Primary restoration of thumb opposition with median nerve decompression

ABSTRACT

In this study, 16 patients [10 females and 6 males with an age ranged from 42 to 65 years with a mean of 56] with long standing carpal tunnel syndrome were operated upon for carpal tunnel release and primary tendon transfer. All patients had complete thenar atrophy and consequent loss of thumb opposition. The right side was involved in 12 patients and the left was in 4. The palmaris longus tendon was used for transfer [Camitz-Littler procedure]. The patients were followed up for 1.2-2 years with a mean of 1.7. All patients reported an immediate postoperative relief from nocturnal pain and numbness. There was a gradual improvement of the sensation and the two-point discrimination. Grip strength reached 85% of the opposite side at the final follow up period. This procedure proved to be simple and effective for the restoration of thumb opposition