Grip Strength and Carpal Tunnel: What Interest in Management

Carpal tunnel syndrome (CTS) is one of the most common musculoskeletal disorders of the upper extremity. Initial treatment, indicated in sensitive forms, is generally nonoperative, with the strongest evidence supporting bracing/splinting. Strong evidence supports operative treatment, in motor forms, regardless of technique, as superior to nonoperative treatment. Severity of motor forms of CTS depend of clinicals (MRC score, amyotrophy) and Electroneuromyography aspects (motor latency, potential amplitudes and reduced trans-carpal motor velocities. In those forms, therapeutics decisions are difficults according to electroneuromyography aspects and clinicals symptoms come late. Some authors retained that an abnormal ENMG is an indication of surgical treatment.