Treatment of carpal tunnel syndrome.

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Abstract

[Indexed for MEDLINE] 19. Hand Clin. 1998 Aug;14(3):419-29, ix. Acute carpal tunnel syndrome. Szabo RM(1). Author information: (1)Department of Orthopaedic Surgery, University of California at Davis, School of Medicine, Sacramento, USA. Although the carpal tunnel is open at both ends, it has the physiologic properties of a closed compartment bounded by synovium proximally and distally. When the intracarpal canal interstitial pressure rises above a critical threshold pressure, capillary blood flow is reduced below the level required for median nerve viability. Acute carpal tunnel syndrome is recognized frequently as occurring secondary to wrist trauma and infrequently due to a variety of infectious, rheumatologic, and hematologic disorders. This condition warrants prompt recognition and the treatment is early carpal tunnel release.