Martins Roberto S, Siqueira Mario G, Simplício Hougelli
Department of Neurosurgery, Hospital Santa Marcelina, and Peripheral Nerve Unit, University of São Paulo Medical School, SP, Brazil.
Arq Neuropsiquiatr. 2006 Sep;64(3A):596-9. doi: 10.1590/s0004-282x2006000400013.
This prospective study evaluates the possible advantages of wrist immobilization after open carpal tunnel release comparing the results of two weeks immobilization and no immobilization. Fifty two patients with idiopathic carpal tunnel syndrome were randomly selected in two groups after open carpal tunnel release. In one group (A, n=26) the patients wore a neutral-position wrist splint continuously for two weeks. In the other group (B, n=26) no wrist immobilization was used. Clinical assessment was done pre-operatively and at 2 weeks follow-up and included the two-point discrimination test at the second finger and two questionnaires as an outcome measurement of symptoms severity and intensity. All the patients presented improvement in the postoperative evaluations in the three analyzed parameters. There was no significant difference between the two groups for any of the outcome measurements at the final follow-up. We conclude that wrist immobilization in the immediate post-operative period have no advantages when compared with no immobilization in the end result of carpal tunnel release.
这项前瞻性研究通过比较两周固定和不固定的结果，评估开放性腕管松解术后腕部固定的可能优势。52例特发性腕管综合征患者在开放性腕管松解术后被随机分为两组。一组（A组，n = 26）患者连续佩戴中立位腕部夹板两周。另一组（B组，n = 26）不进行腕部固定。术前及术后2周进行临床评估，包括对示指的两点辨别试验以及两份问卷，作为症状严重程度和强度的结果测量。所有患者在术后评估的三个分析参数上均有改善。在最终随访时，两组在任何结果测量上均无显著差异。我们得出结论，与不固定相比，腕管松解术后立即进行腕部固定在最终结果上并无优势。
