1. CARPAL TUNNEL RELEASE WITH A LIMITED PALMAR INCISION:: CLINICAL RESULTS AND PILLAR PAIN AT 18 MONTHS FOLLOW-UP.
- Author
-
Patrick Shu-Hang Yung, Leung-Kim Hung, Christopher Wai-Chung Tong, and Pak-Cheung Ho
- Subjects
HAND surgery ,MEDIAN nerve injuries ,CARPAL tunnel syndrome ,POSTOPERATIVE care ,CONVALESCENCE ,SURGICAL therapeutics - Abstract
Limited open carpal tunnel release was performed in 58 hands (44 patients) using a single 1.5 cm palmar incision according to the technique described by Lee and Strickland.
1 The patients were assessed at regular intervals after surgery for hand functions and subjective symptoms, in particular pillar pain. There was rapid wound recovery with minimal post-operative pain and scarring, and return to functional activities within four weeks. At an average follow-up of 18 months (range 14–24 months), 91% of patients had complete or significant resolution of hand paraesthesia. No patient required further surgery. However, pillar pain was found in 48% of hands at four weeks, 21% at 12 weeks, 12% at six months, 9% at 12 months and 7% at the last follow-up. The significance of the incidence of pillar pain is discussed. [ABSTRACT FROM AUTHOR]- Published
- 2005
- Full Text
- View/download PDF