Presentation and outcome of carpal tunnel syndrome with mini incision open carpal tunnel release

Abstract

A variety of surgical approaches have been employed to address carpal tunnel syndrome (CTS). Each technique has its attended advantages and disadvantages. The mini-incision technique has recently emerged as promising one among them. →What this article adds:Careful initial evaluation and meticulous surgical decompression of the carpal tunnel with mini-incision provides predictably satisfactory outcome. Patients with diabetes mellitus have more chance of persistent symptoms despite adequate decompression. Hence, they should be counselled preoperatively so as to tailor their expectations accordingly.

Best-Evidence Systematic Review and Meta-Analysis of Mini-Open Carpal Tunnel Release

“…From the 506 titles and abstracts identified in the searches, we fully reviewed 106 articles where the primary reasons for exclusion were retrospective study design (30), insufficient sample size (29), or the lack of information on the specific CTR technique (12). The meta-analysis included 23 studies, 31 , 32 , 33 , 34 , 35 , 36 , 37 , 38 , 39 , 40 , 41 , 42 , 43 , 44 , 45 , 46 , 47 , 48 , 49 , 50 , 51 , 52 , 53 involving 2,303 patients from 15 countries, representing a best-evidence synthesis of mOCTR literature published over the past decade ( Supplementary Figure 1 ). The median age of participants was 55 years (study-wide range was 35–63 years), most were women (median 74%; study-wide range was 50%–100%), and the median CTS symptom duration before surgery was 12 months (study-wide range was 5–57 months; Table 1 ).…”