Transverse mini-incision for carpal tunnel release

Abstract

Background: Carpal tunnel syndrome is a commonly prevalent entrapment neuropathy characterized by median nerve compression within the carpal tunnel. The aim of this study was to compare the outcomes of transverse mini-incision and tradional mini-palm incision for carpal tunnel release. Methods: A non-randomized intervenonal study was done at Kurmitola General Hospital, Dhaka and US Bangla Medical College Hospital, Narayangonj between January 2019 and December 2021. Forty-two pa ents diagnosed with idiopathic carpal tunnel syndrome were allocated to the transverse mini-incision group (n=20) and tradional mini-palm incision group (n=22). Results: Paents operated with transverse mini-incision returned to their work significantly earlier (mean 10.3 days) than paents operated with tradional mini-palm incision (mean 18.7 days). No significant difference was found between transverse mini-incision group and tradi onal mini-palm incision group as determined by the McGill pain score improvement (P=0.16), the Bangla version of the Boston carpal tunnel quesonnaire symptom severity score (P=0.61) and funconal severity score (P=0.43). Conclusion: Transverse mini-incision is comparable to the tradional mini-palm incision in terms of pain, other symptoms, and funconal outcome. However, paents in transverse mini-incision group could return earlier to work.