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Intraoperative electroneurography during median nerve decompression in carpal tunnel syndrome

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Summary

In 17 patients with the diagnosis of carpal tunnel syndrome, orthodromic sensory nerve conduction measurements during ligament division and internal neurolysis were performed without the use of a pneumatic tourniquet. While ligament division led to an increase in conduction velocity (p < 0.05; median increase 0.7 m/s), it did not result in a significant change of the amplitude. During internal neurolysis, an increase of the sensory nerve potential (p<0.01; median increase 0.9 μV) and no significant change in conduction velocity were observed. We conclude that internal neurolysis does not cause a disruption of nerve function during the operation.

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Sanner, F.E., Tizian, C. Intraoperative electroneurography during median nerve decompression in carpal tunnel syndrome. Eur J Plast Surg 14, 221–223 (1991). https://doi.org/10.1007/BF00176634

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