Muhammad Imran Khan, Kamran Alamgir, Muhammad Saqib, Muhammad Ayaz Khan.
Outcome of Surgical Decompression of Carpal Tunnel in Carpal Tunnel Syndrome.
Ophthalmol Update Jan ;12(4):309-12.

Objective: The purpose of this study was to evaluate the outcome of carpal tunnel release via small palmer incision (mid palmar-incision technique) in patients with carpal tunnel syndrome. Settings and Designs: Prospective study. Materials and Methods: This prospective clinical study was carried out from May 2012 to May 2013 at out-patient department of Agency Headquarter Hospital Landikotal. A total of 50 patients who were regularly followed up completed the study. All the patients were followed at 2 weeks, 2 months and 4 months for the evaluation of outcome of release. The selfadministered Boston Questionnaire13 was used to assess the severity of patients? symptoms and their functional status, both before and after the surgical intervention and at their final follow-up. Results: The FSS scores had a high correlation with scores of the symptom severity scale indicating that patients who had severe symptoms had major functional limitations. There was a significant decrease in the Boston Carpal Tunnel Questionnaire scores for the symptom severity scale (SSS) and the functional status scale (FSS) of patients in both groups, preoperatively and post-operatively at two months. A statistically significant decrease was found in the SSS and FSS scores of patients in both groups, pre-operatively and at final follow-up of 4 months (p < 0.001) (table-2). Conclusion: Release of carpal tunnel through small palmer incision is an easy, cost effective and less tissue damaging technique of decompression. It has excellent patient outcome and low complication rate.

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