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Carpal Tunnel Release: Do We Understand the Biomechanical Consequences?

Overview
Journal J Wrist Surg
Date 2014 Nov 4
PMID 25364635
Citations 8
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Abstract

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.

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References
1.
Scholten R, van der Molen A, Uitdehaag B, Bouter L, de Vet H . Surgical treatment options for carpal tunnel syndrome. Cochrane Database Syst Rev. 2007; (4):CD003905. PMC: 6823225. DOI: 10.1002/14651858.CD003905.pub3. View

2.
Ablove R, Peimer C, Diao E, Oliverio R, Kuhn J . Morphologic changes following endoscopic and two-portal subcutaneous carpal tunnel release. J Hand Surg Am. 1994; 19(5):821-6. DOI: 10.1016/0363-5023(94)90194-5. View

3.
Seradge H, Seradge E . Piso-triquetral pain syndrome after carpal tunnel release. J Hand Surg Am. 1989; 14(5):858-62. DOI: 10.1016/s0363-5023(89)80090-5. View

4.
Viegas S, Pollard A, Kaminksi K . Carpal arch alteration and related clinical status after endoscopic carpal tunnel release. J Hand Surg Am. 1992; 17(6):1012-6. DOI: 10.1016/s0363-5023(09)91048-6. View

5.
Fuss F, Wagner T . Biomechanical alterations in the carpal arch and hand muscles after carpal tunnel release: a further approach toward understanding the function of the flexor retinaculum and the cause of postoperative grip weakness. Clin Anat. 1996; 9(2):100-8. DOI: 10.1002/(SICI)1098-2353(1996)9:2<100::AID-CA2>3.0.CO;2-L. View