Functional Outcome Of Mini-Open Carpal Tunnel Release In Carpal Tunnel Syndrome

Sagun Pradhan; Rishi Bista; Laxman Sharma; Nabin Poudel; Bhawana Amatya

Sagun Pradhan Orthopedic Department, Nepal Police Hospital
Rishi Bista Orthopedic Department, NAMS
Laxman Sharma Orthopedic Department, NAMS
Nabin Poudel Orthopedic Department, NAMS
Bhawana Amatya General Practice and Emergency Medicine, CIWEC Hospital and travel Medicine Center

Abstract

Introduction: Carpal tunnel syndrome is the most common compression neuropathy in clinical practice and is also the most extensively studied. In Mini-open carpal tunnel release, the transverse carpal ligament is transected using a small open cut at the volar aspect of the proximal palm. The objectives of this study were to determine the functional outcome of mini-open carpal tunnel release procedure, to use the Boston Questionnaire to determine the functional outcome following mini open carpal tunnel release which includes pain, numbness, weakness and fine hand activities.

Methods: This descriptive cross-sectional was conducted in National After informed consent, the cases who meet the informed criteria were examined and relevant details were filled up in the proforma preoperatively and two weeks post-operatively. Assessment of the patient’s symptom severity and functional status was done with the Boston questionnaire.

Results: CTS was most common in the age group of 25-29 years (36.36%) and was predominant in housewives (18.20%). Mean symptom severity scores per person improved from 3.11 pre-operatively to 1.12 post-operatively. Mean functional status scores per person improved from 2.65 pre-operatively to 1.03 post-operatively. There was a statistically significant improvement in postoperative outcomes in our population.

Conclusions: The findings in this study indicate that mini-open carpal tunnel release has a good functional outcome.

Keywords: carpal tunnel syndrome; compression neuropathy; transverse carpal ligament.