Carpal Tunnel Release: Do We Understand the Biomechanical Consequences?
Overview
Affiliations
Carpal tunnel release is a very common procedure performed in the United States. While the procedure is often curative, some patients experience postoperative scar sensitivity, pillar pain, grip weakness, or recurrent median nerve symptoms. Release of the carpal tunnel has an effect on carpal anatomy and biomechanics, including increases in carpal arch width and carpal tunnel volume and changes in muscle and tendon mechanics. Our understanding of how these biomechanical changes contribute to postoperative symptoms is still evolving. We review the relevant morphometric and biomechanical changes that occur following release of the transverse carpal ligament.
Volar Lunate Dislocation Causing Secondary Carpal Tunnel Syndrome: A Case Report.
Gabig A, Cooke H, Roundy R, Gottschalk M J Wrist Surg. 2024; 13(3):260-263.
PMID: 38808179 PMC: 11129883. DOI: 10.1055/s-0043-1774774.
Warburton C, Cabrera C, Perez O, Capelle J, Dodds S, Jose J Skeletal Radiol. 2023; 53(2):299-305.
PMID: 37432476 DOI: 10.1007/s00256-023-04397-2.
Carpal Dimensions by Plain Wrist Radiography in Patients with Severe Carpal Tunnel Syndrome.
Saeed-Banadaky S, Rahimian H, Sobhan M Adv Med. 2022; 2022:1517057.
PMID: 35402626 PMC: 8986446. DOI: 10.1155/2022/1517057.
Presentation and outcome of carpal tunnel syndrome with mini incision open carpal tunnel release.
Saaiq M Med J Islam Repub Iran. 2021; 35:67.
PMID: 34277504 PMC: 8278032. DOI: 10.47176/mjiri.35.67.
Pallaver A, Schibli S, Friden J Spinal Cord Ser Cases. 2021; 7(1):9.
PMID: 33536426 PMC: 7858620. DOI: 10.1038/s41394-020-00379-x.