Splinting versus non-splinting following Carpal Tunnel release for Carpal Tunnel Syndrome Treatment..

Samy, Kamal Mohammed; Mohsen, Ibrahim Mohammed; Fekry, Ahmed Rabie; Hashem, Mostafa Ahmed

doi:10.21608/fumj.2025.322182.1396

Splinting versus non-splinting following Carpal Tunnel release for Carpal Tunnel Syndrome Treatment..

Document Type : Full Length research Papers

Authors

¹ orthopedic department, faculty of medicine, fayoum university , fayoum , Egypt

² Orthopedic department, faculty of Medicine, Fayoum University, Fayoum, Egypt

³ Orthopedic department, Fayuom university, Fayoum, Egypt

10.21608/fumj.2025.322182.1396

Abstract

Introduction: Carpal tunnel syndrome, the most frequent peripheral nerve neuropathy, can be managed with non-invasive methods in the beginning, but surgery is recommended for more severe cases. Some surgeons support early range of motion, while others prefer using a splint instead.
Aim of work: This study aims to clarify the benefits of different postoperative regimens after carpal tunnel decompression - a below elbow slab and elastic bandaging, and to analyze their impact on functional results.
Subjects and Methods: We enrolled 40 individuals with this idiopathic condition who did not show improvement with conservative therapy. Two sets of patients were divided: Group I did not have a splint post-surgery, whereas Group II had a splint for a duration of three weeks. The rapid DASH scoring technique was utilized for assessment.
Results: A post-operative follow-up revealed that, in terms of the fast DASH score, there was no appreciable difference statistically (p-value >0.05).
Conclusion: In comparison to range of motion right after open carpal tunnel release surgery, immobilizing the wrist for the first three weeks after surgery did not show a significant enhancement in functional outcomes.

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