Tahreem Fatima, Umar Nadeem, Aleeha Batool, Noor Atiq
{"title":"部分屈肌网膜释放保留腕横韧带和肱前筋膜与完全屈肌网膜释放治疗中重度腕管综合征的比较","authors":"Tahreem Fatima, Umar Nadeem, Aleeha Batool, Noor Atiq","doi":"10.1155/ane/8896998","DOIUrl":null,"url":null,"abstract":"<p><b>Background and Aims:</b> Carpal tunnel syndrome (CTS) is the most prevalent peripheral mononeuropathy affecting the median nerve. It can be managed with physiotherapy, localised steroid injections, or surgery. Our study compared outcomes of two surgical techniques, that is, partial flexor retinaculum release (FRR) and conventional complete FRR in moderate to severe CTS.</p><p><b>Methods:</b> It was a single-blinded cohort study conducted at Mayo Hospital, Lahore, Pakistan, over a 12-month period in 2022. Sampling was stratified random with a total sample size of 66. Inclusion criteria were patients between 18 and 70 years of age, having Grade 3 to 6 CTS (Bland electrophysiological classification), having undergone at least one localised steroid injection on the symptomatic side, with no other spinal cord deformities. The rest were excluded. Interventions studied were complete FRR and partial FRR, sparing transverse carpal ligament and antebrachial fascia. Data was analysed using the statistical package for social sciences (SPSS) Version 26. Analytic tests used were chi-square test, linear-to-linear test, independent sample <i>t</i>-test and Mann–Whitney <i>U</i> test with a <i>p</i> value of <0.05.</p><p><b>Results:</b> Partial FRR was done in 34 patients (51.51%) and complete FRR in 32 patients (48.48%). There was no significant difference in postoperative outcomes when compared independently. Linear regression analysis showed a significant role of partial FRR in predicting postoperative Boston questionnaire for symptom severity scale (BQSSS) scores (<i>p</i> = 0.021) and Boston questionnaire for functional severity scale (BQFSS) scores (<i>p</i> = 0.045) when other independent variables are accounted. No such relationship was demonstrated with postoperative visual analogue scale (VAS) scores (<i>p</i> = 0.531).</p><p><b>Interpretation:</b> Partial FRR is a novel technique for the management of CTS, resistant to local steroid administration. This technique showed no significant difference in postoperative outcomes from its traditional counterpart, with a possibility of improved postoperative structural and functional recovery that needs further evaluation.</p>","PeriodicalId":6939,"journal":{"name":"Acta Neurologica Scandinavica","volume":"2025 1","pages":""},"PeriodicalIF":2.7000,"publicationDate":"2025-08-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1155/ane/8896998","citationCount":"0","resultStr":"{\"title\":\"Comparison of Partial Flexor Retinaculum Release Sparing Transverse Carpal Ligament and Antebrachial Fascia With Complete Flexor Retinaculum Release in the Management of Moderate to Severe Carpal Tunnel Syndrome\",\"authors\":\"Tahreem Fatima, Umar Nadeem, Aleeha Batool, Noor Atiq\",\"doi\":\"10.1155/ane/8896998\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<p><b>Background and Aims:</b> Carpal tunnel syndrome (CTS) is the most prevalent peripheral mononeuropathy affecting the median nerve. It can be managed with physiotherapy, localised steroid injections, or surgery. Our study compared outcomes of two surgical techniques, that is, partial flexor retinaculum release (FRR) and conventional complete FRR in moderate to severe CTS.</p><p><b>Methods:</b> It was a single-blinded cohort study conducted at Mayo Hospital, Lahore, Pakistan, over a 12-month period in 2022. Sampling was stratified random with a total sample size of 66. Inclusion criteria were patients between 18 and 70 years of age, having Grade 3 to 6 CTS (Bland electrophysiological classification), having undergone at least one localised steroid injection on the symptomatic side, with no other spinal cord deformities. The rest were excluded. Interventions studied were complete FRR and partial FRR, sparing transverse carpal ligament and antebrachial fascia. Data was analysed using the statistical package for social sciences (SPSS) Version 26. Analytic tests used were chi-square test, linear-to-linear test, independent sample <i>t</i>-test and Mann–Whitney <i>U</i> test with a <i>p</i> value of <0.05.