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Grip strength following carpal tunnel decompression

W J Leach¹, C Esler, T D Scott

¹Royal Cornwall Hospital, Truro, UK.

Journal of Hand Surgery (Edinburgh, Scotland)

|December 1, 1993

Summary

Open carpal tunnel decompression did not significantly alter overall grip strength one year post-surgery. However, female patients experienced a slight, statistically significant decrease in key pinch strength.

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Area of Science:

Orthopedic Surgery
Hand Surgery
Rehabilitation Medicine

Background:

Carpal tunnel syndrome (CTS) is a common condition affecting the median nerve at the wrist.
Open carpal tunnel decompression is a surgical procedure to relieve pressure on the median nerve.
Assessing functional recovery, particularly grip strength, is crucial for evaluating surgical outcomes.

Purpose of the Study:

To prospectively evaluate the impact of open carpal tunnel decompression on hand grip and pinch strength.
To compare post-operative strength measurements with pre-operative values up to one year after surgery.

Main Methods:

A prospective study involving 25 patients (31 operations) undergoing open carpal tunnel decompression.
Measurement of hand grip, key pinch, and pulp-to-pulp pinch strengths pre-operatively and at regular intervals up to 1 year post-operatively.

Main Results:

No significant differences were observed in overall hand grip and pulp-to-pulp pinch strengths at the 1-year follow-up compared to pre-operative levels.
A marginally significant reduction (P = 0.04) in key pinch strength was noted in female patients post-operatively.

Conclusions:

Open carpal tunnel decompression appears to maintain overall grip and pulp-to-pulp pinch strength one year after surgery.
Female patients may experience a specific decline in key pinch strength following this procedure, warranting further investigation.

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