In extreme carpal tunnel syndrome (CTS), thumb opposition is impossible due to thenar
muscle atrophy. Affected patients demonstrate undetectable compound muscle action
potentials of the abductor pollicis brevis (APB-CMAP) following stimulation of the
median nerve at the wrist. At the ASSH 2012 Annual Meeting, the authors reported that
thumb opposition recovered in more than half of extreme CTS patients one year or longer
after carpal tunnel release. This study investigated the length of time required to
recover thumb opposition and at what time after surgery recovery could be predicted.
To read this article in full you will need to make a payment
Purchase one-time access:
Academic & Personal: 24 hour online accessCorporate R&D Professionals: 24 hour online accessOne-time access price info
- For academic or personal research use, select 'Academic and Personal'
- For corporate R&D use, select 'Corporate R&D Professionals'
Subscribe:
Subscribe to Journal of Hand SurgeryAlready a print subscriber? Claim online access
Already an online subscriber? Sign in
Register: Create an account
Institutional Access: Sign in to ScienceDirect
References
- Management of extreme carpal tunnel syndrome: evidence from a long-term follow-up study.Muscle Nerve. 2009; 40: 86-93
- Clinical results in severe carpal tunnel syndrome and motor nerve conduction studies.J Orthop Sci. 2005; 10: 22-26
- Clinical and neurophysiological outcome of surgery in extreme carpal tunnel syndrome.Clin Neurophysiol. 2001; 112: 1237-1242
- Neurophysiological classification and sensitivity in 500 carpal tunnel syndrome hands.Acta Neurol Scand. 1997; 96: 211-217
Article info
Publication history
Paper 43
Footnotes
Clinical Paper Session 07: Carpal Tunnel Syndrome/Cubital Tunnel Syndrome
Friday, September 19, 2014 • 2:13–2:20 PM
Category: Treatment, Prognosis/Outcomes
Keyword: Hand and Wrist, Nerve
Identification
Copyright
© 2014 Published by Elsevier Inc.
