Is epineurectomy necessary in the surgical management of carpal tunnel syndrome?

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dc.contributor.authorTiftikci, U.
dc.contributor.authorSerbest, S.
dc.date.accessioned2020-06-25T18:23:12Z
dc.date.available2020-06-25T18:23:12Z
dc.date.issued2017
dc.departmentKırıkkale Üniversitesi
dc.description.abstractBackground: In this study, it was aimed to determine whether median nerve epineurectomy is beneficial in the surgical management of carpal tunnel syndrome (CTS). Materials and Methods: The study enrolled 72 patients including 34 patients without epineurectomy (Group A) and 38 patients with epineurectomy (Group B). Surgery was performed in patients with severe electrodiagnostic CTS findings, CTS duration >1 year and flattening along with hypervascularization in median nerve. All patients were assessed by visual analog scale, two-point discrimination test as well as subjective and objective findings at baseline and on the months 1, 3, and 6 after surgery. Results: The mean age was 58.3 years (42-75 years) in 38 patients who underwent an epineurectomy, whereas it was 61.5 years (41-82 years) in 34 patients who did not have an epineurectomy. The groups were similar with regard to age, gender, duration of symptoms, and preoperative physical findings. Mean visual analog scale (VAS) scores were 1.7 in Group A and 1.8 in Group B. Again, these differences were not significant, on physical examination, the average two-point discrimination in the distribution of the median nerve was 4.9 mm (range: 3-11 mm) in Group A and 5.3 mm (range: 3-10 mm) in Group B. In postoperative evaluations, there was a better improvement in visual analog scale scores, two-point discrimination test and subjective symptoms including dysesthesia, pain and nocturnal pain within first 3 months; however, there was no marked difference in objective and subjective findings on the 6th month. No complication or recurrence was observed. Conclusion: We believe that median nerve epineurectomy is unnecessary in the surgical management of primary CTS since it has no influence on the midterm outcomes.en_US
dc.identifier.citationTiftikci, U., & Serbest, S. (2017). Is epineurectomy necessary in the surgical management of carpal tunnel syndrome?. Nigerian journal of clinical practice, 20(2), 211–214.en_US
dc.identifier.doi10.4103/1119-3077.187312
dc.identifier.endpage214en_US
dc.identifier.issn1119-3077
dc.identifier.issue2en_US
dc.identifier.pmid28091439
dc.identifier.startpage211en_US
dc.identifier.urihttps://doi.org/10.4103/1119-3077.187312
dc.identifier.urihttps://hdl.handle.net/20.500.12587/7037
dc.identifier.volume20en_US
dc.identifier.wosWOS:000395404700015
dc.identifier.wosqualityQ4
dc.indekslendigikaynakWeb of Science
dc.indekslendigikaynakPubMed
dc.language.isoen
dc.publisherMedknow Publications & Media Pvt Ltden_US
dc.relation.ispartofNigerian Journal Of Clinical Practice
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/openAccessen_US
dc.subjectCarpal tunnel syndromeen_US
dc.subjectepineurectomy decompressionen_US
dc.subjectmedian nerveen_US
dc.subjectsurgicalen_US
dc.titleIs epineurectomy necessary in the surgical management of carpal tunnel syndrome?en_US
dc.typeArticle

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