Evaluation of Patients with Carpal Tunnel Syndrome Treated by Minimal Palmar Incision (A Preliminary Study)
Abstract
ABSTRACT
Background: Carpal tunnel syndrome (CTS) is the most common entrapment neuropathy
of upper extremities and open carpal tunnel release is the most frequent surgical
procedure and the gold standard for cases that do not respond to conservative treatment.
Objectives: This study is used to evaluate the functional outcome of limited palmar miniincision
of carpal tunnel release. This study aims to determine the safety, symptomatic
and functional efficacy of median nerve decompression with limited incision in carpal
tunnel syndrome surgery.
Methods: Carpal tunnel release with a 1.5-2 cm limited palmar incision was performed on
20 patients. Patients were evaluated initially at one month after treatment according to
symptom severity and functional status of Boston carpal tunnel questionnaire (BCT).
Results: At postoperative evaluation, there was a statistically significant increase in
Boston carpal tunnel questionnaire scores, grip and pinch strengths, and sensory tests
results of the patients when compared with preoperative values also with good
postoperative scar.
Conclusion: Carpal tunnel release with limited incision technique appears to be effective
when compared with classical open incision techniques. So, limited incision is both
effective and safe in carpal tunnel release.
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