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Pubmed for Handhelds

PUBMED FOR HANDHELDS

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  • Title: Mini transverse versus longitudinal incision in carpal tunnel syndrome.
    Author: Korkmaz M, Ekici MA, Cepoglu MC, Oztürk H.
    Journal: J Coll Physicians Surg Pak; 2013 Sep; 23(9):645-8. PubMed ID: 24034190.
    Abstract:
    OBJECTIVE: To evaluate the effectiveness of mini-transverse compared with mini-longitudinal incision for carpal tunnel release (CTR) with reference to postoperative functional capacity, symptom severity and complication rate. STUDY DESIGN: Analytical study. PLACE AND DURATION OF STUDY: Cumhuriyet University Medical Faculty, Department of Orthopaedics, Tokat State Hospital, Department of Orthopaedics and Medical Park Tokat Hospital, Department of Neurosurgery, from January 2007 to January 2009. METHODOLOGY: This study included 93 hands of 79 patients with carpal tunnel syndrome (CTS), which were operated between 2007 and 2009. Patients were divided according to incision types into Group-1 (undergoing mini-longitudinal incision) and Group-2 (undergoing mini-transverse incision). Patients were evaluated initially and at 3 weeks after treatment according to symptom severity and functional status of Boston Questionnaire (BQ). Demographic and clinical data were analyzed and compared statistically between two groups. RESULTS: Statistically significant differences were observed in BQ symptom and functional scores between the pre- and postoperative period (p < 0.0001). BQ symptom and functional scores at postoperative period were better in Group-1 than Group-2 (p = 0.044 and p = 0.023 respectively). The scar hypersensitivity (p = 0.258) and tenderness (p = 1.00) associated with the incision sites were not statistically different. CONCLUSION: Longitudinal incision is more effective on symptom and functional conditions than transverse incision. However, there was less scar formation with transverse incision.
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