Does Aging Matter? The Efficacy of Carpal Tunnel Release in the Elderly.
10.5999/aps.2015.42.3.278
- Author:
Bettina Wai Yan FUNG
1
;
Chris Yuk Kwan TANG
;
Boris Kwok Keung FUNG
Author Information
1. Department of Orthopaedics and Traumatology, University of Hong Kong Medical Centre, Queen Mary Hospital, Pokfulam, Hong Kong. medic.chris.tang@gmail.com
- Publication Type:Review
- Keywords:
Carpal tunnel syndrome;
Surgery;
Nerve compression syndromes
- MeSH:
Aged*;
Aging*;
Carpal Tunnel Syndrome;
Humans;
Nerve Compression Syndromes
- From:Archives of Plastic Surgery
2015;42(3):278-281
- CountryRepublic of Korea
- Language:English
-
Abstract:
Open release remains the gold standard in the treatment of carpal tunnel syndrome in cases where conservative treatment fails. However, the efficacy of carpal tunnel release in the elderly has been debated in the literature throughout the years. This review aims to review the current evidence pertaining to the efficacy of carpal tunnel release in the elderly. Based on the current evidence, the outcome of carpal tunnel release is unpredictable in the elderly. Elderly patients are also less satisfied with the operation compared to younger patients. The authors recommend that these messages be conveyed to elderly patients before surgery. Moreover, open carpal tunnel release should be offered in the early stages of treatment whenever operative management is indicated.