Comparison of grip strength evolution after carpal tunnel release by three different techniques

Abstract

Carpal tunnel syndrome (CTS)secondary to compression of the median nerve in the palm is the most frequent nerve entrapment of the upper extremity. Some forms are accessible to medical treatment,others need surgical treatment.The simple section of the transverse carpal ligament has been successfully used with predictable relief of distal paresthesia.However,diminished grip strength and/or palmar soreness are frequently an issue,resulting in a delayed return to work and recreational activities.The recent introduction of endoscopic release of CTS bolstered by commercial benefits has led us to set up a randomized prospective study to compare evolution of grip strength after three methods of carpal tunnel release (CTR)performed by the same surgeon: simple open section of the ligament, open section with ligament reconstruction,and endoscopic release (Agee procedure). © 2007 Springer-Verlag Berlin Heidelberg.