Splinting in Carpal Tunnel Syndrome: The Optimal Duration

Splinting for carpal tunnel syndrome: prognostic indicators of success.

OBJECTIVES To identify (combinations of) prognostic indicators for the long term success of splinting in patients with electrophysiologically confirmed idiopathic carpal tunnel syndrome (CTS). METHODS This study was conducted within the framework of a randomised controlled trial on the efficacy of splinting and surgery for CTS. Patients randomised to splinting received a wrist splint, which t...

Optimal management of carpal tunnel syndrome

In order to improve health care efficiency and effectiveness, treatments should provide disease improvement or resolution at a reasonable cost. The American Academy of Orthopedic Surgeons (AAOS) published a guideline for treatment of carpal tunnel syndrome (CTS) in 2009 based on review of the literature up to April 6, 2007. We have now reviewed the material published since then. Through reviewi...

The carpal tunnel syndrome.

The carpal tunnel is a channel with fibroosseous walls leading from the deep flexor space of the forearm into the palm of the hand. Superficially it is bounded by the flexor retinaculum which stretches from the trapezium and scaphoid laterally to the pisiform and hamate medially. This tough sheet blends proximally with the deep fascia of the forearm and distally with the palmar aponeurosis. The...

[The carpal tunnel syndrome].

Splinting vs surgery in the treatment of carpal tunnel syndrome: a randomized controlled trial.

CONTEXT Carpal tunnel syndrome (CTS) can be treated with nonsurgical or surgical options. However, there is no consensus on the most effective method of treatment. OBJECTIVE To compare the short-term and long-term efficacy of splinting and surgery for relieving the symptoms of CTS. DESIGN, SETTING, AND PATIENTS A randomized controlled trial conducted from October 1998 to April 2000 at 13 ne...