©The Author(s) 2023. Published by Baishideng Publishing Group Inc. All rights reserved.
Update on surgical procedures for carpal tunnel syndrome: What is the current evidence and practice? What are the future research directions?
Valerio Pace, Department of Trauma & Orthopaedics, AOSP Terni - University of Perugia, Terni 05100, Italy
Fabrizio Marzano, Department of Trauma & Orthopaedics, University of Perugia, Perugia 06100, Italy
Giacomo Placella, Department of Trauma and Orthopaedics, IRCSS San Raffaele Hospital, Milan 20132, Italy
Author contributions: Pace V, Marzano F, and Placella G designed the article, performed research and literature review, analyzed data and wrote the review.
Conflict-of-interest statement: All the authors declare that they have no conflict of interest.
Corresponding author: Valerio Pace, MBBS, Senior Postdoctoral Fellow, Surgeon, Department of Trauma & Orthopaedics, AOSP Terni - University of Perugia, Via Joannuccio, Terni 05100, Italy. valeriopace@doctors.org.uk
Received: September 20, 2022
Peer-review started: September 20, 2022
First decision: November 25, 2022
Revised: December 3, 2022
Accepted: December 21, 2022
Article in press: December 21, 2022
Published online: January 18, 2023
Processing time: 114 Days and 14.1 Hours
Peer-review started: September 20, 2022
First decision: November 25, 2022
Revised: December 3, 2022
Accepted: December 21, 2022
Article in press: December 21, 2022
Published online: January 18, 2023
Processing time: 114 Days and 14.1 Hours
Core Tip
Core Tip: After reviewing the most up to date literature, it could be said that evidence of superiority of one technique over the others is lacking from a high level of evidence point of view. Specific advantages and disadvantages of surgical methods can however be taken into account when choosing among treatments. The simple algorithm of leaving the choice of the surgical method to surgeons’ preference and experience (together with consideration of patients’ related factors) seem to be the best available option, which is supported by the most recent metanalysis and systematic reviews.