Adeel Ahmed Siddiqui, Mohammad Irfan Rajput, Uzair Yaqoob, Rahat Zahoor Moton, Muhammad Jamil, Mariyam Adeel.
Effectiveness of mini-open incision surgical release for carpal tunnel syndrome.
Rawal Med J Jan ;45(3):652-5.

Objective: To assess the effectiveness of the single-mini incision technique in the management of carpal tunnel syndrome using visual analog scale (VAS) for pain assessment and Boston CTS Questionnaire (BCTSQ) in terms of clinical outcome. Methodology: This prospective observational study was conducted at the Rajput General and Medicare hospital from January 2018 to January 2020. Patients >20 years with CTS were included after informed consent for single mini-incision procedures. Those with rheumatoid arthritis, mass lesion, cervical myelopathies, myopathies and other associated entrapment neuropathies were excluded. VAS was used to assess patient pain after one-month and three-month post-procedure. The outcome in terms of severity and functionality was evaluated by the BCTSQ and patients were graded. Results: Out of 105 patients, 14 were (13.3%) males and 91 (86.9%) females with a mean age of 47+-12.9 years. The mean VAS was 8.06+-0.73 before the procedure which improved to 3.43+-1.1 four weeks and <3 three-months after the procedure. Three months after the procedure, none of the patients had severe symptoms or severe difficulty in performing their activities, showing good recovery. Conclusion: Single mini-incision technique is effective in the surgical management of carpal tunnel syndrome. It promises early return of functionality and little to no post-procedure pain.

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