{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,21]],"date-time":"2026-08-21T08:24:28Z","timestamp":1787300668930,"version":"build-2736575974"},"reference-count":17,"publisher":"SAGE Publications","license":[{"start":{"date-parts":[[2026,8,17]],"date-time":"2026-08-17T00:00:00Z","timestamp":1786924800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"funder":[{"name":"Department of Surgery Internal Research Fund, Western University."}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["J Hand Surg Eur Vol"],"abstract":"<jats:sec>\n                    <jats:title>Introduction:<\/jats:title>\n                    <jats:p>Carpal tunnel syndrome may occur in association with distal radial fractures, and decompression is sometimes considered at the time of fixation. The flexor carpi radialis approach used for anterior plating may allow decompression without extending the incision into the palm. This study compared intracarpal canal pressure reduction achieved through this approach and the standard technique.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods:<\/jats:title>\n                    <jats:p>Twelve fresh-frozen upper extremities were studied. Within each pair, one limb underwent carpal tunnel release through the flexor carpi radialis approach and the contralateral limb through a standard open palmar incision. A balloon-tipped catheter connected to a pressure transducer was inserted proximal to the wrist crease and advanced distally to measure pressure at 5\u2009mm intervals. The peak-pressure site was identified and used for measurements in the neutral position and during wrist flexion and extension. Measurements were obtained before and after release. Final dissection assessed completeness of release and iatrogenic injury.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>Pressure increased distally, peaking at 114 (SD 70) mmHg approximately 29 (SD 5) mm distal to the wrist crease, near the hook of the hamate. Pressure increased with both flexion and extension, with higher values in extension (201 (SD 12) mmHg) than flexion (133 (SD 17) mmHg,). Both techniques reduced pressure in the neutral position by approximately 75\u201385\u2009mmHg. Complete release was confirmed in all specimens without tendon or nerve injury.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion:<\/jats:title>\n                    <jats:p>The flexor carpi radialis approach provides pressure reduction comparable to the standard open technique and may allow decompression without a separate palmar incision.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/17531934261472374","type":"journal-article","created":{"date-parts":[[2026,8,17]],"date-time":"2026-08-17T12:24:24Z","timestamp":1786969464000},"update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":0,"title":["Carpal tunnel decompression through the flexor carpi radialis approach: a cadaveric comparative study"],"prefix":"10.1177","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-5690-631X","authenticated-orcid":false,"given":"Francesc","family":"Marcano-Fern\u00e1ndez","sequence":"first","affiliation":[{"name":"Hand Surgery Department, Parc Taul\u00ed Hospital Universitari, Institut d\u2019Investigaci\u00f3 i Innovaci\u00f3 Parc Taul\u00ed I3PT, Universitat Aut\u00f2noma de Barcelona, Barcelona, Spain"},{"name":"Schulich School of Medicine and Dentistry, University of Western Ontario, Roth|McFarlane Hand and Upper Limb Centre, London, Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0003-9713-1225","authenticated-orcid":false,"given":"Maxwell","family":"Campbell","sequence":"additional","affiliation":[{"name":"Bioengineering Research Laboratory, Roth|McFarlane Hand and Upper Limb Centre, St Joseph\u2019s Health Care London, Canada"},{"name":"Department of Mechanical and Materials Engineering, University of Western Ontario, London, Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-7861-9231","authenticated-orcid":false,"given":"Ron","family":"Gurel","sequence":"additional","affiliation":[{"name":"Schulich School of Medicine and Dentistry, University of Western Ontario, Roth|McFarlane Hand and Upper Limb Centre, London, Canada"},{"name":"Department of Orthopedic Surgery, Tel Aviv Sourasky Medical Center, affiliated with the Faculty of Medicine, Tel Aviv University, Israel"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-8164-0605","authenticated-orcid":false,"given":"G