The Curtis National Hand Center, MedStar Union Memorial Hospital, Baltimore, MD.
Division of Plastic Surgery and Department of Orthopedic Surgery, Hospital of the University of Pennsylvania, Philadelphia, PA.
J Hand Surg Am. 2021 Mar;46(3):223-230.e2. doi: 10.1016/j.jhsa.2020.09.007. Epub 2020 Nov 1.
Carpal tunnel syndrome (CTS) is one of the most common problems treated by hand surgeons. As our understanding of the condition has improved and focus on quality and evidence-based care has evolved, management of CTS has shifted as well. Although for many patients the diagnosis and treatment plan are relatively straightforward, understanding how to decide what diagnostics are appropriate, how to avoid complications especially in high-risk patients, and even which surgical option to offer remains a challenge. As CTS research efforts broaden and available evidence grows, understanding the different research findings in order to implement the evidence into practice is critical for all surgeons. In this article, we approach commonly encountered challenges in CTS management and take a methodological viewpoint to guide evidence-based practice.
腕管综合征（CTS）是手外科医生治疗的最常见问题之一。随着我们对该疾病的认识不断提高，对质量和基于证据的护理的关注也不断发展，CTS 的管理也发生了变化。尽管对于许多患者来说，诊断和治疗计划相对简单，但了解如何确定合适的诊断方法，如何避免尤其是高危患者的并发症，甚至提供哪种手术选择仍然是一个挑战。随着 CTS 研究工作的扩大和可用证据的增加，理解不同的研究结果以便将证据应用于实践对于所有外科医生来说都是至关重要的。在本文中，我们将探讨 CTS 管理中常见的挑战，并从方法学的角度来指导基于证据的实践。
