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Updated: Mar 3, 2026

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Splinting after Carpal Tunnel Release: Does it really Matter?

A Shalimar1, M H Nor-Hazla1, A Arifaizad1

  • 1Department of Orthopaedics and Traumatology, Faculty of Medicine, Universiti Kebangsaan Malaysia, Cheras, Kuala Lumpur, Malaysia.

Malaysian Orthopaedic Journal
|April 25, 2017
PubMed
Summary

Wrist splinting after carpal tunnel release (CTR) showed no significant benefit compared to no splinting. This study found no difference in outcomes for patients who were splinted for one week versus those who were not after CTR surgery.

Keywords:
Carpal tunnel syndromecarpal tunnel releaselimited open carpal tunnel releasenerve compressionwrist splint

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Area of Science:

  • Orthopedic Surgery
  • Hand Surgery
  • Neurosurgery

Background:

  • Wrist splinting post-carpal tunnel release (CTR) is common, aiming to prevent complications like tendon bowstringing and nerve entrapment.
  • Previous studies on splinting after standard CTR have yielded inconsistent or poor results regarding optimal duration.
  • The necessity and efficacy of post-operative wrist splinting following CTR remain debated.

Purpose of the Study:

  • To compare the outcomes of one-week wrist splinting versus no splinting after limited open carpal tunnel release.
  • To evaluate the impact of post-operative splinting on patient recovery and functional measures.

Main Methods:

  • Thirty patients underwent standardized limited open CTR and were randomized into splinted (n=16) and non-splinted (n=14) groups.
  • The splinted group wore a wrist splint for one week post-surgery.
  • Outcome measures included Visual Analogue Scale (VAS), two-point discrimination (2PD), grip and pinch strength, Abductor Pollicis Brevis (APB) power, and the Boston questionnaire, assessed at one week, two months, and six months.

Main Results:

  • Both groups demonstrated significant improvement in all assessed parameters post-operatively.
  • No statistically significant differences were observed between the splinted and non-splinted groups for any outcome measure at any follow-up point.

Conclusions:

  • Immediate post-operative wrist splinting offers no discernible advantage over not using a splint after limited open carpal tunnel release.
  • These findings suggest that routine wrist splinting may not be necessary following this specific type of CTR procedure.