Analysis of the management of carpal tunnel syndrome: management, treatment and outcomes
Análisis del manejo del síndrome del túnel carpiano: manejo, tratamiento y resultados
Daniel Encarnacion-Santos, Eugeny Shestov, Murat Pachev, Gennady Chmutin, Egor Chmutin, Jorge Jimenez-Alvarez, Jose de la Fuente-Hernandez, Symbattym Bodanova, Arstanbekov Beksultan
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
Resumen
Introducción: El síndrome del Túnel carpiano (STC) es una neuropatía prevalente que resulta de la compresión del nervio mediano a medida que atraviesa el túnel carpiano en las extremidades superiores. El estudio se centró en pacientes que presentaban síntomas como hormigueo, parestesias y deterioro motor debido a la compresión del nervio mediano, y que fueron sometidos a descompresión quirúrgica. Materiales y métodos: Este es un estudio observacional retrospectivo que incluyó 45 pacientes (34 mujeres y 11 hombres) con un rango de edad de 18 a 75 años. Tras la evaluación, el fracaso de los tratamientos conservadores y el proceso de toma de decisiones para la intervención quirúrgica. Los pacientes fueron tratados en el Hospital Clínico Municipal n.º 68 (GBUZ GKB im. V. P. Demikhova). El diagnóstico se confirmó mediante exploración física y ecografía antes de proceder con la intervención quirúrgica, con el objetivo de lograr resultados postoperatorios óptimos. Resultados: Este estudio incluyó N = 45 pacientes, 34 mujeres y 11 hombres, con un rango de edad de 38 a 85 años. En cuanto a la sintomatología, N = 12 pacientes (26,6%) informaron entumecimiento, hormigueo y disminución de la capacidad motora en los dos primeros dedos. Catorce pacientes (31,11%) presentaron entumecimiento, hormigueo y alteración de la motricidad fina en los tres primeros dedos de la mano izquierda, acompañados de atrofia muscular. Conclusión: Los resultados postoperatorios fueron favorables, con resolución del síndrome doloroso y sin deterioro neurológico más allá del estado preoperatorio.
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Submitted date:
02/10/2026
Accepted date:
02/24/2026
Publication date:
03/24/2026
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