Endoscopic release for carpal tunnel syndrome accompanied by thenar muscle atrophy

Nagaoka, Masahiro; Nagao, S.; Matsuzaki, Hiromi

doi:10.1016/j.arthro.2004.06.033

Cited by 3 publications

(1 citation statement)

References 12 publications

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“…Nagaoka et al [14] concluded that endoscopic release surgery in cases of CTS accompanied by thenar atrophy can achieve good results with respect to atrophy recovery. The average key pinch strength preoperatively was 3.6±1.3 kg and increased to 5.1±1.5 kg after surgery; tip pinch strength was 2.6±1.0 kg preoperatively and 3.9±1.4 kg after surgery.…”

Section: Discussionmentioning

confidence: 99%

Carpal Tunnel Syndrome with Thenar Atrophy: Evaluation of the Pinch and Grip Strength in Patients Undergoing Surgical Treatment

Fernandes

Meirelles

Neto

et al. 2012

Hand (New York, N,Y.)

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This aim of this study was to evaluate the progression of grip, tip pinch, key (lateral) pinch, and tripod pinch strengths in patients suffering from carpal tunnel syndrome with thenar atrophy following surgery. Between October 2008 and May 2010, 46 patients (49 hands) with carpal tunnel syndrome associated with thenar atrophy underwent surgery. Thenar atrophy was assessed by clinical inspection. Evaluations for grip strength and for tip, key, and tripod pinch strengths were made using a hydraulic hand dynamometer grip and a hydraulic pinch gauge, respectively. These measurements were taken before surgery and at 3 and 6 months after the procedure. When we compared the averages of all forces measured in the affected hand before the surgery with all forces measured at 3 months postoperative, we found no significant differences. However, after 6 months, we found significant differences for all four strength tests as compared with those measurements taken preoperatively and at the 3 month time point. Our results suggest that patients with thenar atrophy show increased grip strength and pinch strength by the sixth month after surgical treatment.

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Section: Discussionmentioning

confidence: 99%

Carpal Tunnel Syndrome with Thenar Atrophy: Evaluation of the Pinch and Grip Strength in Patients Undergoing Surgical Treatment

Fernandes

Meirelles

Neto

et al. 2012

Hand (New York, N,Y.)

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Sonographic morphometry of abductor pollicis brevis: can direct contact yield images comparable with those obtained by the water bath technique?

et al. 2019

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The Thenar Index: An Objective Assessment and Classification of Thenar Atrophy Based on Static Hand Imprints and Clinical Implications

Tuncali

Barutcu

Terzioğlu

et al. 2006

Plastic and Reconstructive Surgery

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Understanding the true onset and natural progression of thenar atrophy can only be anticipated with the aid of an objective assessment system. Currently, this method should be regarded as a system for patient records and comparison for presurgical and postsurgical data. The authors believe that the thenar index classification has some merit for future use. It seems that additional objective and scientific evaluation systems and novel approaches are still needed to demystify the true nature of carpal tunnel syndrome.

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Endoscopic release for carpal tunnel syndrome accompanied by thenar muscle atrophy

Cited by 3 publications

References 12 publications

Carpal Tunnel Syndrome with Thenar Atrophy: Evaluation of the Pinch and Grip Strength in Patients Undergoing Surgical Treatment

Carpal Tunnel Syndrome with Thenar Atrophy: Evaluation of the Pinch and Grip Strength in Patients Undergoing Surgical Treatment

Sonographic morphometry of abductor pollicis brevis: can direct contact yield images comparable with those obtained by the water bath technique?

The Thenar Index: An Objective Assessment and Classification of Thenar Atrophy Based on Static Hand Imprints and Clinical Implications

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