J. Huracek et al., Recovery after carpal tunnel syndrome operation: the influence of the opposite hand, if operated on in the same session, ARCH ORTHOP, 121(7), 2001, pp. 368-370
In a clinical, retrospectively randomised study, we compared the results of
the operation for a carpal tunnel syndrome when one side only or both side
s were simultaneously assessed in one session. Of the 125 patients examined
, 47.2% had both hands operated on in one session, 52.8% had only one hand
operated on in one session or both hands in two sessions. We found the bila
teral simultaneous operation to be associated with better results concernin
g earlier return to work. earlier relief of symptoms and better patient sat
isfaction than the operation on one side only. These are explained by the n
ecessity of using both hands for daily activities and thus a guaranteed fun
ctional follow-up treatment after the bilateral operation. In conclusion, w
e propose operating on both hands simultaneously whenever possible, even if
the opposite hand presents with only a slight CTS, which would otherwise n
ot be considered for operation yet.