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Journal of Hand Surgery (British and European Volume)
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Neurophysiological Recovery After Open Carpal Tunnel Decompression: Comparison of Simple Decompression and Decompression with Epineurotomy

N. BORISCH
P. HAUSSMANN

From the Department of Hand Surgery, Plastic and Reconstructive Surgery, DRK-Hospital, Baden-Baden, Germany

Correspondence: Dr Nicola Borisch, MD, Orthopädische Klinik der Universität Regensburg, Rheuma- und Orthopädie-Zentrum, Kaiser-Karl-V.-Allee 3, D - 93077 Bad Abbach, Germany. Tel.: +41-9405-18-4291; Fax: +41-9405-18-2925; E-mail: n.borisch{at}rheuma-ortho-zentrum.de

Two hundred and seventy-three patients with carpal tunnel syndrome without advanced neurophysiological changes (distal motor latency below 11 ms) were randomized to treatment by open carpal tunnel release with, or without, epineurotomy. Patients were examined clinically and by nerve conduction studies preoperatively and at 3, 6 and 12 months postoperatively. We found no statistically significant difference between simple decompression and decompression combined with epineurotomy with regard to either the clinical or the neurophysiological outcome.

Key Words: carpal tunnel syndrome • epineurotomy • neurophysiology • open carpal tunnel decompression

Journal of Hand Surgery (British and European Volume), Vol. 28, No. 5, 450-454 (2003)
DOI: 10.1016/S0266-7681(03)00152-9
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