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Diagnosis, treatment and follow-up of the carpal tunnel syndrome: a review

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Abstract

The carpal tunnel syndrome is a compressive neuropathy with high incidence rates, and its correct diagnosis, treatment and follow-up may lead to significant benefits in healthcare, social and economic terms. In this review, based on systematic review databases and guidelines, we summarise the appropriate indications for the diagnosis, treatment and follow-up, accompanied, whenever possible, by the levels of evidence and strength of recommendations.

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Author information

Authors and Affiliations

  1. U.O. Ortopedia e Traumatologia, Azienda Ospedaliera di Bologna Policlinico S. Orsola-Malpighi, Via Albertoni, 15, 40141, Bologna, Italy

    Calogero Alfonso

  2. U.O. Neurologia, A.O. Ospedale Maggiore Niguarda, Piazza Ospedale Maggiore 3, 20162, Milan, Italy

    Stefano Jann

  3. Dipartimento di Neuroscienze Università di Roma “Tor Vergata”, Via Montpellier 1, 00133, Rome, Italy

    Roberto Massa

  4. Via Ciovasso, 4, 20121, Milan, Italy

    Aldo Torreggiani

Authors
  1. Calogero Alfonso
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  2. Stefano Jann
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  3. Roberto Massa
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  4. Aldo Torreggiani
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Corresponding author

Correspondence to Aldo Torreggiani.

Appendix

Appendix

Considerable contribution to the preparation of this document was obtained from an extensive number of Physicians specialised in Neurology, Orthopaedics, Physiatrics, Pain Therapy, and General Medicine, who supported us by bringing in corrections, integrations, suggestions and, in any case, in full agreement:

Sebastiano Adamo, Massimo Alunni, Gaetano Amorico, Antonio Augusti, Mario Avalle, Giuseppa Barbera, Eugenio Barbieri, Massimo Baroncini, Angelo Bartesaghi, Angela Bassani, Maurizio Bejor, Giuseppe Bernardi, Antonio Bernardo, Claudio Boninsegna, Davide Bonomo, Silvano Botteselle, Enrico Califano, Valeria Campanella, Antonio Campisi, Riccardo Canero, Michele Capuano, Antonio Carbonari, Fabio Carbone, Piero Cataldo, Antonino Catanese, Antonio Cazzato, Riccardo Cecchetti, Francesco Chilelli, Alessandro Ciarimboli, Mario Ciarimboli, Giovanni Cilia, Roberto Conigliaro, Roberto Corezzola, Renzo Cosso, Ettore Costabile, Domenico Cremonesi, Marcello Cusitore, Michele D’Arienzo, Antonio D’Aura, Vincenzo D’Orsi, Angelo D’Annibale, Maurizio Daccò, Massimo Darbisi, Roberto De Masi, Paolo De Stefanis, Vito De Tullio, Maria Teresa Desiato, Giuseppina Di Stefano, Michele Dotta, Salvatore Emmola, Maurizio Falso, Andrea Fedeli, Giovanni Ficola, Alfio Mauro Finocchiaro, Giulio Fiorenza, Sabino Fiume, Michele Formoso, Elio Fortuna, Andrea Foti, Silvia Galeri, Raffaele Gambardella, Renato Gatto, Elisena Geraci, Sergio Gigliotti, Letizia Giulia Mauro, Luigi Grompone, Vittorio Guglielmo Grosso, Fabio Guerriero, Stefano Guidotti, Raimondo Ibba, Francesco Indiano, Giovanni Italiano, Rita l’Episcopo, Alessandro La Medica, Matteo Laringe, Rosita Laurenti, Vincenzo Lo Scalzo, Mario Longo, Davide Lucchi, Maria Lucia, Emanuele Lupetti, Vincenzo Roberto Macrì, Marco Maltinti, Alessandro Mannoni, Roberto Mantia, Fabrizio Mantia, Domenico Mantova, Marina Carlotta Marazzi, Nicola Margiotta, Claudio Mariani, Maria Letizia Marini, Angelo Claudio Marrone, Gianni Martelli, Daniele Martini, Alfredo Mattaliano, Massimo Maurencig, Giulio Mazzini, Rossella Medda, Alfonso Megna, Oriano Mercante, Antonio Mileto, Carmelo Militello, Gaetano Militenda, Donatella Moci, Mario Mosconi, Silvia Oldani, Maurizio Olivieri, Michele Olivieri, Giuseppe Partexano, Elisa Pasqualetto, Alberto Pellegrinetti, Massimo Pettinà, Pietro Pinelli, Giovanni Pozzuoli, Fausto Prete, Luca Puccetti, Antonino Pugliesi, Giovanni Antioco Putzu, Raffaele Quaranta, Daniele Raimondi, Giancarlo Rando, Fabrizio Rasi, Pietro Rettagliata, Leonardo Rivelli, Vincenzo Rollo, Pierpaolo Romani, Sergio Ronco, Vincenzo Rossi, Alberto Sampietro, Antonino Sanfilippo, Provvidenza Sansone, Giovanni Savoca, Giuseppe Scaglione, Antonio Scala, Francesco Sellitto, Agostino Spinelli, Fausto Stante, Walter Starace, Salvatore Torre, Raffaele Torre, Lucia Toscani, Arturo Tricarico, Enrico Trucco, Tobia Ulisse, Angelo Vetro, Cesarino Vezzosi, Massimo Vigilante, Renato Villaminar, Gennaro Vitiello, Luciano Wolensky, Leonardo Wolensky, Giancarlo Za, Antonio Zampogna, Angelo Zuppardo.

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Alfonso, C., Jann, S., Massa, R. et al. Diagnosis, treatment and follow-up of the carpal tunnel syndrome: a review. Neurol Sci 31, 243–252 (2010). https://doi.org/10.1007/s10072-009-0213-9

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