{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,1]],"date-time":"2026-08-01T19:20:22Z","timestamp":1785612022164,"version":"3.56.0"},"reference-count":28,"publisher":"British Editorial Society of Bone & Joint Surgery","issue":"2","license":[{"start":{"date-parts":[[2015,2,1]],"date-time":"2015-02-01T00:00:00Z","timestamp":1422748800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/online.boneandjoint.org.uk\/TDM"}],"content-domain":{"domain":["online.boneandjoint.org.uk"],"crossmark-restriction":true},"short-container-title":["The Bone &amp; Joint Journal"],"published-print":{"date-parts":[[2015,2]]},"abstract":"<jats:p> We report a new surgical technique of open carpal tunnel release with subneural reconstruction of the transverse carpal ligament and compare this with isolated open and endoscopic carpal tunnel release. <\/jats:p><jats:p> Between December 2007 and October 2011, 213 patients with carpal tunnel syndrome (70 male, 143 female; mean age 45.6 years; 29 to 67) were recruited from three different centres and were randomly allocated to three groups: group A, open carpal tunnel release with subneural reconstruction of the transverse carpal ligament (n = 68); group B, isolated open carpal tunnel release (n = 92); and group C, endoscopic carpal tunnel release (n = 53). <\/jats:p><jats:p> At a mean final follow-up of 24 months (22 to 26), we found no significant difference between the groups in terms of severity of symptoms or lateral grip strength. Compared with groups B and C, group A had significantly better functional status, cylindrical grip strength and pinch grip strength. There were significant differences in Michigan Hand Outcome scores between groups A and B, A and C, and B and C. Group A had the best functional status, cylindrical grip strength, pinch grip strength and Michigan Hand Outcome score. <\/jats:p><jats:p> Subneural reconstruction of the transverse carpal ligament during carpal tunnel decompression maximises hand strength by stabilising the transverse carpal arch. <\/jats:p><jats:p> Cite this article: Bone Joint J 2015;97-B:221\u20138 <\/jats:p>","DOI":"10.1302\/0301-620x.97b2.34423","type":"journal-article","created":{"date-parts":[[2015,1,27]],"date-time":"2015-01-27T15:12:29Z","timestamp":1422371549000},"page":"221-228","update-policy":"https:\/\/doi.org\/10.1302\/crossmark-policy","source":"Crossref","is-referenced-by-count":22,"title":["Carpal tunnel release with subneural reconstruction of the transverse carpal ligament compared with isolated open and endoscopic release"],"prefix":"10.1302","volume":"97-B","author":[{"given":"X.","family":"Zhang","sequence":"first","affiliation":[{"name":"The Second Hospital of Qinhuangdao, Changli, Qinhuangdao, Hebei, 066600, China."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Y.","family":"Li","sequence":"additional","affiliation":[{"name":"Shanhaiguan Bridge Plant Hospital, Qinhuangdao, Hebei, 066200, China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"S.","family":"Wen","sequence":"additional","affiliation":[{"name":"The Second Hospital of Qinhuangdao, Changli, Qinhuangdao, Hebei, 066600, China."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"H.","family":"Zhu","sequence":"additional","affiliation":[{"name":"The Second Hospital of Qinhuangdao, Changli, Qinhuangdao, Hebei, 066600, China."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"X.","family":"Shao","sequence":"additional","affiliation":[{"name":"Third Hospital of Hebei Medical University, Shijizhuang, Hebei, 050051, China."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Y.","family":"Yu","sequence":"additional","affiliation":[{"name":"Third Hospital of Hebei Medical University, Shijizhuang, Hebei, 050051, China."}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"42","reference":[{"key":"r1","doi-asserted-by":"publisher","DOI":"10.1136\/oem.54.7.519"},{"key":"r2","doi-asserted-by":"publisher","DOI":"10.1142\/S0218810413500238"},{"key":"r3","doi-asserted-by":"publisher","DOI":"10.1002\/jor.22462"},{"key":"r4","doi-asserted-by":"publisher","DOI":"10.1097\/SAP.0b013e3181d9ab44"},{"key":"r5","doi-asserted-by":"publisher","DOI":"10.1016\/J.JHSB.2004.01.011"},{"key":"r6","doi-asserted-by":"publisher","DOI":"10.1177\/0309364613490440"},{"key":"r7","doi-asserted-by":"publisher","DOI":"10.1007\/s11552-012-9413-5"},{"key":"r8","first-page":"53","volume":"49","author":"Ansari NN","year":"2009","journal-title":"Electromyogr Clin Neurophysiol"},{"key":"r9","doi-asserted-by":"publisher","DOI":"10.1002\/jor.21090"},{"key":"r10","doi-asserted-by":"publisher","DOI":"10.1053\/jhsu.1999.0704"},{"key":"r11","doi-asserted-by":"publisher","DOI":"10.1016\/S0363-5023(96)80021-9"},{"key":"r12","doi-asserted-by":"publisher","DOI":"10.2106\/00004623-199311000-00002"},{"key":"r13","doi-asserted-by":"publisher","DOI":"10.1016\/S0363-5023(98)80042-7"},{"key":"r14","doi-asserted-by":"publisher","DOI":"10.1016\/j.clinbiomech.2010.06.019"},{"key":"r15","doi-asserted-by":"publisher","DOI":"10.1016\/0363-5023(94)90280-1"},{"key":"r16","doi-asserted-by":"publisher","DOI":"10.1016\/S0266-7681(97)80441-X"},{"key":"r17","doi-asserted-by":"publisher","DOI":"10.1016\/S0266-7681(05)80013-0"},{"key":"r18","doi-asserted-by":"publisher","DOI":"10.1016\/0749-8063(89)90084-4"},{"key":"r19","doi-asserted-by":"publisher","DOI":"10.1016\/0363-5023(89)90021-X"},{"key":"r20","doi-asserted-by":"publisher","DOI":"10.1016\/S0753-9053(84)80003-4"},{"key":"r21","doi-asserted-by":"publisher","DOI":"10.1002\/(SICI)1098-2353(1996)9:2<100::AID-CA2>3.0.CO;2-L"},{"key":"r22","doi-asserted-by":"publisher","DOI":"10.1097\/01.PRS.0000056836.14559.09"},{"key":"r23","doi-asserted-by":"crossref","unstructured":"Altissimi MCritical Appraisal of Transverse Carpal Ligament Reconstruction. 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