Carpal tunnel syndrome: Surgical and nonsurgical treatment☆

作者: B. Thomas Harter , James E. McKiernan , Stephen S. Kirzinger , Frank W. Archer , Christopher K. Peters

DOI: 10.1016/0363-5023(93)90329-2

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摘要: Abstract A retrospective study was performed to evaluate treatment for carpal tunnel syndrome. Two hundred sixty-five patients were treated over a 412-year period. Only in whom studies showed abnormal nerve conduction (a median sensory latency greater than 3.6 msec or distal motor 4.3 msec) included the evaluation. Nonsurgical consisted of patient education, wrist splinting, B vitamins, nonsteroidal anti-inflammatory medication, steroid injections, and job change modification when possible. follow-up history, physical examination, repeat at 3- 9-month intervals, depending on severity symptoms degree latencies. Surgery 77 95 hands. The remaining 188 nonsurgically. Both surgically nonsurgically considered results be satisfactory.

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