Neurophysiological recovery after open carpal tunnel decompression: comparison of simple decompression and decompression with epineurotomy.
Two hundred and seventy-three patients with carpal tunnel syndrome without advanced neurophysiological changes (distal motor latency below 11 ms) were randomized to treatment by open carpal tunnel release with, or without, epineurotomy. Patients were examined clinically and by nerve conduction studies preoperatively and at 3, 6 and 12 months postoperatively. We found no statistically significant difference between simple decompression and decompression combined with epineurotomy with regard to either the clinical or the neurophysiological outcome.
Borisch
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Department of Hand Surgery, Plastic and Reconstructive Surgery, DRK-Hospital, Baden-Baden, Germany. n.borisch@rheuma-ortho-zentrum.de
Haussmann
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P
D002349:Carpal Tunnel Syndrome / Q000503:physiopathology / Q000601:surgery*; D019299:Decompression, Surgical / Q000379:methods*; D004594:Electrophysiology; D005260:Female; D006801:Humans; D016014:Linear Models; D008297:Male; D008475:Median Nerve / Q000503:physiopathology / Q000601:surgery*; D008875:Middle Aged; D009431:Neural Conduction / Q000502:physiology*; D011182:Postoperative Care; D011300:Preoperative Care; D020127:Recovery of Function / Q000502:physiology*; D012008:Recurrence; D012677:Sensation / Q000502:physiology; D016896:Treatment Outcome