Predicting the Outcome of Revision Carpal Tunnel Release

Beck JD, Brothers JG, Maloney PJ, et al (Geisinger Med Ctr, Danville, PA) J Hand Surg 37A:282-287, 2012^§

Abstract

Purpose

To test the hypothesis that the result of steroid injection in the carpal tunnel in a patient with recurrent carpal tunnel symptoms would serve as a good predictor of the outcome of later carpal tunnel release (CTR).

Methods

We conducted a retrospective review of all patients who underwent revision CTR for recurrent or persistent carpal tunnel syndrome over a 2-year period at our institution. A total of 28 wrists in 23 patients met inclusion criteria. We evaluated patients to determine whether preoperative factors or the result of injection predicted the outcome of revision CTR. We used a multivariate logistic regression analysis to predict surgical success when multiple preoperative findings were considered.

Results

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