The distal single incision scope-assisted carpal tunnel release -Thirteen-year follow-up results

Abstract

Carpal tunnel syndrome (CTS)was first recognized by Sir James Paget in 1854 and continues to attract considerable attention in contemporary orthopedics [18]. Learmonth first described surgical decompression of peripheral nerves in the 1930s while Phalen's contributions to the clinical evaluation of CTS began in the 1950s [9, 20, 21].Known both as the most researched and most common peripheral nerve entrapment neuropathy,the incidence of CTS continues to increase [6]. According to data reported by the National Institute for Occupational Safety and Health (NIOSH),roughly 60% of all work-related illnesses are disorders associated with repeated trauma [16].In addition,with about 50%of all CTS cases being work related,return to work can reflect significant costs to industries [22].Postoperative scar/pillar tenderness and/or weakness of pinch and grip strength are of ten variables that delay thereturn to work [1]. © 2007 Springer-Verlag Berlin Heidelberg.