This paper presents the authors' views and experience with operations of carpal tunnel syndrome. Because of the multifactorial etiology of the disease they cannot recommend a schematic solution using a single surgical procedure for the treatment of all patients. During an operation much depends on the local findings as well as on the neurological ones. Individual steps during an operation are analyzed and discussed with regard to their risks and the authors deal also with the asset from the aspect of causality of the approach. The authors recommend revision of the thenar branch of the median nerve. Between January 1994 and October 1996 the authors investigated 212 patients. EMG examinations were performed prior to surgery in all cases. General evaluations showed favourable postoperative results in 94% of individuals.
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