Forry-two symptomatic hands of 29 patients with carpal tunnel syndrome operated during the period form Marth 1986 to December 1993 were analized in clinical aspect. Among 29 patients, 3(10.3%) were male and 26(89.7%)were female. The syndrome
occurred on
the right side in 10(34.5%) patients, on the left in 6(20.7%) patients, and on both in 13(44.8%) patients. The causes of the syndrome were idiopathic(90.5%), trauma(7.1%), mass(2.4%). Paresthesia(57.1%) was the most common chief complanit,
followed
by
numbness(35.7%), pain(21.4%), weakness(9.5%). Thenar muscie atrophy occured in 84.8%, positive Tinel sign in 83.3% and positive Phalen sign in 90.0%. Delay of motor conduction velocity of median nerve was noted in all cases and delay of sensory
nerve
conduction velocity in all cases. Denervation finding such as fibrillation or sharp waves were seen in all cases. The carpal tunnel release was performed in all cases, and 31 cases were treated by carpal tunnel tunnel release with internal
neurolysis.
35 cases(83.3%) were excellent or good results. The cases were long duration were poorer results. NO significant difference was found between the results in cases treated by carpal tunnel release alone and those in cases treated by carpal tunnel
release
with internal neurolysis of median nerve.
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