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Updated: Jun 29, 2026
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Metacarpal Small Incision for Carpal Tunnel Syndrome
Published on: April 5, 2024
Splinting after carpal tunnel release: current practice, scientific evidence, and trends
Steven L Henry1, Bradley A Hubbard, Matthew J Concannon
1San Antonio, Texas; and Columbia, Mo. From The Hand Center of San Antonio; the Division of Plastic Surgery, University of Missouri-Columbia; and private practice.
Plastic and Reconstructive Surgery
|October 2, 2008
Summary
Postoperative splinting after carpal tunnel release is common but lacks evidence. A survey shows wide variation in splinting duration, indicating limited therapeutic benefit and a trend toward reduced use.
Area of Science:
- Orthopedic Surgery
- Hand Surgery
- Surgical Practice Trends
Background:
- Postoperative splinting is a common practice after carpal tunnel release.
- There is a lack of scientific evidence to support the routine use of splints following this procedure.
Purpose of the Study:
- To characterize postoperative splinting regimens among hand surgeons.
- To identify trends in splint use after carpal tunnel release surgery.
Main Methods:
- A survey was distributed to members of the American Society for Surgery of the Hand.
- Surgeons reported their splinting practices and training backgrounds.
- Responses were compared to historical survey data.
Main Results:
- A 48% response rate was achieved with 1091 questionnaires returned.
- 53% of surgeons use postoperative splinting, with durations ranging from 1 to 42 days.
- A trend towards decreased splint use was observed compared to 1987 and 1997 surveys.
Conclusions:
- Significant variability exists in the use and duration of postoperative splinting among hand surgeons.
- The wide divergence in practice suggests limited therapeutic benefit of splinting.
- Evidence and practice trends support a move away from routine splinting after carpal tunnel release.
