Does endoscopic carpal tunnel release during distal radial fracture fixation improve outcomes? A randomized controlled trial.

Monteerarat, Yuwarat; Sirasittikarn, Sawitt; Pimpan, Niya; Wejjakul, Witchuree; Limthongthang, Roongsak; Laohaprasitiporn, Panai · J Hand Surg Eur Vol · 2025

rct · Level II

Where this comes from

Abstract

This study investigated the functional outcome of prophylactic carpal tunnel release during distal radial fracture fixation. A total of 60 patients undergoing anterior locking plate fixation for a distal radial fracture were randomized into two groups: one having prophylactic endoscopic carpal tunnel release and the other serving as a control. Functional outcomes were assessed using the Patient-Reported Wrist Evaluation, Quick Disabilities of the Arm, Shoulder, and Hand, EuroQol 5-Dimension 5-Level questionnaire, Boston Carpal Tunnel Questionnaire, Pain Numerical Rating Scale, grip strength and finger-to-palm distance over a 12-month period. The study found no significant differences in overall functional outcomes or complications between the groups.<b>Level of evidence:</b> I.

Medical subject headings

Anatomy