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Review
. 2018 Apr;49(2):223-229.
doi: 10.1016/j.ocl.2017.11.009. Epub 2018 Feb 1.

Carpal Tunnel Syndrome: Making Evidence-Based Treatment Decisions

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Review

Carpal Tunnel Syndrome: Making Evidence-Based Treatment Decisions

James H Calandruccio et al. Orthop Clin North Am. 2018 Apr.

Abstract

Carpal tunnel syndrome (CTS) is one of the most common musculoskeletal disorders of the upper extremity. Comorbidities associated with the development of CTS include diabetes and obesity. Although a high rate of repetitive hand/wrist motions is a risk factor, there is insufficient evidence to implicate computer use in the development of CTS. Initial treatment generally is nonoperative, with the strongest evidence supporting bracing/splinting. Strong evidence supports operative treatment, regardless of technique, as superior to nonoperative treatment. Complications are infrequent and most are minor and transient.

Keywords: Carpal tunnel syndrome; Complications; Costs; Outcomes; Treatment.

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