Poor Outcome for Neural Surgery (Epineurotomy or Neurolysis) for Carpal Tunnel Syndrome Compared With Carpal Tunnel Release Alone: A Meta-Analysis of Global Outcomes

Complications of Surgery for Carpal Tunnel Syndrome

“…The associated medical diseases or traumatic conditions in our study were found in 22% of the patients whom were subjected to surgery, but we did not document their effect on the surgical outcome. In the previous published articles the associated conditions were ranged between 21.2% to 50% and they believe that associated diseases such as diabetes and hypertension increase the risk of symptoms recurrence after surgery [6][7][8][9] . The complication rate of open carpal tunnel release in our series was 23%, and most of the previous studies hidden their complications or did not published, only a few have been shown to occur in 0.83% up to 37% of their cases 6,[10][11][12] .…”

“…Trigger fingers developed in 6 hands (4%) after several months postoperatively and was mostly in the thumb, which is due to the fact that TCL also function as the first tendon pulley and when it was released greater forces are then transmitted to the first annular pulley which becomes the most proximal pulley, and may contribute to the triggering at this site 11 , we managed them according to its grading of severity, either by conservative or surgical treatment. Lastly 2% of the hands developed algodystrophy, and were treated by physiotherapy and medication which takes a long time, in some series the reported incidence of reflex sympathetic dystrophy was 7 to 16% [6][7][8] .…”

Σύνδρομο καρπιαίου σωλήνα & επάγγελμα/ φυσική δραστηριότητα

“…αφαίρεση ινώδους συνδετικού ιστού γύρω από το νεύρο, η µείωση της πίεσης στο επινεύριο µε επιµήκη τοµή, ή η αποµάκρυνση τµήµατος του επινεύριου για βελτίωση της κίνησης του νεύρου(Chapell et al, 2003;Margic, 2004;Padua et al, 1998;Rhoades et al, 1985;Ting and Weiland, 2002).! 103…”