Abstract:

Aim: Objective of the study was to examine changes in functional statuses and grip strengths of patients with carpal tunnel syndrome to whom standard mini incision and decompression was applied. Material and Method: In the study, 32 patients (28 women, 4 men), to whom release by way of standard mini incision was applied due to carpal tunnel syndrome, were retrospectively evaluated. Average age of the patients was 57 (range 33 to 70). Patients were evaluated in terms of improvement in pain and numbness complaints, and pain and sensitivity in scar tissue. Operated hand and healthy hand were compared in terms of rough grip strength, and differences in lateral and terminal pinch strength. Boston carpal tunnel questionnaire was applied in pre- and post-operation periods and results were compared for subjective functional evaluation of patients. Findings: Average follow-up period of patients was 10.5 months (range 6 to 15). It was observed that none of the patients had any more nocturnal pain and numbness complaints. It was determined that paresthesia complaints, although milder, still continued in 2 of 32 patients. 5 patients had complaints of pain and numbness in operated area and such complaints continued for 2,8 months on average. While mean values of post-operation Boston carpal tunnel questionnaire scores were compared top re-operation values, the difference was statistically significant (p<0.001). Mean rough grip strength difference was -2.5 kg, lateral pinch difference was -0.8 kg, and terminal pinch difference was -1.2 kg between operated hand and healthy hand. Conclusion: In the light of, standard mini open incision is considered to be a surgical method that can be used safely in re-leasing carpal tunnel.

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