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. 2017 Jul;140(1):120e-129e.
doi: 10.1097/PRS.0000000000003477.

Evidence-Based Medicine: Current Evidence in the Diagnosis and Management of Carpal Tunnel Syndrome

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Evidence-Based Medicine: Current Evidence in the Diagnosis and Management of Carpal Tunnel Syndrome

Steven J Hermiz et al. Plast Reconstr Surg. 2017 Jul.

Abstract

Learning objectives: After studying this article, the participant should be able to: 1. Create a safe and effective plan for management of carpal tunnel syndrome. 2. Support his or her rationale for the use of diagnostic tests. 3. Discuss elements of management that have been controversial, including anesthesia, the use of a tourniquet, postoperative pain control, and cost of care.

Summary: This is the fourth MOC-PS CME article on carpal tunnel syndrome. Each of the prior three has had a slightly different focus, and the reader is invited to review all to generate a comprehensive view of the management of this common, and often controversial, topic. The operative goal-to release the transverse carpal ligament-is straightforward: diagnosis, cause, and technique have generated more vibrant discussions.

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References

    1. Lawrence RC, Felson DT, Helmick CG, et al.; National Arthritis Data Workgroup. Estimates of the prevalence of arthritis and other rheumatic conditions in the United States: Part II. Arthritis Rheum. 2008;58:2635.
    1. Hentz VR, Lalonde DH. MOC-PS(SM) CME article: Self-assessment and performance in practice. The carpal tunnel. Plast Reconstr Surg. 2008;121(Suppl):110.
    1. Lalonde DH. Evidence-based medicine: Carpal tunnel syndrome. Plast Reconstr Surg. 2014;133:12341240.
    1. Levine DW, Simmons BP, Koris MJ, et al. A self-administered questionnaire for the assessment of severity of symptoms and functional status in carpal tunnel syndrome. J Bone Joint Surg Am. 1993;75:15851592.
    1. D’Arcy CA, McGee S. The rational clinical examination: Does this patient have carpal tunnel syndrome? JAMA 2000;283:31103117.