Surgical Decompression of Carpel Tunnel Syndrome

Authors

  • LIAQAT ALI Saidu Teaching Hospital, Saidu Sharif, Swat
  • MOHD ISRAR
  • NISAR ALI

Abstract

Objective:  To study the out come of surgical treatment of carpel tunnel syndrome, and to evaluate symptomatic improvement.

Material & Methods:  This study was conducted in the department of neurosurgery saidu teaching hospital, swat from January 2006 to December 2007.All the patients were randomly selected irrespective of their age and sex from neuro surgical out door clinic. Patients responded to conservative treatment were excluded from the study. The age range was from 20-70 years. A total of 83 patients were included in this study. 72 (8.6.74%) were females and 11 (13.25) males.

Results:  83 patients with age ranging from 20-70 years, 72 (86.74%) females and 11 (13.25) males (6.5:1) were subjected to surgical decompression 30 (36.14%) patients had bilateral carpel tunnel syndrome. Excellent result were obtained in 71 (85.54%) patients, good in 9 (10.84%) while 3 (3.6%) patients had poor response.

Conclusion:  Surgical decompression is more effective than conservative treatment.

References

Phalen GS. The carpel tunnel syndrome. Seventeen years experience in diagnosis and treatment of six hun-dred fifty-four hands. J Bone Joint Surg 1966; 48: 211-282.

Preston DC. Distal medium neuropathies. Neurol clin 2004; 17: 407-24.

Gulzar SA. Chronic tunnel syndrome: results of carpal tunnel release. J LUMHS 2007; 8: 21-24.

Schaumburg HH. Diseases of peripheral nervous sys-tem. Cecil text book of medicine HBJ Int Ed, W B Sau-nders, Ed 19; 1992: 2249.

Dawson DM. Entrapment neuropathies of the upper ex-tremities N Engl J Med 1993; 329: 2013-8.

Hassan PKN and Hussain S. Carpal tunnel syndrome. Pak Armed J 1996; 46 (2): 76-9.

Ayaz MK, Ayub S and Shoaib M. Surgical decomp-ression of carpal tunnel syndrome. Pak J Neuro Surg: 2005; 9: 20-22.

Steward ID .Carpel tunnel syndrome. In: Steward ID. (ed). Focal peripheral neuropathies. 3rd ed. Philadel-phia: Raven press.2000: 413-9.

Salerno DF, franzblau A, Werner RA. Bromberg MB and Albers JW. Median and ulnar nerve conduction stu-dies. Muscle Nerve 2003; 21: 999-1005.

Shabbir M. Surgical treatment of carpel tunnel synd-rome. J Post Med Ist 2004; 18 (1): 29-32.

Wee AS and Abrenathy SD. Carpel tunnel syndrome, comparison of the median sensory nerve conduction finding from the index and middle finger. Electrimyogr. Clin neurophysiology 2003 Jun ; 43 (4): 251-3.

12- Lee Wp and Strickland JW. Safe carpal tunnel rele-ase via a limited palmer incision. Plastic Reconst Surg. 1998 Feb; 101 (2): 418-24.

Karaminogullari O, Ozturk A and Tuzuner T. Endo-scopes carpel ligament release using the chow techni-que, early clinical results. Acta Ortho Traumatol Truc 2003; 37 (3): 226-232.

Finsen V and Russwurm H. Neurophysiology not requi-red before surgery for typical carpel tunnel syndrome J Hand Surg [br]. 2001; 26 (1): 61-4.

Zyluk A and Strycher J. Results of the treatment of carpel tunnel syndrome-a review. Choir Narzadow Ru-chu Ortop Pol.2005; 70 (6): 439-45.

Practice parameter for carpel tunnel syndrome (sum-mary statement). Report of the Quality Standard Sub-committee of the American Academy of Neurology. 1993; 43: 2406-9.

Wilson JR and Summer AJ. Immediate surgery is the treatment of choice for carpel tunnel syndrome. Muscle Nerve. 1995; 18: 660-2.

Proubasta IR, Lluch A, Lamas CG, et al. “Fat pad” and “little finger pulp” signs are good indicators of proper release of carpal tunnel. Neurosurgery. Oct. 2007; 61 (4): 810-13.

Palmer AK and Toivonen DA. Complications of endo-scopic and open carpal tunnel release. J Hand Surg [Am]. May 1999; 24 (3): 561-5.

Rowland EB and Kleinert JM. Endoscopic carpal-tun-nel release in cadavera. An investigation of the results of twelve surgeons with this training model. J Bone Joint Surg Am. Feb. 1994; 76 (2): 266-8.

Bozentka DJ and Osterman AL. Complications of endo-scopic carpal tunnel release. Hand Clin. Feb 1995; 11 (1): 91-5.

Young VL, Logan SE, Fernando B et al. Grip strength before and after carpal tunnel decompression. South Med J. Sep. 1992; 85 (9): 897-900.

Downloads

Published

2022-08-08

Issue

Section

Original Articles