Prospective Comparison of Minimal Incision “Open” and Two-Portal Endoscopic Carpal Tunnel Release

Hallock, Geoffrey G.; Lutz, Debra A.

doi:10.1097/00006534-199509001-00027

Cited by 66 publications

(47 citation statements)

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“…36 Some patients do not work, while others may not intend to return to work for reasons other than disability from CTS. Other socioeconomic factors or workers' compensation state regulations may also influence return-to-work decisions.…”

Section: Outcomes Measuresmentioning

confidence: 99%

Conservative Interventions for Carpal Tunnel Syndrome

Michlovitz¹

2004

J Orthop Sports Phys Ther

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The assessment and conservative interventions in patients with carpal tunnel syndrome (CTS) are described in this paper. Information about surgical procedures and postoperative care has also been included. It is difficult to make definitive conclusions about the literature regarding success of treatment for CTS due to variations in outcome measures, severity of CTS, and inconsistencies in duration, dosage, and follow-up time for interventions. Based on what is known to date, this author recommends that patients with mild or moderate CTS be provided with a conservative program of splinting the wrist in neutral for nocturnal wear. In addition, intermittent exercise (nerve-gliding exercises) and activity modification, including avoidance of protracted periods of sustained gripping activities and awkward wrist positions, can be useful. This conservative program may be complemented by pain-relieving modalities during times of activity and supplemental participation in other exercise such as yoga. If symptoms are not relieved to the satisfaction of the patient, or they recur, then it is incumbent upon the therapist to refer the patient to a hand surgeon for injection or possible surgical decompression.

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Section: Outcomes Measuresmentioning

confidence: 99%

Conservative Interventions for Carpal Tunnel Syndrome

Michlovitz¹

2004

J Orthop Sports Phys Ther

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“…Of the ineligible studies, 11 were excluded because they were not randomized (23)(24)(25)(26)(27)(28)(29)(30)(31)(32)(33), four because they did not compare ECTR with OCTR (34-37) and two because RTW was not an outcome measure (38)(39).…”

Section: Resultsmentioning

confidence: 99%

Analysis of reporting return to work in studies comparing open with endoscopic carpal tunnel release: A review of randomized controlled trials

Ayeni¹,

Thoma²

2005

CAN J PLAST SURG

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BACKGROUND:In studies comparing open with endoscopic carpal tunnel release, return to work (RTW) is often cited as a primary outcome. OBJECTIVE: The present study assessed the reporting of RTW and evaluated its usefulness in studies comparing these two methods of carpal tunnel release. METHODS: A computerized search was conducted to find randomized controlled trials that compared open with endoscopic carpal tunnel release, with RTW as an outcome measure. The factors that were compared across the studies included definition of RTW, units quantifying RTW, measures of hand function, patients' type of employment, worker's compensation or insurance status, patients' handedness, unilateral or bilateral carpal tunnel release, and use of rehabilitation. RESULTS: Fifteen studies met the inclusion criteria for the present systematic review. Of the 15 studies reviewed, there were seven definitions of RTW. All studies defined whether the patients underwent unilateral or bilateral carpal tunnel release but there was variability in the calculation of RTW when bilateral releases were performed. The impact of worker's compensation or insurance, type of work, handedness and rehabilitation were inconsistently addressed as factors affecting RTW. CONCLUSIONS: Although RTW ideally reflects function and recovery, it is inadequately measured and reported. The present review revealed that, in studies comparing open carpal tunnel release with endoscopic carpal tunnel release, there is lack of uniformity in reporting RTW, which may contribute to the inconclusive results for RTW. Future research needs to ensure that RTW is used in a consistent manner.

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“…The discomfort in the palm is often the limiting factor in the patient's ability to resume normal activity and work. The endoscopic technique has demonstrated less pain than the traditional open method [2,6,[10][11][12][13][14][15][16][17]. Despite these improved results with the endoscopic technique, patients still have some degree of palm pain after surgery limiting return to activity.…”

Section: Discussionmentioning

confidence: 99%

The Effect of NeuroGen<sup>&reg;</sup> Nerve Support Supplement on Pillar Pain after Endoscopic Carpal Tunnel Release

Fitzmaurice¹

2014

MPS

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Prospective Comparison of Minimal Incision “Open” and Two-Portal Endoscopic Carpal Tunnel Release

Cited by 66 publications

References 0 publications

Conservative Interventions for Carpal Tunnel Syndrome

Conservative Interventions for Carpal Tunnel Syndrome

Analysis of reporting return to work in studies comparing open with endoscopic carpal tunnel release: A review of randomized controlled trials

The Effect of NeuroGen<sup>&reg;</sup> Nerve Support Supplement on Pillar Pain after Endoscopic Carpal Tunnel Release

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Prospective Comparison of Minimal Incision “Open” and Two-Portal Endoscopic Carpal Tunnel Release

Cited by 66 publications

References 0 publications

Conservative Interventions for Carpal Tunnel Syndrome

Conservative Interventions for Carpal Tunnel Syndrome

Analysis of reporting return to work in studies comparing open with endoscopic carpal tunnel release: A review of randomized controlled trials

The Effect of NeuroGen&lt;sup&gt;&amp;reg;&lt;/sup&gt; Nerve Support Supplement on Pillar Pain after Endoscopic Carpal Tunnel Release

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The Effect of NeuroGen<sup>®</sup> Nerve Support Supplement on Pillar Pain after Endoscopic Carpal Tunnel Release