Evidence map›Paper›PMID 36686281›Full record

ReviewWorld journal of orthopedics2023

Update on surgical procedures for carpal tunnel syndrome: What is the current evidence and practice? What are the future research directions?

Valerio Pace, Fabrizio Marzano, Giacomo Placella

Registry-linked trialOpen access · diamondAbstract readReview
In one paragraph

Review in World journal of orthopedics, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT06243848 (Comparison of Ultrasound-Guided Injection With Traditional Median Nerve Decompression Surgery in Patients With Carpal Tunnel Syndrome), which is not on this map. Cited by 17 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
17citing papers in PubMed, 1 pooled it
5.3field-weighted citation impact, top 4% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT06243848 narecruitingnot on this mapstarted 2024, after this paper: background citation

Comparison of Ultrasound-Guided Injection With Traditional Median Nerve Decompression Surgery in Patients With Carpal Tunnel Syndrome: Randomized Controlled Study

TypeinterventionalSponsorAfyonkarahisar Health Sciences UniversityRan2024 to 2026Enrolled60ConditionsMusculoskeletal Diseases, Median Nerve Disease, Carpal Tunnel Syndrome, Ultrasound-Guided InjectionArmsMinimal Incision Surgery for median nerve decompression, Ultrasound-guided perineural injection with 5 cc 5% Dextrose
3 · Its place in the literature

Who cites it

17 citing papers in PubMed, 1 synthesis or guideline pooled it, 23 citations in OpenAlex.

  1. Pooled it
  2. Article
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  4. Review
  5. Review
  6. Article
  7. Article
  8. Review
  9. Article
  10. Long-Term Functional Outcomes and Quality of Life Following Carpal Tunnel Release Surgery.International journal of environmental research and public health · 2024
    Article
  11. Article
  12. Article
  13. Article
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

3 authors at 3 institutions in 1 country.

Valerio PaceDepartment of Trauma & Orthopaedics, AOSP Terni - University of Perugia, Terni 05100, Italy. valeriopace@doctors.org.uk.
Fabrizio MarzanoDepartment of Trauma & Orthopaedics, University of Perugia, Perugia 06100, Italy.
Giacomo PlacellaDepartment of Trauma and Orthopaedics, IRCSS San Raffaele Hospital, Milan 20132, Italy.
ASM Terni (Italy) · ITUniversity of Perugia · ITVita-Salute San Raffaele University · IT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Carpal tunnel syndrome (CTS) is a multifactorial compression neuropathy. It is reported to be very common and rising globally. CTS's treatment varies from conservative measures to surgical treatments. Surgery has shown to be an effective method for more severe cases. However few unclear aspects and room for further research and improvements still remains. We performed a narrative literature review on the most up to date progress and innovation in terms of surgical treatments for CTS. The simple algorithm of leaving the choice of the surgical method to surgeons' preference and experience (together with consideration of patients' related factors) seem to be the best available option, which is supported by the most recent metanalysis and systematic reviews. We suggest that surgeons (unless in presence of precise indications towards endoscopic release) should tend to perform a minimally invasive open approach release, favoring the advantage of a better neurovascular structures visualization (and a consequent higher chance to perform a complete release with long term relief of symptoms) instead of favoring an early reduction (in the first postoperative days) of immobilization and pain. Research towards a universally accepted standardization should be aimed for by the researchers, who have failed to date to sufficiently limit bias and limitations.

Indexed as

Carpal tunnelCarpal tunnel releaseEndoscopic releaseOpen releaseTransverse ligament

Identifiers

PMID36686281
PMCPMC9850791
OpenAlexW4316040075

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
Read underepoch 390

Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.