1. EVALUATION OF THE EFFICACY OF SURGICAL TREATMENT OF CARPAL TUNNEL SYNDROME

Abdus Samad Khan, Muhammad Khalid, Hanifullah Khan, Syed Dilbagh

Department of Orthopedic, Khyber Teaching Hospital, Peshawar - Pakistan

Abstract

Objective: To evaluate the efficacy of surgical treatment of carpal tunnel syndrome.
Material and Methods: This prospective interventional study was conducted at Trauma and Orthopedic Department
Khyber Teaching Hospital, Peshawar, Pakistan from January 2014 to December 2014.
Results: A total of 40 patients were included 04 (10%) male patients and 36 (90%) female patients. Pre op Boston Carpal
Tunnel Syndrome Questionnaire (BCTSQ) symptomatic part showed moderate disease in 5 patients (10.63%), severe
disease in 32 patients (68.10%) and very severe disease in 10 patients (21.27%) while Pre op functional part showed
moderate disease in 7 patients (14.9%), severe disease in 29 patients (61.70%) and very severe disease in 11 patients
(23.40%). While Post op BCTSQ symptomatic part showed normality in 44 patients (93.61%),mild disease in 3 patients
(6.39%) and moderate, severe and very severe disease were 00%. While post op BCTSQ functional part was normal
in 45 patients (95.74%), mild in 2 patients (4.26%) while moderate, severe and very severe were 00%.
Conclusion: Surgical interventions are reserved for those patients who fail to respond to conservative treatment.
Surgical treatment seems to be more effective than splinting or anti-inflammatory in the midterm and long term to treat
moderate to severe CTS.

Keywords: Carpal Tunnel, Nerve Conduction, Electromyograpghy, Compression Neuropathy, Phalen’s Test, Tinel’s Test, Direct Compression Test.

Download Full Pdf