The aim of this study was to determine the rate of carpal tunnel syndrome (CTS) in patients with a volar plated distal radius fracture (DRF), with or without prophylactic carpal tunnel release (CTR). The PubMed database was searched for studies reporting on CTS in patients with a DRF fixed by a volar plate. Selected patients were those who underwent prophylactic CTR versus patients who did not. Pooled rates of CTS were calculated using inverse — variance weighting assuming a random effects model. Tests for heterogeneity were applied. In this study, 172 patients in the CTR group and 1839 patients in the non-CTR group were included. The pooled rate for CTS in the CTR group was 28.1% (95% CI: 11.8% to 48.2%) while it was 4.4% (95% CI: 3.1% to 6.0%) in the non-CTR group. CTR is of no prophylactic value for postoperative CTS in volar plated DRF patients.

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Keywords Carpal tunnel syndrome, Distal radius fracture, Prophylactic carpal tunnel release, Surgery, Systematic review
Persistent URL dx.doi.org/10.1016/j.hansur.2018.02.004, hdl.handle.net/1765/105409
Journal Hand Surgery & Rehabilitation
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Citation
Al-Amin, Z, Senyurek, S.A, van Lieshout, E.M.M, & Wijffels, M.M.E. (2018). Systematic review and pooled analysis of the rate of carpal tunnel syndrome after prophylactic carpal tunnel release in patients with a distal radius fracture. Hand Surgery & Rehabilitation. doi:10.1016/j.hansur.2018.02.004