The Surgical Treatment of Carpal Tunnel Syndrome
Keywords:
Carpal tunnel syndromeAbstract
Objective: To evaluate the clinical outcome of surgical treatment of carpal tunnel syndrome. This study was conducted in Neurosurgery unit LRH from March 2006 to May 2008. Fifty patients including 45 female and 5 male with 19 female to male ratio were included in the study. The age range was 35-60 years. In 75% cases, right hand was affected while 25%, left hand was affected. Bilateral involvement was only in 3 (6%) cases. Pain and paraesthesia was there in all cases in the distribution of median nerve. Phallen test was positive in 85% cases and tenil's sign was positive in 64% cases. Thenar wasting was found in 12 cases (24%). Nerve conduction studies were positive in 45 patients (90%) carpal tunnel stenosis and the entrapment of transverse carpal ligament was found in all cases. All underwent surgical release of median nerve under local Anesthesia. The patients were followed for 4 months. The surgical outcome was excellent in 90%, good in 6% and fair in 4%.
Key words: Carpal tunnel syndrome, Median nerve decompression.
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