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Journal of Hand Surgery (British and European Volume)
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Carpal Tunnel Syndrome: Neurophysiological Results of Surgery Based on Preoperative Electrodiagnostic Testing

L. PADUA
M. LO MONACO
R. PADUA
F. TAMBURRELLI
B. GREGORI
P. TONALI

From the Departments of Neurology and Orthopaedics, Catholic University, Rome, Italy

Correspondence: L. Padua MD, Institute of Neurology, Catholic University, L. go F. Vito 1 00168. Rome, Italy.

Fifty-three hands with carpal tunnel syndrome had pre- and postoperative evaluations of median nerve distal motor latency (from wrist to thenar muscles) and orthodromic sensory nerve conduction velocity (from thumb and middle finger to wrist). At 6 months we observed a neurophysiological return to normal in all cases with normal preoperative distal motor latency and in about 50% of the hands with preoperative distal motor latency between 4 and 6 ms. Prolongation of the distal motor latency over 6 ms was not followed by return to neurophysiological normality, although some degree of sensory function was restored in the majority of cases.

Journal of Hand Surgery (British and European Volume), Vol. 22, No. 5, 599-601 (1997)
DOI: 10.1016/S0266-7681(97)80355-5
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Home page
 J Hand Surg Eur VolHome page
D. J. SLUTSKY
Use of Nerve Conduction Studies and the Pressure-Specified Sensory Device in the Diagnosis of Carpal Tunnel Syndrome
J Hand Surg Eur Vol., February 1, 2009; 34(1): 60 - 65.
[Abstract] [Full Text] [PDF]