Latin Neurosurgery
https://lneuro.org/article/doi/10.65571/3086-0725.e00032026
 Latin Neurosurgery
Original Article

Analysis of the management of carpal tunnel syndrome: management, treatment and outcomes

Daniel Encarnacion-Santos, Eugeny Shestov, Murat Pachev, Gennady Chmutin, Egor Chmutin, Jorge Jimenez-Alvarez, Jose de la Fuente-Hernandez, Symbattym Bodanova, Arstanbekov Beksultan

Downloads: 0
Views: 5

Abstract

Background: Carpal tunnel syndrome (CTS) is a prevalent neuropathy resulting from compression of the median nerve as it traverses the carpal tunnel in the upper extremities. The study focused on patients exhibiting symptoms such as tingling, paresthesia, and motor impairment due to median nerve compression, who underwent surgical decompression.
Materials and Methods: This retrospective observational study involved 45 patients (34 women and 11 men) range of age 18-75 years old. After the evaluation and the failure of conservative treatments and the decision-making process for surgical intervention. At the City Clinical Hospital Nº68 Gbuz Gkb Im. V.P. Demikhova. Diagnosis was confirmed through physical examination and ultrasound imaging before proceeding with surgical intervention to achieve optimal postoperative outcomes.
Results: This study included N=45 patients, consisting of 34 women and 11 men, with an age range of 38 to 85 years, the symptomatically N=12 patients (26.6%) reported numbness, tingling, and reduced motor skills in the first two fingers. Fourteen patients (31.11%) experienced numbness, tingling, and impaired fine motor skills in the first three fingers of the left hand, accompanied by muscle atrophy.
Conclusion: Postoperative outcomes were favorable, with resolution of pain syndrome and no neurological deterioration beyond the preoperative status.

Keywords

carpal tunnel syndrome; paresthesia; neuropathy; median nerve; diagnosis and outcomes.

References

1. Wipperman J, Goerl K. Carpal tunnel syndrome: diagnosis and management. Am Fam Physician. 2016;94(12):993-9. PMid:28075090.

2. Osiak K, Elnazir P, Walocha JA, Pasternak A. Carpal tunnel syndrome: state-of-the-art review. Folia Morphol (Warsz). 2022;81(4):851-62. https://doi.org/10.5603/FM.a2021.0121. PMid:34783004.

3. Kim PT, Lee HJ, Kim TG, Jeon IH. Current approaches for carpal tunnel syndrome. Clin Orthop Surg. 2014;6(3):253-7. https://doi.org/10.4055/cios.2014.6.3.253. PMid:25177448.

4. Petrover D, Richette P. Treatment of carpal tunnel syndrome: from ultrasonography to ultrasound guided carpal tunnel release. Joint Bone Spine. 2018;85(5):545-52. https://doi.org/10.1016/j.jbspin.2017.11.003. PMid:29154980.

5. Kim KH, Duell B, Munnangi S, Long M, Morrison E. Radiographic predictors of delayed carpal tunnel syndrome after distal radius fracture in the elderly. Hand (N Y). 2022;17(4):652-8. https://doi.org/10.1177/1558944720963876. PMid:35815368.

6. Liawrungrueang W, Wongsiri S, Sarasombath P. Endoscopic carpal surgery in carpal tunnel syndrome: a systematic review. SAGE Open Med. 2023;11:20503121231177111. https://doi.org/10.1177/20503121231177111. PMid:37324119.

7. Russell Brain W, Dickson Wright A, Wilkinson M. Spontaneous compression of both median nerves in the carpal tunnel six cases treated surgically. Lancet. 1947;249(6443-6445):277-82. https://doi.org/10.1016/S0140-6736(47)90093-7. PMid:20287146.

8. Hogan QH. Labat lecture: the primary sensory neuron: where it is, what it does, and why it matters. Reg Anesth Pain Med. 2010;35(3):306-11. https://doi.org/10.1097/AAP.0b013e3181d2375e. PMid:20460965.

9. Esposito MF, Malayil R, Hanes M, Deer T. Unique characteristics of the dorsal root ganglion as a target for neuromodulation. Pain Med. 2019;20(Suppl 1):S23-30. https://doi.org/10.1093/pm/pnz012. PMid:31152179.

10. Dahlin LB, McLean WG. Effects of graded experimental compression on slow and fast axonal transport in rabbit vagus nerve. J Neurol Sci. 1986;72(1):19-30. https://doi.org/10.1016/0022-510X(86)90032-8. PMid:2419514.

11. Lundborg G, Dahlin LB. The pathophysiology of nerve compression. Hand Clin. 1992;8(2):215-27. https://doi.org/10.1016/S0749-0712(21)00708-3. PMid:1613031.

12. Ogata K, Naito M. Blood flow of peripheral nerve effects of dissection stretching and compression. J Hand Surg Br. 1986;11(1):10-4. PMid:3958526.

13. Rempel D, Dahlin L, Lundborg G. pathophysiology of nerve compression syndromes: response of peripheral nerves to loading. J Bone Joint Surg Am. 1999;81(11):1600-10. https://doi.org/10.2106/00004623-199911000-00013. PMid:10565653.

14. Shem K, Wong J, Dirlikov B. Effective self-stretching of carpal ligament for the treatment of carpal tunnel syndrome: a double-blinded randomized controlled study. J Hand Ther. 2020;33(3):272-80. https://doi.org/10.1016/j.jht.2019.12.002. PMid:32362377.

15. Fernández C, Arias-Buría L, Ortega-Santiago R, De-la-Llave-Rincón I. Understanding central sensitization for advances in management of carpal tunnel syndrome. F1000Res. 2020;9:F1000 Faculty Rev-605. https://doi.org/10.12688/f1000research.22570.1.

16. Soon B, Vicenzino B, Schmid B, Coppieters W. Facilitatory and inhibitory pain mechanisms are altered in patients with carpal tunnel syndrome. PLoS One. 2017;12(8):e0183252. https://doi.org/10.1371/journal.pone.0183252. PMid:28854251.

17. Ma H, Lu Y, Hua X, Shen Y, Zheng M, Xu W. A Longitudinal fMRI Research on Neural Plasticity and Sensory Outcome of Carpal Tunnel Syndrome. Neural Plast. 2017;2017:5101925. https://doi.org/10.1155/2017/5101925. PMid:29348944.

18. Tecchio F, Padua L, Aprile I, Rossini PM. Carpal tunnel syndrome modifies sensory hand cortical somatotopy: a MEG study. Hum Brain Mapp. 2002;17(1):28-36. https://doi.org/10.1002/hbm.10049. PMid:12203686.

19. Buck-Gramcko D, Lubahn JD. The hoffmann-tinel sign. J Hand Surg [Br]. 1993;18(6):800-5. https://doi.org/10.1016/0266-7681(93)90249-F. PMid:8308447.

20. Burke DT, Burke MAM, Bell R, Stewart GW, Mehdi RS, Kim HJ. Subjective swelling: a new sign for carpal tunnel Syndrome 1. Am J Phys Med Rehabil. 1999;78(6):504-8. https://doi.org/10.1097/00002060-199911000-00002. PMid:10574164.


Submitted date:
02/10/2026

Accepted date:
02/24/2026

Publication date:
03/24/2026

69c2b900a953950a9228f0a4 lneuro Articles
Links & Downloads

Lat. Neurosurg.

Share this page
Page Sections