Current Surgical Trends in Carpal Tunnel Syndrome

Area of Science:

• Orthopedics
• Neurosurgery
• Hand Surgery

Background:

• Carpal tunnel syndrome (CTS) is the most prevalent compressive neuropathy affecting the upper extremity.
• Effective surgical management is crucial for improving patient outcomes and quality of life.

Purpose of the Study:

• To provide a comprehensive overview of current surgical techniques for carpal tunnel syndrome.
• To compare the efficacy and safety of various surgical approaches, including open, mini-open, and endoscopic methods.
• To discuss indications, anatomical considerations, and management strategies for recalcitrant CTS.

Main Methods:

• Systematic review of current literature on surgical management of carpal tunnel syndrome.
• Comparative analysis of different surgical techniques based on outcomes, complications, pillar pain, and reoperation rates.
• Discussion of adjunct procedures and considerations for patient selection and anatomical knowledge.

Main Results:

• Comparison of outcomes, complications, pillar pain, and reoperation rates across different surgical approaches.
• Identification of factors influencing surgical success and management of challenging cases.
• Emphasis on individualized treatment plans and the role of anatomical knowledge in surgical safety.

Conclusions:

• Surgical technique selection for carpal tunnel syndrome should be individualized based on patient factors and surgeon expertise.
• Minimally invasive and endoscopic techniques offer potential advantages but require thorough anatomical understanding.
• Effective management of recalcitrant CTS necessitates careful patient selection and consideration of adjunct procedures.