No advantage of plaster casting following carpal tunnel release: A randomized controlled study.

Abstract:

OBJECTIVE:To compare the effects of 2 postoperative regimens following carpal tunnel release: plaster casting and elastic bandaging. DESIGN:A randomized controlled study. PATIENTS:Patients with carpal tunnel syndrome and planned surgical carpal tunnel release were invited to participate. METHODS:A total of 94 patients were randomized to either plaster casting or elastic bandaging to be used 2 weeks postoperatively. Muscle strength, pain rated on a visual analogue scale, range of movement, sensibility, oedema, and different scores regarding symptoms and function were measured before and 2, 4, 6, 8 and 26 weeks after surgery. RESULTS:No differences were found between the 2 groups for any measurement, except for the Disabilities of the Arm, Shoulder and Hand (DASH) Health score and daily function, rated 2 weeks postoperatively, in which the bandage group scored better. Both groups improved significantly over time for all measurements, sensibility was improved [AQ16] after 2 weeks, while strength was not fully recovered until week 26. CONCLUSION:Following carpal tunnel release no benefits were found in using plaster casting, compared with elastic bandaging. Among these patients there was more discomfort during plaster casting compared with elastic bandaging; therefore plaster casting is not recommended following this type of surgery.

journal_name

J Rehabil Med

authors

Svegard J,Nordvall Persson A,Zetterlund C,Alkner B

doi

10.2340/16501977-2788

subject

Has Abstract

pub_date

2021-01-14 00:00:00

eissn

1650-1977

issn

1651-2081

pub_type

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