</p><p><b>Results:</b> Partial FRR was done in 34 patients (51.51%) and complete FRR in 32 patients (48.48%). There was no significant difference in postoperative outcomes when compared independently. Linear regression analysis showed a significant role of partial FRR in predicting postoperative Boston questionnaire for symptom severity scale (BQSSS) scores (<i>p</i> = 0.021) and Boston questionnaire for functional severity scale (BQFSS) scores (<i>p</i> = 0.045) when other independent variables are accounted. No such relationship was demonstrated with postoperative visual analogue scale (VAS) scores (<i>p</i> = 0.531).</p><p><b>Interpretation:</b> Partial FRR is a novel technique for the management of CTS, resistant to local steroid administration. 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Comparison of Partial Flexor Retinaculum Release Sparing Transverse Carpal Ligament and Antebrachial Fascia With Complete Flexor Retinaculum Release in the Management of Moderate to Severe Carpal Tunnel Syndrome
Background and Aims: Carpal tunnel syndrome (CTS) is the most prevalent peripheral mononeuropathy affecting the median nerve. It can be managed with physiotherapy, localised steroid injections, or surgery. Our study compared outcomes of two surgical techniques, that is, partial flexor retinaculum release (FRR) and conventional complete FRR in moderate to severe CTS.
Methods: It was a single-blinded cohort study conducted at Mayo Hospital, Lahore, Pakistan, over a 12-month period in 2022. Sampling was stratified random with a total sample size of 66. Inclusion criteria were patients between 18 and 70 years of age, having Grade 3 to 6 CTS (Bland electrophysiological classification), having undergone at least one localised steroid injection on the symptomatic side, with no other spinal cord deformities. The rest were excluded. Interventions studied were complete FRR and partial FRR, sparing transverse carpal ligament and antebrachial fascia. Data was analysed using the statistical package for social sciences (SPSS) Version 26. Analytic tests used were chi-square test, linear-to-linear test, independent sample t-test and Mann–Whitney U test with a p value of <0.05.
Results: Partial FRR was done in 34 patients (51.51%) and complete FRR in 32 patients (48.48%). There was no significant difference in postoperative outcomes when compared independently. Linear regression analysis showed a significant role of partial FRR in predicting postoperative Boston questionnaire for symptom severity scale (BQSSS) scores (p = 0.021) and Boston questionnaire for functional severity scale (BQFSS) scores (p = 0.045) when other independent variables are accounted. No such relationship was demonstrated with postoperative visual analogue scale (VAS) scores (p = 0.531).
Interpretation: Partial FRR is a novel technique for the management of CTS, resistant to local steroid administration. This technique showed no significant difference in postoperative outcomes from its traditional counterpart, with a possibility of improved postoperative structural and functional recovery that needs further evaluation.
期刊介绍：
Acta Neurologica Scandinavica aims to publish manuscripts of a high scientific quality representing original clinical, diagnostic or experimental work in neuroscience. The journal''s scope is to act as an international forum for the dissemination of information advancing the science or practice of this subject area. Papers in English will be welcomed, especially those which bring new knowledge and observations from the application of therapies or techniques in the combating of a broad spectrum of neurological disease and neurodegenerative disorders. Relevant articles on the basic neurosciences will be published where they extend present understanding of such disorders. Priority will be given to review of topical subjects. Papers requiring rapid publication because of their significance and timeliness will be included as ''Clinical commentaries'' not exceeding two printed pages, as will ''Clinical commentaries'' of sufficient general interest. Debate within the speciality is encouraged in the form of ''Letters to the editor''. All submitted manuscripts falling within the overall scope of the journal will be assessed by suitably qualified referees.
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