Clinical outcome of carpal tunnel release with and without opposition transfer

We studied the clinical outcome in 24 patients (25 hands) with carpal tunnel syndrome characterized by severe thenar muscle atrophy, who were treated by open carpal tunnel release alone (10 hands) or with simultaneous opposition transfer (15 hands). We also compared the surgical results in patients...

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Bibliographic Details
Published inThe Journal of hand surgery, European volume Vol. 35; no. 8; p. 632
Main Authors Uemura, T, Hidaka, N, Nakamura, H
Format Journal Article
LanguageEnglish
Published England 01.10.2010
Subjects
Activities of Daily Living - classification
Age Factors
Aged
Aged, 80 and over
Carpal Tunnel Syndrome - surgery
Female
Follow-Up Studies
Hand Strength - physiology
Humans
Male
Middle Aged
Muscular Atrophy - surgery
Pain Measurement
Pinch Strength - physiology
Tendon Transfer - methods
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Summary:We studied the clinical outcome in 24 patients (25 hands) with carpal tunnel syndrome characterized by severe thenar muscle atrophy, who were treated by open carpal tunnel release alone (10 hands) or with simultaneous opposition transfer (15 hands). We also compared the surgical results in patients younger or older than 65 years. Pain and numbness improved after open carpal tunnel release but more so in younger patients. Activities of daily living also improved with and without opposition transfer; however, certain activities such as fastening hooks or buttons, using chopsticks and turning a key in a lock improved more with opposition transfer. Grip strength did not improve, with or without opposition transfer, regardless of the patients' ages. Pinch strength improved more with opposition transfer.
ISSN:2043-6289
DOI:10.1177/1753193410369988