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. 2021 Sep 17;10(18):4208.
doi: 10.3390/jcm10184208.

Does Recurrence of Carpal Tunnel Syndrome (CTS) after Complete Division of the Transverse Ligament Really Exist?

Fatma Kilinc  1 , Bedjan Behmanesh  1 , Volker Seifert  1 , Gerhard Marquardt  1
Affiliations

Does Recurrence of Carpal Tunnel Syndrome (CTS) after Complete Division of the Transverse Ligament Really Exist?

Fatma Kilinc et al. J Clin Med. .

Abstract

The aim of this study was to evaluate whether recurrent carpal tunnel syndrome (CTS) after complete and sufficient division of the transverse ligament really exists. Another goal was to analyze the underlying reasons for recurrent CTS operated on in our department. Over an observation period of eleven years, 156 patients underwent surgical intervention due to CTS. The records of each patient were analyzed with respect to baseline data (age, gender, affected hand), as were clinical signs and symptoms pre- and postoperatively. To assess long-term results, standardized telephone interviews were performed using a structured questionnaire in which the patients were questioned about persisting symptoms, if any. Of the 156 patients, 128 underwent first surgical intervention due to CTS in our department. In long-term follow-up, two-thirds of these patients had no symptoms at all; one-third of the patients described mild persisting numbness. None of the patients experienced a recurrence of CTS. The 28 patients who received their first operation outside of our department were operated on for recurrent CTS. The cause of recurrence was incomplete division of the distal part of the transverse carpal ligament in all cases. The results suggest that recurrent CTS after complete and sufficient division of the transverse ligament is very unlikely.

Keywords: carpal tunnel syndrome; peripheral nerve; revision surgery.

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Conflict of interest statement

The authors report no conflict of interest concerning the materials or methods used in this study or the findings specified in this paper.

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References

    1. Padua L., Coraci D., Erra C., Pazzaglia C., Paolasso I., Loreti C., Caliandro P., Hobson-Webb L.D. Carpal tunnel syndrome: Clinical features, diagnosis, and management. Lancet Neurol. 2016;15:1273–1284. doi: 10.1016/S1474-4422(16)30231-9. - DOI - PubMed
    1. Hulkkonen S., Shiri R., Auvinen J., Miettunen J., Karppinen J., Ryhänen J. Risk factors of hospitalization for carpal tunnel syndrome among the general working population. Scand. J. Work. Environ. Health. 2019;46:43–49. doi: 10.5271/sjweh.3835. - DOI - PubMed
    1. Newington L., Harris E.C., Walker-Bone K. Carpal tunnel syndrome and work. Best Pr. Res. Clin. Rheumatol. 2015;29:440–453. doi: 10.1016/j.berh.2015.04.026. - DOI - PMC - PubMed
    1. Chang C.Y., Beduschi M., Pacheco T.A., Chang C.C.D.M. Carpal Tunnel Syndrome: Retrospective Analysis of 60 Consecutive Cases of Ambulatory Surgical Treatment With Local Anesthesia. HAND. 2018;15:509–513. doi: 10.1177/1558944718813721. - DOI - PMC - PubMed
    1. Del Barrio S.J., Gracia E.B., García C.H., de Miguel E.E., Moreno J.T., Marco S.R., Laita L.C. Conservative treatment in patients with mild to moderate carpal tunnel syndrome: A systematic review. Neurologia. 2018;33:590–601. - PubMed