Daniel","family":"Langohr","sequence":"additional","affiliation":[{"name":"Bioengineering Research Laboratory, Roth|McFarlane Hand and Upper Limb Centre, St Joseph\u2019s Health Care London, Canada"},{"name":"Department of Mechanical and Materials Engineering, University of Western Ontario, London, Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-6614-9161","authenticated-orcid":false,"given":"Ruby","family":"Grewal","sequence":"additional","affiliation":[{"name":"Schulich School of Medicine and Dentistry, University of Western Ontario, Roth|McFarlane Hand and Upper Limb Centre, London, Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-6806-8138","authenticated-orcid":false,"given":"Assaf","family":"Kadar","sequence":"additional","affiliation":[{"name":"Schulich School of Medicine and Dentistry, University of Western Ontario, Roth|McFarlane Hand and Upper Limb Centre, London, Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2026,8,17]]},"reference":[{"key":"e_1_3_3_2_1","article-title":"Incidence of carpal tunnel syndrome after distal radius fracture","volume":"4","author":"Cooke ME","year":"2022","unstructured":"Cooke ME, Gu A, Wessel LE, Koo A, Osei DA, Fu DT. Incidence of carpal tunnel syndrome after distal radius fracture. J Hand Surg Glob Online. 2022, 4: 324\u20137.","journal-title":"J Hand Surg Glob Online"},{"key":"e_1_3_3_3_1","doi-asserted-by":"publisher","DOI":"10.3928\/01477447-20230407-06"},{"key":"e_1_3_3_4_1","doi-asserted-by":"publisher","DOI":"10.3758\/BRM.41.4.1149"},{"key":"e_1_3_3_5_1","article-title":"Single-incision carpal tunnel release and distal radius open reduction and internal fixation: a cadaveric study","volume":"5","author":"Gaspar MP","year":"2016","unstructured":"Gaspar MP, Sessions BA, Dudoussat BS, Kane PM. Single-incision carpal tunnel release and distal radius open reduction and internal fixation: a cadaveric study. J Wrist Surg. 2016, 5: 241\u20136.","journal-title":"J Wrist Surg"},{"key":"e_1_3_3_6_1","doi-asserted-by":"publisher","DOI":"10.2106\/00004623-198163030-00009"},{"key":"e_1_3_3_7_1","doi-asserted-by":"publisher","DOI":"10.1177\/1558944718825137"},{"key":"e_1_3_3_8_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jhsa.2010.03.043"},{"key":"e_1_3_3_9_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.aanat.2018.05.002"},{"key":"e_1_3_3_10_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0363-5023(97)80119-0"},{"key":"e_1_3_3_11_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00590-021-02975-5"},{"key":"e_1_3_3_12_1","doi-asserted-by":"publisher","DOI":"10.1002\/jor.22571"},{"key":"e_1_3_3_13_1","article-title":"Prophylactic carpal tunnel release during volar plating of distal radius fractures: a review","volume":"6","author":"Parikh HB","year":"2024","unstructured":"Parikh HB, Simon VC, Kuschner SH. Prophylactic carpal tunnel release during volar plating of distal radius fractures: a review. J Hand Surg Glob Online. 2024, 6: 631\u20135.","journal-title":"J Hand Surg Glob Online"},{"key":"e_1_3_3_14_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jhsa.2009.11.011"},{"key":"e_1_3_3_15_1","doi-asserted-by":"publisher","DOI":"10.1002\/jor.20599"},{"key":"e_1_3_3_16_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jhsa.2015.07.001"},{"key":"e_1_3_3_17_1","doi-asserted-by":"publisher","DOI":"10.1053\/mr.2000.3856"},{"key":"e_1_3_3_18_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0363-5023(05)80191-1"}],"container-title":["Journal of Hand Surgery (European Volume)"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/17531934261472374","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/full-xml\/10.1177\/17531934261472374","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/17531934261472374","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,8,21]],"date-time":"2026-08-21T07:50:17Z","timestamp":1787298617000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1177\/17531934261472374"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,8,17]]},"references-count":17,"alternative-id":["10.1177\/17531934261472374"],"URL":"https:\/\/doi.org\/10.1177\/17531934261472374","relation":{},"ISSN":["1753-1934","2043-6289"],"issn-type":[{"value":"1753-1934","type":"print"},{"value":"2043-6289","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,8,17]]},"article-number":"17531934261472374"}}