Carpal tunnel decompression has become one of the most common procedures in hand surgery. This second paper on carpal tunnel decompression describes the pre-operative management of patients undergoing surgery, the procedure and the immediate post-operative care. It outlines the possible interventions for the minority of patients with post-operative complications.
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References
1.
AgeeJM, McCarrollHR, TortosaRD, BerryDA, SzaboRM, and PeimerCA (1992): Endoscopic Release of the Carpal Tunnel: A randomised prospective multicentre study. Journal of Hand Surgery17A.987–995.
2.
BrownRA, GelbermanRH, SailerJG, AbrahamssonSO, WeilandAJ, UrbaniakJR, SchoenfeldDA, and FurcoloD (1993): Carpal Tunnel Release: A Prospective, Randomised Assessment of Open and Endoscopic Methods. Journal of Bone and Joint Surgery 75A.9: 1265–1275.
3.
BurkeFD, DiasBB, and WebsterH (1997): Median Nerve Compression Syndrome at the Wrist in HunterJ, SchneiderLH, and MachinEJ (Eds) Tendon and Nerve Surgery in the Hand ‘A Third Decade’.St LouisMosby.
4.
ByronPM, and MuntzerEM (1986): Therapists Management of the Mutilated Hand. Hand Clinics.2(1): 69–79.
5.
CarrollRE, and CoyleMP (1985): Dysfunction of the pisotriquetral joint: treatment by excision of the pisiform. Journal of Hand Surgery10A.703–707
6.
ColditzJ (1995): Therapists Management of the stiff hand in: HunterJM, MackinEJ, CallahanADRehabilitation of the Hand: Surgery and Therapy.4 (2): 1141–1660. Missouri.Mosby Year Book Inc.
7.
GlynnC (1995): Complex Regional Pain Syndrome Type I - Reflex Sympathetic Dystrophy and Complex Regional Pain Syndrome Type II - Causalgia. Pain Reviews.2: 292–297.
8.
HardenRN (2001): Complex Regional Pain Syndrome. British Journal of Anaesthesia.87: 99–106.
9.
HartleyR, ChamberlainST, KoukouC, BradleyM, and BurkeFD (1999): Results of a Prospective Randomised Trial Comparing Open Carpal Tunnel Decompression with Decompression using a Sub Cutaneous Tome. Journal of Hand Surgery 248, supplement1: (4).
10.
HunterJM, and MackinEJ (1995): Chapter 6 Edema: Techniques of Evaluation and Management in HunterJM, MackinEJ, CallahanAD.Rehabilitation of the Hand: Surgery and Therapy.4.(1): 77–85Missouri.Mosby Year Book Inc.
11.
HuntTR, and OstermanAL (1994): Complications of the Treatment of Carpal Tunnel Syndrome. Hand Clinics.10(1): 63–71.
12.
HurstLC, WeissbergD, and CarrollRE (1985): Relationship of the Double Crush to Carpal Tunnel Syndrome. An analysis of 1000 cases of carpal tunnel syndrome. Journal of Hand Surgery10B. 202–204.
13.
JamesJIP (1970): The Assessment and Management of the Injured Hand. The Hand.2.(2): 97–105.
14.
KingeryWS (1997): A Critical Review of Controlled Clinical Trials for Peripheral Neuropathic Pain and Complex Regional Pain Syndromes. Pain.73(2): 123–139.
15.
LudlowKS, MerlaJL, CoxJA, and HurstLN (1997): Pillar Pain as a Post-operative Complication of Carpal Tunnel Release. Journal of Hand Therapy.10: 277–282.
MardimanS, WesselJ, and FisherB (1995): The Effect of Ultrasound on the Mechanical Pain Threshold of Healthy Subjects. Physiotherapy81(12): 718–723.
18.
RameshM, MorrisseyB, HealeyJB, Roy-ChoudhuryS, and MaceyAC (1999): Effectiveness of the A-V Impulse Hand Pump. Journal of Bone and Joint Surgery81B. 229–233.
19.
SailerSM (1996): The Rote of Splinting in Rehabilitation in the Treatment of Carpal and Cubital Tunnel Syndromes. Hand Clinics.12: 223–241.
20.
TottenPA, and HunterBM (1991): Therapeutic Techniques to enhance Nerve Gliding in Thoracic Outlet Syndrome and Carpal Tunnel Syndrome. Hand Clinics.7(3): 505–520.
21.
UygurF, SenerG (1995): Application of Ultrasound in Neuromas: Experience with Seven Below-knee Stumps. Physiotherapy.81(12): 758–762.
22.
WilgisEFS, and MurphyR (1986): The Significance of Longitudinal Excursion in Peripheral Nerves. Hand Clinics.2: 761–766.
23.
YoungS (1994): Chapter 13 - Ultrasound in KitchenS, BazinS, Clayton's Electrotherapy 10th edition 243-267.London: WB Saunders Company Ltd.
