CTS splint
Alle deler > BILL > Studier > Hånd abs
Finsen V, Andersen K, Russwurm H:
NO ADVANTAGE FROM SPLINTING THE WRIST AFTER OPEN CARPAL TUNNEL RELEASE.
Acta Orthop Scand 1999; 70:288-92.
To study the value of postoperative splinting after open carpal tunnel surgery, we randomly selected 82 wrists for 4 weeks of postoperative immobilization or no immobilization.
The distributions of scar discomfort or pain and “pillar pain” were equal in the two groups both at 6 weeks and 6 months. Median sick leave was 6 weeks in both groups. Median VAS values for persistent discomfort and pain at 2 weeks, 6 weeks and 6 months were similar in the two groups. Grip strength was reduced compared to preoperative values by about 20% and keypinch strength by about 10% in both groups at 6 weeks and had returned to normal by 6 months. Pinch between the thumb and the tips of fingers 4 and 5 was considerably reduced postoperatively, but similar in both groups.
We conclude that 4 weeks of postoperative immobilization confers no detectable benefit.