title: Carpal tunnel syndrome - Part II (treatment).
abstract: The treatments for non-deficit forms of carpal tunnel syndrome (CTS) are corticoid infiltration and/or a nighttime immobilization brace. Surgical treatment, which includes sectioning the retinaculum of the flexors (retinaculotomy), is indicated in cases of resistance to conservative treatment in deficit forms or, more frequently, in acute forms. In minimally invasive techniques (endoscopy and mini-open), and even though the learning curve is longer, it seems that functional recovery occurs earlier than in the classical surgery, but with identical long-term results. The choice depends on the surgeon, patient, severity, etiology and availability of material. The results are satisfactory in close to 90% of the cases. Recovery of strength requires four to six months after regression of the pain of pillar pain type. This surgery has the reputation of being benign and has a complication rate of 0.2-0.5%.
authors.affiliation: Hand and Upper-Limb Surgery Service, Peripheral Nerve Surgery, Hospital Lapeyronie, University Hospital Center, Montpellier, France.
authors.forename: Michel
authors.initials: M
authors.lastname: Chammas
authors.affiliation: Hand Surgery Service, Italian Hospital, Buenos Aires, Argentina.
authors.forename: Jorge
authors.initials: J
authors.lastname: Boretto
authors.affiliation: Hand Surgery Service, Hospital São Lucas, Pontifícia Universidade Católica do Rio Grande do Sul (PUC-RS), Porto Alegre, RS, Brazil.
authors.forename: Lauren Marquardt
authors.initials: LM
authors.lastname: Burmann
authors.affiliation: Hand Surgery Service, Hospital São Lucas, Pontifícia Universidade Católica do Rio Grande do Sul (PUC-RS), Porto Alegre, RS, Brazil.
authors.forename: Renato Matta
authors.initials: RM
authors.lastname: Ramos
authors.affiliation: Hand Surgery Service, Hospital São Lucas, Pontifícia Universidade Católica do Rio Grande do Sul (PUC-RS), Porto Alegre, RS, Brazil.
authors.forename: Francisco Santos
authors.initials: FS
authors.lastname: Neto
authors.affiliation: Hand Surgery Service, Hospital São Lucas, Pontifícia Universidade Católica do Rio Grande do Sul (PUC-RS), Porto Alegre, RS, Brazil.
authors.forename: Jefferson Braga
authors.initials: JB
authors.lastname: Silva
keywords: Carpal tunnel syndrome/etiology; Carpal tunnel syndrome/physiopathology; Carpal tunnel syndrome/surgery; Endoscopy