ABSTRACT Carpal tunnel syndrome (CTS) is a compressive idiopathic neuropathy, most commonly affecting the median nerve in the upper extremity. CTS have high prevalence, with up to 70% of cases in women aged between 45 and 60 years. Typical manifestations of CTS are numbness of the index and middle fingers, which also become painful and cause the patient to awaken from sleep. In the period from January 2008 to October 2011 at the Orthopedics Clinic of the University of Kosovo, surgery for decompression of the median nerve was performed for 32 patients with CTS. The patients had an average age of 49.1 years. After surgery, 81.25% of the patients experienced complete improvement, whereas partial improvements were noted in 18.75% of the patients. This treatment is easy and feasible, has high efficiency, can be performed under local anaesthesia, and confers improvements in terms of return to daily activities, with low risk of complications or relapse.
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Morina, F. , Bytyqi, C. , Mustafa, A. and Morina, G. (2012) Carpal tunnel syndrome: Diagnosis and surgical treatment. Health, 4, 225-227. doi: 10.4236/health.2012.44035.
 Tanaka, S., Wild, D.K., Seligman, P.J., Behrens, V., Cameron, L. and Putz-Anderson, V. (1994) The US prevalence of self-reported carpal tunnel syndrome: 1988 national health interview survey data. American Journal of Public Health, 84, 1846-1848. doi:10.2105/AJPH.84.11.1846
DaSilva, M.F., Moore, D.C., Weiss, A.P., Akelman, E. and Sikirica, M. (1996) Anatomy of the palmar cutaneous branch of the median nerve: Clinical significance. Journal of Hand Surgery, 21, 639-643. doi:10.1016/S0363-5023(96)80018-9
Lanz, U. (1977) Anatomic variations of the median nerve in the carpal tunnel. Journal of Hand Surgery, 2, 44-53.
Phalen, G.S. (1966) The carpal tunnel syndrome: Seven-teen years’ experience in diagnosis and treatment of the six hundred fifty-four hands. Journal of Bone and Joint Surgery, 48, 211-228.
Durkan, J.A. (2001) A new diagnostic test for carpal syndrome. Journal of Bone and Joint Surgery, 73, 535-538.
Kuschner, S.H., Ebramzadeh, E., Johnson, D., Brien, W.W. and Sherman, R. (1992) Tinel’s sign and Phalen’s test in carpal tunnel syndrome. Orthopedics, 15, 1297-1302.
Aulisa, L., Tamburrelli, F., Padua, R., Romanini, E., Lo Monaco, M. and Padua, L. (1998) Carpal tunnel syndrome: Indication for surgical treatment based on electrophysiologic study. Journal of Hand Surgery, 23, 687-689. doi:10.1016/S0363-5023(98)80056-7
Gubdberg, A.B. (1983) Carpal tunnel decompression in spite of normal electromyography. Journal of Hand Surgery, 8, 342-349.
Braun, R.M. and Jackson, W.J. (1994) Electrical studies as a prognostic factor in the surgical treatment of carpal tunnel syndrome. Journal of Hand Surgery, 19, 893-900. doi:10.1016/0363-5023(94)90086-8
Jablecki, C.K., Andary, M.T., So, Y.T., Wilkins, D.E. and Williams, F.H. (1993) Literature review of the usefulness of nerve conduction studies and electromyography for the evaluation of patients with carpal tunnel syndrome. AAEM Quality Assurance Committee. Muscle & Nerve, 16, 1392- 1414. doi:10.1002/mus.880161220
Katz, J.N. and Simmons, B.P. (2002) Carpal Tunnel Syndrome. New England Journal of Medicine, 346, 1807-1812. doi:10.1056/NEJMcp013018
Werner, R.A., Albers, J.W., Franzblau, A. and Armstrong, T.J. (1994) The relationship between body mass index and the diagnosis of carpal tunnel syndrome. Muscle Nerve, 179, 632-636. doi:10.1002/mus.880170610
Higgs, P.E., Edwards, D.F., Martin, D.S. and Weeks, P.M. (1995) Carpal tunnel surgery outcomes in workers: Effect of workers’ compensation status. Journal of Hand Surgery, 20, 354-360. doi:10.1016/S0363-5023(05)80086-3
Higgs, P.E., Edwards, D.F., Martin, D.S. and Weeks, P.M. (1997) Relation of preoperative nerve-conduction values to outcome in workers with surgically treated carpal tunnel syndrome. Journal of Hand Surgery, 22, 216-221. doi:10.1016/S0363-5023(97)80154-2
Visser, L.H., Ngo, Q., Groeneweg, S.J. and Brekelmans, G. (2011) Long term effect of local corticosteroid injection for carpal tunnel syndrome. A relation with electrodiagnostic severity. Clinical Neurophysiology, 28 Sep-tember (Epub ahead of print).
Weiss, A.P., Sachar, K. and Gendreau, M. (1994) Conservative management of carpal tunnel syndrome: A reexamination of steroid injection and splinting. Journal of Hand Surgery, 19, 410-445. doi:10.1016/0363-5023(94)90054-X
Katz, J.N., Keller, R.B., Simmons, B.P., Rogers, W.D., Bessette, L., Fossel, A.H. and Mooney, N.A. (1998) Maine Carpal Tunnel Study: Outcomes of operative and nonoperative therapy for carpal tunnel syndrome in a community-based cohort. Journal of Hand Surgery, 23, 697-710. doi:10.1016/S0363-5023(98)80058-0
Lozanko-Calderon, S., Paiva, A. and Ring, D. (2008) Patient satisfaction after open carpal tunnel release correlates with depression. Journal of Hand Surgery, 33, 303-307. doi:10.1016/j.jhsa.2007.11.025
Theophold, C., Potter, S., Dempsey, M. and O’Shaughnessy, M. (2011) A randomized controlled trial of absorbable versus non absorbable sutures for skin closure after open carpal tunnel release. Journal of Hand Surgery, 10 October (Epub ahead of print).