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Long-term outcomes of carpal tunnel release: a critical review of the literature

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HAND

Abstract

Background

Carpal tunnel release (CTR) is widely accepted as an effective surgical treatment method for idiopathic carpal tunnel syndrome. While the short-term literature is well substantiated, the “long-term” literature has rarely exceeded 2 years of follow-up, which may be inadequate for a chronic and potentially recurring disease such as carpal tunnel syndrome.

Methods

An English language literature search for long-term outcomes research on carpal tunnel release was made. Long-term is defined as 2 years or more after surgery.

Results

CTR is a highly effective procedure, but important aspects remain poorly understood, including recurrence and existing electromyographic data. Some study design issues exist with the current literature.

Conclusions

Further high-quality research is needed.

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References

  1. Atroshi I, Hofer M, Larsson GU, et al. Open compared with 2-portal endoscopic carpal tunnel release: a 5-year follow-up of a randomized controlled trial. J Hand Surg Am. 2009;34:266–72.

    Article  PubMed  Google Scholar 

  2. Brown RA, Gelberman RH, Seiler 3rd JG, et al. Carpal tunnel release. A prospective, randomized assessment of open and endoscopic methods. J Bone Joint Surg Am. 1993;75:1265–75.

    PubMed  CAS  Google Scholar 

  3. Buch-Jaeger N, Foucher G. Correlation of clinical signs with nerve conduction tests in the diagnosis of carpal tunnel syndrome. J Hand Surg Br. 1994;19:720–4.

    PubMed  CAS  Google Scholar 

  4. Cellocco P, Rossi C, Bizzarri F, et al. Mini-open blind procedure versus limited open technique for carpal tunnel release: a 30-month follow-up study. J Hand Surg Am. 2005;30:493–9.

    Article  PubMed  Google Scholar 

  5. Cresswell TR, Heras-Palou C, Bradley MJ, et al. Long-term outcome after carpal tunnel decompression—a prospective randomised study of the Indiana Tome and a standard limited palmar incision. J Hand Surg Eur. 2008;33:332–6.

    CAS  Google Scholar 

  6. Dahlin LB, Salo M, Thomsen N, et al. Carpal tunnel syndrome and treatment of recurrent symptoms. Scand J Plast Reconstr Surg Hand Surg. 2010;44:4–11.

    PubMed  Google Scholar 

  7. Erhard L, Ozalp T, Citron N, et al. Carpal tunnel release by the Agee endoscopic technique. Results at 4 year follow-up. J Hand Surg Br. 1999;24:583–5.

    Article  PubMed  CAS  Google Scholar 

  8. Ferdinand RD, MacLean JG. Endoscopic versus open carpal tunnel release in bilateral carpal tunnel syndrome. A prospective, randomised, blinded assessment. J Bone Joint Surg Br. 2002;84:375–9.

    Article  PubMed  CAS  Google Scholar 

  9. Finestone HM, Woodbury GM, Collavini T, et al. Severe carpal tunnel syndrome: clinical and electrodiagnostic outcome of surgical and conservative treatment. Muscle Nerve. 1996;19:237–9.

    Article  PubMed  CAS  Google Scholar 

  10. Hankins CL, Brown MG, Lopez RA, et al. A 12-year experience using the Brown two-portal endoscopic procedure of transverse carpal ligament release in 14,722 patients: defining a new paradigm in the treatment of carpal tunnel syndrome. Plast Reconstr Surg. 2007;120:1911–21.

    Article  PubMed  CAS  Google Scholar 

  11. Haupt WF, Wintzer G, Schop A, et al. Long-term results of carpal tunnel decompression. Assessment of 60 cases. J Hand Surg Br. 1993;18:471–4.

    Article  PubMed  CAS  Google Scholar 

  12. Jacobsen MB, Rahme H. A prospective, randomized study with an independent observer comparing open carpal tunnel release with endoscopic carpal tunnel release. J Hand Surg Br. 1996;21:202–4.

    PubMed  CAS  Google Scholar 

  13. Kabuto Y, Senda M, Hashizume H, et al. Time course changes of nerve conduction velocity in idiopathic carpal tunnel syndrome after endoscopic surgery. Acta Med Okayama. 2001;55:185–91.

    PubMed  CAS  Google Scholar 

  14. Katz JN, Fossel KK, Simmons BP, et al. Symptoms, functional status, and neuromuscular impairment following carpal tunnel release. J Hand Surg Am. 1995;20:549–55.

    Article  PubMed  CAS  Google Scholar 

  15. Katz JN, Keller RB, Simmons BP, et al. Maine Carpal Tunnel Study: outcomes of operative and nonoperative therapy for carpal tunnel syndrome in a community-based cohort. J Hand Surg Am. 1998;23:697–710.

    Article  PubMed  CAS  Google Scholar 

  16. Kouyoumdjian JA, Morita MP, Molina AF, et al. Long-term outcomes of symptomatic electrodiagnosed carpal tunnel syndrome. Arq Neuropsiquiatr. 2003;61:194–8.

    Article  PubMed  Google Scholar 

  17. Kulick MI, Gordillo G, Javidi T, et al. Long-term analysis of patients having surgical treatment for carpal tunnel syndrome. J Hand Surg Am. 1986;11:59–66.

    PubMed  CAS  Google Scholar 

  18. Nancollas MP, Peimer CA, Wheeler DR, et al. Long-term results of carpal tunnel release. J Hand Surg Br. 1995;20:470–4.

    Article  PubMed  CAS  Google Scholar 

  19. Nolan 3rd WB, Alkaitis D, Glickel SZ, et al. Results of treatment of severe carpal tunnel syndrome. J Hand Surg Am. 1992;17:1020–3.

    Article  PubMed  Google Scholar 

  20. Pensy RA, Burke FD, Bradley MJ, et al. A 6-year outcome of patients who cancelled carpal tunnel surgery. J Hand Surg Eur. 2011;36:642–7.

    CAS  Google Scholar 

  21. Schlagenhauff RE, Glasauer FE. Pre- and postoperative electromyographic evaluations in the carpal tunnel syndrome. J Neurosurg. 1971;35:314–9.

    Article  PubMed  CAS  Google Scholar 

  22. Semple JC, Cargill AO. Carpal-tunnel syndrome. Results of surgical decompression. Lancet. 1969;1:918–9.

    Article  PubMed  CAS  Google Scholar 

  23. Trumble TE, Diao E, Abrams RA, et al. Single-portal endoscopic carpal tunnel release compared with open release: a prospective, randomized trial. J Bone Joint Surg Am. 2002;84-A:1107–15.

    PubMed  Google Scholar 

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Correspondence to Dexter Louie.

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No external funding or grants supported this article.

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Louie, D., Earp, B. & Blazar, P. Long-term outcomes of carpal tunnel release: a critical review of the literature. HAND 7, 242–246 (2012). https://doi.org/10.1007/s11552-012-9429-x

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  • DOI: https://doi.org/10.1007/s11552-012-9429-x

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