الفهرس | Only 14 pages are availabe for public view |
Abstract Aim of the work To evaluate patients present with symptoms and signs suggestive of median nerve compression at the carpal tunnel including neurophysiological assessments. It also aims at evaluating the results of palmar incision release through clinical and neurophysiological parameters which might be of prognostic significance. Conclusion There were statistically significant improvements after two weeks. Most of the improvement took place over this period, as no significant difference was found between two weeks and two months follow up periods. And duration of complaint was the most significant predictor of the clinical picture. from this study we concluded that electrodiagnostic studies must be done to every cause suspected to be carpal tunnel before operative interference, to exclude other cases of numbness in the hand and to be sure that the cause of the numbness is the CTS. Early decompression is also advised as long standing compression has a bad prognosis and long period for recovery. However, severely affected cases (long standing symptoms, thenar atrophy, virtual anesthesia and absence of demonstrable sensory and motor evoked responses) must not be considered as contraindications to surgery. |