Carpal tunnel release with and without epineurotomy: A comparative prospective trial

W. F. Blair, D. D. Goetz, Mark A Ross, C. M. Steyers, P. Chang

Research output: Contribution to journalArticle

27 Citations (Scopus)

Abstract

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.

Original languageEnglish (US)
Pages (from-to)655-661
Number of pages7
JournalJournal of Hand Surgery
Volume21
Issue number4
StatePublished - 1996
Externally publishedYes

Fingerprint

Wrist
Hand
Carpal Tunnel Syndrome
Ligaments
Fingers
Physical Examination
Prospective Studies
Therapeutics

ASJC Scopus subject areas

  • Orthopedics and Sports Medicine
  • Surgery

Cite this

Blair, W. F., Goetz, D. D., Ross, M. A., Steyers, C. M., & Chang, P. (1996). Carpal tunnel release with and without epineurotomy: A comparative prospective trial. Journal of Hand Surgery, 21(4), 655-661.

Carpal tunnel release with and without epineurotomy : A comparative prospective trial. / Blair, W. F.; Goetz, D. D.; Ross, Mark A; Steyers, C. M.; Chang, P.

In: Journal of Hand Surgery, Vol. 21, No. 4, 1996, p. 655-661.

Research output: Contribution to journalArticle

Blair, WF, Goetz, DD, Ross, MA, Steyers, CM & Chang, P 1996, 'Carpal tunnel release with and without epineurotomy: A comparative prospective trial', Journal of Hand Surgery, vol. 21, no. 4, pp. 655-661.
Blair, W. F. ; Goetz, D. D. ; Ross, Mark A ; Steyers, C. M. ; Chang, P. / Carpal tunnel release with and without epineurotomy : A comparative prospective trial. In: Journal of Hand Surgery. 1996 ; Vol. 21, No. 4. pp. 655-661.
@article{9e0ce3f9f2104997b9bef0b1e8aa0071,
title = "Carpal tunnel release with and without epineurotomy: A comparative prospective trial",
abstract = "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.",
author = "Blair, {W. F.} and Goetz, {D. D.} and Ross, {Mark A} and Steyers, {C. M.} and P. Chang",
year = "1996",
language = "English (US)",
volume = "21",
pages = "655--661",
journal = "Journal of Hand Surgery",
issn = "0266-7681",
publisher = "W.B. Saunders Ltd",
number = "4",

}

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, Mark 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.

UR - http://www.scopus.com/inward/record.url?scp=0029836360&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=0029836360&partnerID=8YFLogxK

M3 - Article

C2 - 8842961

AN - SCOPUS:0029836360

VL - 21

SP - 655

EP - 661

JO - Journal of Hand Surgery

JF - Journal of Hand Surgery

SN - 0266-7681

IS - 4

ER -