Surgical Release Location
Strong evidence supports that surgical release of the transverse carpal ligament should relieve symptoms and improve function.
STRONG RECOMMENDATION Rationale
There were 17 high quality (Atroshi 2006, Castillo 2014, Cellocco 2005, Cellocco 2009, Cresswell 2008, Gerritsen 2002, Hamed 2009, Hui 2005, Ismatullah 2013, Jarvik 2009, Larsen 2013, Malhotra 2007, Saw 2003, Sennwald 1995, Suppaphol 2012, Trumble 2002, and Zyluk 2006) and 10 moderate quality (Andreu 2013, Aslani 2012, Capa-Grasa 2014, Dumontier 1995, Elsharif 2014, Faraj 2012, Ly-Pen 2012, Tarallo 2014, Tian 2007, and Ucar 2012) studies demonstrating that release of the transverse carpal ligament is an effective treatment for patients with CTS.
- Andreu,J.L.; Ly-Pen,D.; Millan,I.; de,Blas G.; Sanchez-Olaso,A. Local injection versus surgery in carpal tunnel syndrome: Neurophysiologic outcomes of a randomized clinical trial. Clin Neurophysiol.; 2013/11/23: 0
- Aslani,H.R.; Alizadeh,K.; Eajazi,A.; Karimi,A.; Karimi,M.H.; Zaferani,Z.; Hosseini Khameneh,S.M. Comparison of carpal tunnel release with three different techniques. Clin Neurol Neurosurg.; 2012/9: 7
- Atroshi,I.; Larsson,G.U.; Ornstein,E.; Hofer,M.; Johnsson,R.; Ranstam,J. Outcomes of endoscopic surgery compared with open surgery for carpal tunnel syndrome among employed patients: randomised controlled trial. ; 2006/6/24: 7556
- Capa-Grasa,A.; Rojo-Manaute,J.M.; Rodriguez,F.C.; Martin,J.V. Ultra minimally invasive sonographically guided carpal tunnel release: an external pilot study. Orthop Traumatol.Surg Res; 2014/5: 3
- Castillo,T.N.; Yao,J. Prospective randomized comparison of single-incision and two-incision carpal tunnel release outcomes. Hand (N.Y); 2014/3: 1
- Cellocco,P.; Rossi,C.; Bizzarri,F.; Patrizio,L.; Costanzo,G. Mini-open blind procedure versus limited open technique for carpal tunnel release: a 30-month follow-up study. J Hand Surg Am; 2005/5: 3
- Cellocco,P.; Rossi,C.; El,Boustany S.; Di Tanna,G.L.; Costanzo,G. Minimally invasive carpal tunnel release. Orthop Clin North Am; 2009/10: 4
- Cresswell,T.R.; Heras-Palou,C.; Bradley,M.J.; Chamberlain,S.T.; Hartley,R.H.; Dias,J.J.; Burke,F.D. Long-term outcome after carpal tunnel decompression - a prospective randomised study of the Indiana Tome and a standard limited palmar incision. J Hand Surg Eur.Vol.; 2008/6: 3
- Dumontier,C.; Sokolow,C.; Leclercq,C.; Chauvin,P. Early results of conventional versus two-portal endoscopic carpal tunnel release. A prospective study. J Hand Surg Br; 1995/10: 5
- Elsharif,M.; Papanna,M.; Helm,R. Long-term follow up outcome results of Knifelight carpal tunnel release and conventional open release following a departmental randomized controlled trial. A prospective study. Pol.Orthop Traumatol.; 2014: 0
- Faraj,A.A.; Ahmed,M.H.; Saeed,O.A. A comparative study of the surgical management of carpal tunnel syndrome by mini-transverse wrist incisions versus traditional longitudinal technique. European Journal of Orthopaedic Surgery and Traumatology; 2012/4: 3
