Wrist immobilization after carpal tunnel release: a prospective study.
This prospective study evaluates the possible advantages of wrist immobilization after open carpal tunnel release comparing the results of two weeks immobilization and no immobilization. Fifty two patients with idiopathic carpal tunnel syndrome were randomly selected in two groups after open carpal tunnel release. In one group (A, n=26) the patients wore a neutral-position wrist splint continuously for two weeks. In the other group (B, n=26) no wrist immobilization was used. Clinical assessment was done pre-operatively and at 2 weeks follow-up and included the two-point discrimination test at the second finger and two questionnaires as an outcome measurement of symptoms severity and intensity. All the patients presented improvement in the postoperative evaluations in the three analyzed parameters. There was no significant difference between the two groups for any of the outcome measurements at the final follow-up. We conclude that wrist immobilization in the immediate post-operative period have no advantages when compared with no immobilization in the end result of carpal tunnel release.
Martins
Roberto S
RS
Department of Neurosurgery, Hospital Santa Marcelina, and Peripheral Nerve Unit, University of São Paulo Medical School, SP, Brazil. robar@ig.com.br
Siqueira
Mario G
MG
Simplício
Hougelli
H
D000328:Adult; D000368:Aged; D002349:Carpal Tunnel Syndrome / Q000601:surgery / Q000628:therapy*; D003131:Combined Modality Therapy; D019299:Decompression, Surgical; D005260:Female; D006801:Humans; D007103:Immobilization / Q000379:methods*; D008297:Male; D008875:Middle Aged; D011446:Prospective Studies; D012720:Severity of Illness Index; D013165:Splints; D016896:Treatment Outcome; D014955:Wrist Joint