Eiji Itoi
Japan
Research Article
Effects of Modified Camitz Opponensplasty to Restore Thumb Opposition for Severe Carpal Tunnel Syndrome
Author(s): Shingo Nobuta, Katsumi Sato and Eiji ItoiShingo Nobuta, Katsumi Sato and Eiji Itoi
Objective: Hand function damaged by Carpal tunnel syndrome (CTS) is usually recoverable after the surgery of carpal tunnel release, but treatment for severe CTS does not always result in functional recovery. The purpose of the present study was to assess the effectiveness of modified Camitz opponensplasty for severe CTS. Specifically, we employed a combined operation of open carpal tunnel release (OCTR) and modified Camitz opponensplasty for severe CTS patients who needed early recovery of thumb opposition.
Methods: The subjects were 26 hands in 22 patients with severe CTS. Before surgery, all hands had marked thenar muscle atrophy and loss of thumb opposition. All patients underwent surgery through OCTR and modified Camitz opponensplasty using a pulley at the radial side of the released flexor retinaculum. Compound muscle action potential (CMA.. View More»