- Gerritsen,A.A.; de Vet,H.C.; Scholten,R.J.; Bertelsmann,F.W.; de Krom,M.C.; Bouter,L.M. Splinting vs surgery in the treatment of carpal tunnel syndrome: a randomized controlled trial. ; 2002/9/11: 10
- Hamed,A.R.; Makki,D.; Chari,R.; Packer,G. Double- versus single-incision technique for open carpal tunnel release. ; 2009/10: 10
- Hui,A.C.; Wong,S.; Leung,C.H.; Tong,P.; Mok,V.; Poon,D.; Li-Tsang,C.W.; Wong,L.K.; Boet,R. A randomized controlled trial of surgery vs steroid injection for carpal tunnel syndrome. ; 2005/6/28: 12
- Ismatullah,I. Local steroid injection or carpal tunnel release for carpal tunnel syndrome - Which is more effective?. Journal of Postgraduate Medical Institute; 2013: 2
- Jarvik,J.G.; Comstock,B.A.; Kliot,M.; Turner,J.A.; Chan,L.; Heagerty,P.J.; Hollingworth,W.; Kerrigan,C.L.; Deyo,R.A. Surgery versus non-surgical therapy for carpal tunnel syndrome: a randomised parallel-group trial. ; 2009/9/26: 9695
- Larsen,M.B.; Sorensen,A.I.; Crone,K.L.; Weis,T.; Boeckstyns,M.E. Carpal tunnel release: a randomized comparison of three surgical methods. J Hand Surg Eur.Vol.; 2013/7: 6
- Ly-Pen,D.; Andreu,J.L.; Millan,I.; de,Blas G.; Sanchez-Olaso,A. Comparison of surgical decompression and local steroid injection in the treatment of carpal tunnel syndrome: 2-year clinical results from a randomized trial. Rheumatology (Oxford); 2012/8: 8
- Malhotra,R.; Kiran,E.K.; Dua,A.; Mallinath,S.G.; Bhan,S. Endoscopic versus open carpal tunnel release: A short-term comparative study. Indian J Orthop; 2007/1: 1
- Saw,N.L.; Jones,S.; Shepstone,L.; Meyer,M.; Chapman,P.G.; Logan,A.M. Early outcome and cost-effectiveness of endoscopic versus open carpal tunnel release: a randomized prospective trial. J Hand Surg Br; 2003/10: 5
- Sennwald,G.R.; Benedetti,R. The value of one-portal endoscopic carpal tunnel release: a prospective randomized study. Knee Surg Sports Traumatol.Arthrosc.; 1995: 2
- Suppaphol,S.; Worathanarat,P.; Kawinwongkovit,V.; Pittayawutwinit,P. The comparison between limited open carpal tunnel release using direct vision and tunneling technique and standard open carpal tunnel release: a randomized controlled trial study. J Med Assoc Thai.; 2012/4: 4
- Tarallo,M.; Fino,P.; Sorvillo,V.; Parisi,P.; Scuderi,N. Comparative analysis between minimal access versus traditional accesses in carpal tunnel syndrome: A perspective randomised study. J Plast.Reconstr.Aesthet.Surg; 2014/2: 2
- Tian,Y.; Zhao,H.; Wang,T. Prospective comparison of endoscopic and open surgical methods for carpal tunnel syndrome. Chin Med Sci J; 2007/6: 2
- Trumble,T.E.; Diao,E.; Abrams,R.A.; Gilbert-Anderson,M.M. Single-portal endoscopic carpal tunnel release compared with open release : a prospective, randomized trial. J Bone Joint Surg Am; 2002/7: 7
- Ucar,B.Y.; Demirtas,A.; Bulut,M.; Azboy,I.; Ucar,D. Carpal tunnel decompression: two different mini-incision techniques. Eur.Rev.Med Pharmacol.Sci; 2012/4: 4
- Zyluk,A.; Strychar,J. A comparison of two limited open techniques for carpal tunnel release. J Hand Surg Br; 2006/10: 5