METHODS AND RESULTS: In the majority of cases surgical operation is successful in the carpal tunnel syndrome, the pain in particular is eliminated. Distrubances of sensitivity improve more slowly. If motor disturbances are already present, improvement is less likely, only in about 10% of cases. Therefore early operation is recommended. If simple severing of the circular ligament is not successful, neurolysis should be undertaken, the results of which far exceed those of division. The symptoms may also be eliminated by infiltration with hydro-cortisone. However, if infiltration is repeated too often, changes in the flexor tendons may occur, possibly a rupture.
METHODS AND RESULTS: In the majority of cases surgical operation is successful in the carpal tunnel syndrome, the pain in particular is eliminated. Distrubances of sensitivity improve more slowly. If motor disturbances are already present, improvement is less likely, only in about 10% of cases. Therefore early operation is recommended. If simple severing of the circular ligament is not successful, neurolysis should be undertaken, the results of which far exceed those of division. The symptoms may also be eliminated by infiltration with hydro-cortisone. However, if infiltration is repeated too often, changes in the flexor tendons may occur, possibly a rupture.