Study of Opponensplasty in Carpal Tunnel Syndrome with Thenar Muscle Atrophy

Autor: Takehiko Torisu, Kazuhiro Uchida, Hiroyasu Akagi, Mitsuhiro Takashita, Katsuhiro Tada
Rok vydání: 1998
Předmět:
Zdroj: Orthopedics & Traumatology. 47:1018-1020
ISSN: 1349-4333
0037-1033
DOI: 10.5035/nishiseisai.47.1018
Popis: 5 hands of 5 patients with carpal tunnel syndrome (CTS) and thenar muscle atrophy were treated with carpal tunnel release and simultaneous opponenslasty. All patients underwent FDS transfer. The average age of the patients was 60.8 years (range; 53 to 71 years), and the average follow-up was 8 years and 5 months (range; 3 years to 15 years). The patients suffered CTS symptoms for an average of 9 years and 5 months (range; 5 years to 15 years). The average duration of thenar muscle atrophy prior to surgery was 3 years and 5 months (range; 1 year to 5 years). All patients regained functions of their hands post-operatively, but still had thenar muscle atrophy. Two patients demonstrated no reaction to electrophysiologic testing of the median nerve. We concluded that simultaneous opponensplasty should be performed for CTS patients with severe thenar muscle atrophy.
Databáze: OpenAIRE