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Internal neurolysis or ligament division only in carpal tunnel syndrome—Results of a randomized study

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Summary

In a series of patients with clinically and neurophysiologically well defined carpal tunnel syndrome a randomization has been made into two groups, one for operation with internal neurolysis and a microscopical technique, and the other group for cutting of the carpal ligament (flexor retinaculum) alone. The two groups have been compared postoperatively regarding clinical and neurophysiological parameters. All patients improved, 89% in both groups considered themselves totally free of symptoms at follow-up examinations but there was no significant difference in any parameter between the two groups. As a conclusion the use of internal neurolysis cannot be recommended as a routine procedure in carpal tunnel syndrome.

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Author notes

  1. Helen Holmgren-Larsson

    Present address: Department of Clinical Neurophysiology, University Hospital, Linköping, Sweden

Authors and Affiliations

  1. Department of Neurosurgery, University Hospital, Linköping, Sweden

    W. Leszniewski & L. Rabow

  2. Department of Orthopedic Surgery, University Hospital, Linköping, Sweden

    U. Lindén & J. Thorling

Authors
  1. Helen Holmgren-Larsson
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  2. W. Leszniewski
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  3. U. Lindén
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  4. L. Rabow
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  5. J. Thorling
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Holmgren-Larsson, H., Leszniewski, W., Lindén, U. et al. Internal neurolysis or ligament division only in carpal tunnel syndrome—Results of a randomized study. Acta neurochir 74, 118–121 (1985). https://doi.org/10.1007/BF01418799

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  • DOI: https://doi.org/10.1007/BF01418799

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