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[Carpal tunnel syndrome].

P Rommens, H Towfigh

    Acta Chirurgica Belgica
    |May 1, 1987
    PubMed
    Summary
    This summary is machine-generated.

    Carpal tunnel syndrome, a common nerve entrapment, often results from wrist joint changes. Surgical treatment offers significant relief for most patients, though recurrence can occur due to surgical technique or scar tissue.

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    Area of Science:

    • Orthopedics and Sports Medicine
    • Neurology
    • Hand Surgery

    Context:

    • Carpal tunnel syndrome (CTS) is the most prevalent peripheral nerve entrapment disorder.
    • Increased pressure within the carpal tunnel, caused by synovial thickening or fibrosis, commonly affects women over 50.
    • Subjective symptoms include radiating pain and sensory disturbances; motor deficits are less common.

    Purpose:

    • To evaluate the efficacy of surgical intervention for carpal tunnel syndrome.
    • To assess patient outcomes and recurrence rates following carpal tunnel release surgery.

    Summary:

    • Surgical carpal tunnel release is typically performed under ambulatory brachial plexus anesthesia.
    • Careful management of the 'ramus palmaris nervi mediani' during transverse ligament release is crucial.

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  • Postoperative follow-up at a mean of 24.1 months showed significant symptom amelioration in 28 patients.

    • Impact:

    • Operative treatment resulted in significant improvement for the majority of carpal tunnel syndrome patients.
    • Recurrent symptoms were observed in seven patients, with one requiring revision surgery.
    • Postoperative recurrence is often linked to suboptimal surgical technique or the development of fibrous tissue.