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.
Similar content being viewed by others
References
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.
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.
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.
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.
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.
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.
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.
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.
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.
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.
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.
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.
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.
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.
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.
Kouyoumdjian JA, Morita MP, Molina AF, et al. Long-term outcomes of symptomatic electrodiagnosed carpal tunnel syndrome. Arq Neuropsiquiatr. 2003;61:194–8.
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.
Nancollas MP, Peimer CA, Wheeler DR, et al. Long-term results of carpal tunnel release. J Hand Surg Br. 1995;20:470–4.
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.
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.
Schlagenhauff RE, Glasauer FE. Pre- and postoperative electromyographic evaluations in the carpal tunnel syndrome. J Neurosurg. 1971;35:314–9.
Semple JC, Cargill AO. Carpal-tunnel syndrome. Results of surgical decompression. Lancet. 1969;1:918–9.
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.
Author information
Authors and Affiliations
Corresponding author
Additional information
No external funding or grants supported this article.
About this article
Cite this article
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
Published:
Issue Date:
DOI: https://doi.org/10.1007/s11552-012-9429-x