Gelberman R H, Pfeffer G B, Galbraith R T, Szabo R M, Rydevik B, Dimick M
J Bone Joint Surg Am. 1987 Jul;69(6):896-903.
Thirty-three hands (twenty-nine patients) had a release of the carpal tunnel without internal neurolysis for severe carpal-tunnel syndrome. All of the hands had increased values for two-point discrimination or thenar atrophy, or both. Twenty-three (89 per cent) of the twenty-six hands that had increased values for two-point discrimination and twenty-six (87 per cent) of the thirty hands that had an elevated result on Semmes-Weinstein testing had normal values at follow-up. Nine (90 per cent) of the ten hands that had weakness of the thenar muscles (grade-3 strength or less) regained grade-4 or 5 strength. Thirteen (65 per cent) of the twenty hands that had thenar atrophy regained normal muscle bulk. Eighteen (62 per cent) of the twenty-nine patients had complete resolution of symptoms and signs of compression of the median nerve. No significant difference was found between the results in this series of patients and those in a previously reported similar group of patients who were treated by release of the carpal tunnel combined with internal neurolysis of the median nerve.
33只手（29名患者）因严重腕管综合征接受了腕管松解术，未进行正中神经内部松解。所有这些手的两点辨别觉值均升高或出现鱼际肌萎缩，或两者皆有。在两点辨别觉值升高的26只手中，有23只（89%）在随访时两点辨别觉值恢复正常；在Semmes-Weinstein测试结果升高的30只手中，有26只（87%）在随访时结果恢复正常。鱼际肌无力（肌力为3级或更低）的10只手中，有9只（90%）恢复到4级或5级肌力。有鱼际肌萎缩的20只手中，有13只（65%）恢复了正常的肌肉体积。29名患者中有18名（62%）正中神经受压的症状和体征完全消失。在本系列患者的结果与先前报道的一组采用腕管松解术联合正中神经内部松解术治疗的类似患者的结果之间，未发现显著差异。
