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- Title
Carpal tunnel syndrome with thenar muscle atrophy: Camitz procedure + OCTR versus FDS4 opponensplasty + ECTR.
- Authors
Dao, Wei Hei Perry; Chow, Ching San Esther
- Abstract
People with severe carpal tunnel syndrome with thenar muscle atrophy suffer from loss of dexterity of the affected hand, which hinders their daily lives. There are different options for opponensplasty. The more traditional option is Camitz operation combined with open carpal tunnel release (OCTR). Another option is to use the flexor digitorum superficialis of the ring finger (FDS4) for opponensplasty and to combine it with endoscopic carpal tunnel release (ECTR). In this study, we prospectively compared the surgical outcomes of these two methods. A total of 27 cases were recruited (13 Camitz + OCTR; 14 FDS 4 + ECTR). Both groups showed good improvement in numbness, pulp-pinch strength, Kapandji score, thumb dexterity and hand function. The technique of FDS4 + ECTR had additional benefits of earlier restoration of thumb opposition and dexterity. In addition, FDS4 + ECTR was demonstrated to restore stronger pulp-pinch strength.
- Subjects
TENDON surgery; FINGER physiology; MUSCULAR atrophy; GRIP strength; CARPAL tunnel syndrome; ENDOSCOPIC surgery; HAND surgery; MANN Whitney U Test; TREATMENT effectiveness; COMPARATIVE studies; T-test (Statistics); CHI-squared test; DESCRIPTIVE statistics; DATA analysis software; ENDOSCOPY; LONGITUDINAL method
- Publication
Journal of Orthopaedics, Trauma & Rehabilitation, 2023, Vol 30, Issue 2, p248
- ISSN
2210-4917
- Publication type
Article
- DOI
10.1177/22104917231171935