TY - JOUR
T1 - Carpal tunnel release with and without epineurotomy
T2 - A comparative prospective trial
AU - Blair, W. F.
AU - Goetz, D. D.
AU - Ross, M. A.
AU - Steyers, C. M.
AU - Chang, P.
PY - 1996
Y1 - 1996
N2 - A prospective, comparative study of epineurotomy as an adjunctive procedure to transverse carpal ligament release for the treatment of carpal tunnel syndrome was conducted. Eighty-six patients with 117 involved hands were entered into the study. After entry, all patients completed an extensive preoperative questionnaire, a detailed physical examination, and preoperative neurophysiologic testing. Seventy-five hands were followed for a minimum of 24 months. The operative findings were similar between the group of those undergoing epineurotomy and the group that did not undergo epineurotomy. Postoperatively the two-point discrimination values for all fingers averaged 5.3 mm and 5.15 mm, respectively, for the epineurotomy and nonepineurotomy groups. The physical findings, neurophysiologic findings, and patient perceptions of outcome after surgery were similar. It was concluded that the study data do not support the use of epineurotomy as an adjunctive procedure during carpal tunnel release.
AB - A prospective, comparative study of epineurotomy as an adjunctive procedure to transverse carpal ligament release for the treatment of carpal tunnel syndrome was conducted. Eighty-six patients with 117 involved hands were entered into the study. After entry, all patients completed an extensive preoperative questionnaire, a detailed physical examination, and preoperative neurophysiologic testing. Seventy-five hands were followed for a minimum of 24 months. The operative findings were similar between the group of those undergoing epineurotomy and the group that did not undergo epineurotomy. Postoperatively the two-point discrimination values for all fingers averaged 5.3 mm and 5.15 mm, respectively, for the epineurotomy and nonepineurotomy groups. The physical findings, neurophysiologic findings, and patient perceptions of outcome after surgery were similar. It was concluded that the study data do not support the use of epineurotomy as an adjunctive procedure during carpal tunnel release.
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U2 - 10.1016/S0363-5023(96)80021-9
DO - 10.1016/S0363-5023(96)80021-9
M3 - Article
C2 - 8842961
AN - SCOPUS:0029836360
SN - 0363-5023
VL - 21
SP - 655
EP - 661
JO - Journal of Hand Surgery
JF - Journal of Hand Surgery
IS - 4
ER -