Skip to main content

Lund University Publications

LUND UNIVERSITY LIBRARIES

Ligament lengthening compared with simple division of the transverse carpal ligament in the open treatment of carpal tunnel syndrome

Karlsson, Magnus K. LU ; Lindau, Tommy and Hagberg, Lars LU (1997) In Scandinavian Journal of Plastic and Reconstructive Surgery and Hand Surgery 31(1). p.65-69
Abstract

It has been suggested that the new (and controversial) endoscopic techniques are more successful than standard operation for the preservation of the ligamentous pulley function across the carpal tunnel and for the separation of the gliding structures from the subcutaneous tissues after release of the carpal ligament in carpal tunnel syndrome. We therefore decided to study the possible importance of preserving the continuity of the carpal ligament by doing an open lengthening of the ligament. This retrospective, unrandomised study included 99 patients with carpal tunnel syndrome who underwent open release of the carpal tunnel with or without a simultaneous lengthening of the transverse carpal ligament. The duration of follow up ranged... (More)

It has been suggested that the new (and controversial) endoscopic techniques are more successful than standard operation for the preservation of the ligamentous pulley function across the carpal tunnel and for the separation of the gliding structures from the subcutaneous tissues after release of the carpal ligament in carpal tunnel syndrome. We therefore decided to study the possible importance of preserving the continuity of the carpal ligament by doing an open lengthening of the ligament. This retrospective, unrandomised study included 99 patients with carpal tunnel syndrome who underwent open release of the carpal tunnel with or without a simultaneous lengthening of the transverse carpal ligament. The duration of follow up ranged from 4-8 years. The group who had the ligament lengthened had significantly longer sick leave (p < 0.01) than the group who had transverse ligament section alone. There were no advantages to reconstruction of the transverse ligament.

(Less)
Please use this url to cite or link to this publication:
author
; and
organization
publishing date
type
Contribution to journal
publication status
published
subject
keywords
Carpal tunnel syndrome, Ligament plasty, Plain section, Surgery
in
Scandinavian Journal of Plastic and Reconstructive Surgery and Hand Surgery
volume
31
issue
1
pages
65 - 69
publisher
Taylor & Francis
external identifiers
  • pmid:9075290
  • scopus:0031051864
ISSN
0284-4311
DOI
10.3109/02844319709010507
language
English
LU publication?
yes
id
f26fb65f-e28c-47ef-9766-0f94135e1bfc
date added to LUP
2019-05-21 19:29:07
date last changed
2024-09-04 20:04:40
@article{f26fb65f-e28c-47ef-9766-0f94135e1bfc,
  abstract     = {{<p>It has been suggested that the new (and controversial) endoscopic techniques are more successful than standard operation for the preservation of the ligamentous pulley function across the carpal tunnel and for the separation of the gliding structures from the subcutaneous tissues after release of the carpal ligament in carpal tunnel syndrome. We therefore decided to study the possible importance of preserving the continuity of the carpal ligament by doing an open lengthening of the ligament. This retrospective, unrandomised study included 99 patients with carpal tunnel syndrome who underwent open release of the carpal tunnel with or without a simultaneous lengthening of the transverse carpal ligament. The duration of follow up ranged from 4-8 years. The group who had the ligament lengthened had significantly longer sick leave (p &lt; 0.01) than the group who had transverse ligament section alone. There were no advantages to reconstruction of the transverse ligament.</p>}},
  author       = {{Karlsson, Magnus K. and Lindau, Tommy and Hagberg, Lars}},
  issn         = {{0284-4311}},
  keywords     = {{Carpal tunnel syndrome; Ligament plasty; Plain section; Surgery}},
  language     = {{eng}},
  month        = {{01}},
  number       = {{1}},
  pages        = {{65--69}},
  publisher    = {{Taylor & Francis}},
  series       = {{Scandinavian Journal of Plastic and Reconstructive Surgery and Hand Surgery}},
  title        = {{Ligament lengthening compared with simple division of the transverse carpal ligament in the open treatment of carpal tunnel syndrome}},
  url          = {{http://dx.doi.org/10.3109/02844319709010507}},
  doi          = {{10.3109/02844319709010507}},
  volume       = {{31}},
  year         = {{1997}},
}