Pre-operative grip force as clinical predictor for weakness after transversal carpal ligament release

ConclusionsPre-operative dynamometer assessment can predict loss of grip force and therefore create realistic post-operative expectations. Patients at risk for prolonged weakness after surgery (especially male subjects with high pre-operative grip force), could, instead of early surgical transversal carpal ligament release, profit from enrolling into an extended conservative therapy (immobilization and anti-inflammatory medication). Additionally, these patients undergoing CTR could enroll into an intensive post-operative occupational therapy with focus on grip force training to improve their recovery.Level of Evidence: Level III, risk / prognostic study

Source: European Journal of Plastic Surgery - August 28, 2018 Category: Cosmetic Surgery Source Type: research