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.

Carpal tunnel syndrome, Distal radius fracture, Prophylactic carpal tunnel release, Surgery, Systematic review,
Surgery and Traumatology
Hand Surgery & Rehabilitation
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Department of Surgery

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