Response to Khan et al: Long-Term Outcomes of Non-surgical versus Surgical Treatment for Carpal Tunnel Syndrome: An Observational Cohort Study.
DOI:
https://doi.org/10.61919/jhrr.v4i1.359Keywords:
carpal tunnel syndrome, surgical treatment, non-surgical treatmentAbstract
The letter to the editor discusses the comparative fairness between surgical and non-surgical treatments for Carpal Tunnel Syndrome (CTS), highlighted in Khan et al.'s study. The authors argue that surgical treatments, being based on a unified pathophysiology of decompression, are not comparable to the diverse non-surgical treatments like splinting and local corticosteroid injections, which only some have substantial evidence backing their effectiveness. They reference their own study showing equal effectiveness of surgery and corticosteroid injections in the short term, but a long-term advantage for surgery, despite a significant number of non-surgical cases not requiring further treatment.
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Khan JHR, Sharif Z, Sajid M, Ikram M, Mahmood U, Yousaf F. Long-Term Outcomes of Non-surgical versus Surgical Treatment for Carpal Tunnel Syndrome: An Observational Cohort Study. JHRR [Internet]. 2023 Dec. 31 [cited 2024 Jan. 11];3(2):1178-83. https://jhrlmc.com/index.php/home/article/view/309
Pace V, Marzano F, Placella G. Update on surgical procedures for carpal tunnel syndrome: What is the current evidence and practice? What are the future research directions? World J Orthop. 2023 Jan 18;14(1):6-12. doi: 10.5312/wjo.v14.i1.6. PMID: 36686281; PMCID: PMC9850791. https://www.wjgnet.com/2218-5836/full/v14/i1/6.htm
Ly-Pen D, Andréu JL, de Blas G, Sánchez-Olaso A, Millán I. Surgical decompression versus local steroid injection in carpal tunnel syndrome: a one-year, prospective, randomized, open, controlled clinical trial. Arthritis Rheum. 2005;52(2):612-9. doi:10.1002/art.20767. https://onlinelibrary.wiley.com/doi/epdf/10.1002/art.20767
Ly-Pen D, Andréu JL, Millán I, de Blas G, Sánchez-Olaso A. Comparison of surgical decompression and local steroid injection in the treatment of carpal tunnel syndrome: 2-year clinical results from a randomized trial. Rheumatology. 2012;51(8):1447-54. doi:10.1093/rheumatology/kes053. https://academic.oup.com/rheumatology/article/51/8/1447/1842518?login=false
Ly-Pen D, Andreu JL, Millán I, de Blas G, Sánchez-Olaso A. Long-term outcome of local steroid injections versus surgery in carpal tunnel syndrome: observational extension of a randomized clinical trial. Hand. 2022;17(4):639-45. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9274889/pdf/10.1177_1558944720944263.pdf
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Copyright (c) 2024 Domingo Ly-Pen, Diana Ly-Liu, José-Luis Andréu
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