Carpal Tunnel, Trigger Finger, and Spinal Stenosis: The Rest of the Story.

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Abstract

[Indexed for MEDLINE] 9. Hand Clin. 2018 Feb;34(1):27-32. doi: 10.1016/j.hcl.2017.09.003. Carpal Tunnel Syndrome and Distal Radius Fractures. Pope D(1), Tang P(2). Author information: (1)Department of Orthopaedic Surgery, Allegheny General Hospital, 1307 Federal Street, Federal North Building, 2nd Floor, Pittsburgh, PA 15212, USA. (2)Department of Orthopaedic Surgery, Allegheny General Hospital, Drexel University College of Medicine, 1307 Federal Street, Federal North Building, 2nd Floor, Pittsburgh, PA 15212, USA. Electronic address: peter.tang@ahn.org. Carpal tunnel syndrome (CTS) after distal radius fractures can present in 3 forms: acute, transient, and delayed. Acute CTS requires an emergent carpal tunnel release. Many patients with transient CTS after distal radius fracture do not require surgical release of the carpal tunnel once the fracture is repaired. Prophylactic carpal tunnel release in the absence of signs and symptoms of CTS after a distal radius fracture is not indicated. For patients with delayed CTS after a distal radius fracture, all possible causes of nerve compression should be considered and addressed in standard fashion. Copyright © 2017 Elsevier Inc. All rights reserved. DOI: 10.1016/j.hcl.2017.09.003