title: The carpal tunnel syndrome: clinical evaluation and results of surgical decompression.
abstract: We reviewed 357 patients with carpal tunnel syndrome who had surgical decompression of the carpal tunnel between January 1989 and April 1991. The male to female ratio was 1:6. In 40 patients, there was bilateral involvement. Only 38.5% of the patients complained of numbness or sensory disturbance in the median nerve distribution of the hand. Tinel and Phalen sign tests were positive in about two-thirds of the patients. Electromyographic studies were performed in 329 patients. The commonest surgical procedure was a simple release of the flexor retinaculum at the wrist. Nearly all the patients reported improved symptoms.
authors.affiliation: Department of Orthopaedic Surgery C, Singapore General Hospital.
authors.forename: I
authors.initials: I
authors.lastname: Singh
authors.forename: K M
authors.initials: KM
authors.lastname: Khoo
authors.forename: S
authors.initials: S
authors.lastname: Krishnamoorthy
mesh_terms: D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D002349:Carpal Tunnel Syndrome / Q000503:physiopathology / Q000601:surgery*; D004576:Electromyography; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged