Hand: Carpal Tunnel Syndrome

Comparison of Longitudinal Open Incision and Two-Incision Techniques for Carpal Tunnel Release

Castillo TN, Yao J (Stanford Univ School of Medicine, Palo Alto, CA) J Hand Surg 35A:1813-1819, 2010^§

Abstract

Purpose

This study analyzes the long-term postoperative symptoms and functional outcomes of patients who underwent either traditional open (single-incision) or 2-incision carpal tunnel release (CTR). Because 2-incision CTR preserves the superficial nerves and subcutaneous tissue between the thenar and hypothenar eminences, it may account for fewer postoperative symptoms and improved functional recovery.

Methods

A retrospective chart review identified patients who underwent either open or 2-incision CTR for isolated carpal tunnel syndrome between 2005 and 2008 by a single surgeon. Patients with a history of hand trauma or confounding comorbidities were excluded. We mailed a Disabilities of the Arm, Shoulder, and Hand (DASH) Questionnaire and a Brigham and Women’s Carpal Tunnel Questionnaire (BWCTQ) to all eligible participants. Data from the completed questionnaires were analyzed using independent t

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