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Carpal tunnel syndrome after distal radius fracture
Journal article   Peer reviewed

Carpal tunnel syndrome after distal radius fracture

Genghis E Niver and Asif M Ilyas
The Orthopedic clinics of North America, v 43(4), pp 521-527
01 Oct 2012
PMID: 23026468

Abstract

Carpal Tunnel Syndrome - etiology Carpal Tunnel Syndrome - physiopathology Carpal Tunnel Syndrome - surgery Decompression, Surgical - methods Fracture Fixation, Internal - adverse effects Fracture Fixation, Internal - methods Hand Strength Humans Intraoperative Care - adverse effects Intraoperative Care - methods Intraoperative Complications - prevention & control Median Nerve - injuries Median Nerve - physiopathology Median Nerve - surgery Medical History Taking Physical Examination Postoperative Complications - diagnosis Postoperative Complications - physiopathology Postoperative Complications - surgery Prognosis Radius Fractures - complications Radius Fractures - physiopathology Radius Fractures - surgery Risk Factors Time Factors Treatment Outcome
Carpal tunnel syndrome is a common condition and is a well-recognized phenomenon following a distal radius fracture. The treating surgeon should be vigilant in noticing the signs and symptoms. If acute carpal tunnel syndrome is noted, then surgical release of the carpal tunnel and fracture fixation should be performed urgently. If early carpal tunnel syndrome findings are noted during distal radius fracture management, all potential causes should be evaluated. Delayed carpal tunnel syndrome presenting after a distal radius fracture has healed is best managed in standard fashion. There is no role for prophylactic carpal tunnel release at the time of distal radius fixation in a patient who is asymptomatic.

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Orthopedics
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