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Updated: Feb 18, 2026

Metacarpal Small Incision for Carpal Tunnel Syndrome
Published on: April 5, 2024
Carpal Tunnel Syndrome and Distal Radius Fractures
1Department of Orthopaedic Surgery, Allegheny General Hospital, 1307 Federal Street, Federal North Building, 2nd Floor, Pittsburgh, PA 15212, USA.
Abstract:
Carpal tunnel syndrome (CTS) after distal radius fractures can present in 3 forms: acute, transient, and delayed. Acute CTS requires an emergent carpal tunnel release. Many patients with transient CTS after distal radius fracture do not require surgical release of the carpal tunnel once the fracture is repaired. Prophylactic carpal tunnel release in the absence of signs and symptoms of CTS after a distal radius fracture is not indicated. For patients with delayed CTS after a distal radius fracture, all possible causes of nerve compression should be considered and addressed in standard fashion.
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