title: Does aging matter? The efficacy of carpal tunnel release in the elderly.
abstract: Open release remains the gold standard in the treatment of carpal tunnel syndrome in cases where conservative treatment fails. However, the efficacy of carpal tunnel release in the elderly has been debated in the literature throughout the years. This review aims to review the current evidence pertaining to the efficacy of carpal tunnel release in the elderly. Based on the current evidence, the outcome of carpal tunnel release is unpredictable in the elderly. Elderly patients are also less satisfied with the operation compared to younger patients. The authors recommend that these messages be conveyed to elderly patients before surgery. Moreover, open carpal tunnel release should be offered in the early stages of treatment whenever operative management is indicated.
authors.affiliation: Department of Orthopaedics and Traumatology, University of Hong Kong Medical Centre, Queen Mary Hospital, Pokfulam, Hong Kong.
authors.forename: Bettina Wai Yan
authors.initials: BW
authors.lastname: Fung
authors.affiliation: Department of Orthopaedics and Traumatology, University of Hong Kong Medical Centre, Queen Mary Hospital, Pokfulam, Hong Kong.
authors.forename: Chris Yuk Kwan
authors.initials: CY
authors.lastname: Tang
authors.affiliation: Department of Orthopaedics and Traumatology, University of Hong Kong Medical Centre, Queen Mary Hospital, Pokfulam, Hong Kong.
authors.forename: Boris Kwok Keung
authors.initials: BK
authors.lastname: Fung
keywords: Carpal tunnel syndrome; Nerve compression syndromes; Surgery