman ◽  
Katarina Eeg-Olofsson ◽  
Ann-Marie Svensson ◽  
Marianne Arner ◽  
Lars B. Dahlin
Keyword(s):  
Prospective Study ◽  
Carpal Tunnel ◽  
Carpal Tunnel Release ◽  
National Quality ◽  
A Prospective Study ◽  
Open Carpal Tunnel Release

CORRIGENDUM: A Prospective Study of Outcome Following Mini-Open Carpal Tunnel Release

Hand Surgery ◽  
2003 ◽  
Vol 08 (02) ◽  
pp. 283-283 ◽  
Author(s):  
Michael P. Bradley ◽  
Edward P. Hayes ◽  
Arnold-Peter C. Weiss ◽  
Edward Akelman
Keyword(s):  
Prospective Study ◽  
Carpal Tunnel ◽  
Carpal Tunnel Release ◽  
A Prospective Study ◽  
Open Carpal Tunnel Release ◽  
Mini Open

CLINICAL OUTCOME AND COST COMPARISON OF CARPAL TUNNEL WOUND CLOSURE WITH MONOCRYL® AND ETHILON®: A PROSPECTIVE STUDY

Hand Surgery ◽  
2013 ◽  
Vol 18 (02) ◽  
pp. 189-192 ◽  
Author(s):  
Anis Dosani ◽  
Sameer K. Khan ◽  
Sheila Gray ◽  
Steve Joseph ◽  
Ian A. Whittaker
Keyword(s):  
Carpal Tunnel ◽  
Wound Closure ◽  
Unit Cost ◽  
Cost Effective ◽  
Cost Comparison ◽  
Absorbable Suture ◽  
Significant Difference ◽  
Group A ◽  
Group B ◽  
A Prospective Study

This prospective non-randomised two-cohort study compares the use of an absorbable suture (Poliglecrapone [Monocryl]: Group A) and a non-absorbable suture (Polyamide [Ethilon]: Group B) in wound closure after elective carpal tunnel decompression. The primary outcome was scar cosmesis as assessed by the Stonybrook Scar Evaluation Scale (SBSES); the financial cost of wound closure was compared as a secondary outocome. All fifty patients completed follow-up. At six weeks, there was no significant difference in the two groups regarding scar tenderness (p = 0.5), although residual swelling was more evident in the absorbable group (p = 0.2). The mean SBSES score at six weeks was 4.72 in Group A, and 4.8 in Group B (p = 0.3). The unit cost per closed wound of Monocryl was three times than Ethilon (p < 0.05). Ethilon is thus cost-effective without compromising the cosmetic outcome, and we recommend using this as the preferred suture for closure of carpal tunnel wounds.

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