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Selective bilateral amyotrophy of the anterior tibial muscle: A case report

โœ Scribed by Marcello Villanova; Alessandro Malandrini; Jean Pierre Louboutin; Silvia Palmeri; Federica Ginanneschi; Jan Six; Luca Volterrani; GianCarlo Guazzi

Publisher
John Wiley and Sons
Year
1997
Tongue
English
Weight
83 KB
Volume
20
Category
Article
ISSN
0148-639X

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โœฆ Synopsis

in a relatively small country like The Netherlands there is no consensus regarding the optimal treatment of CTS. This might be due to the lack of scientific evidence of the efficacy of the various treatment modalities for CTS. 3 To date, the medical literature does not support the selection of either early surgery or conservative management as the treatment of choice for CTS. Conservative management seems to be attractive because it is easily applicable and not very demanding. However, recovery might occur more quickly after early surgery, resulting in a shorter duration of the disease.

Therefore, properly designed randomized clinical trials comparing the efficacy of early surgery with conservative management (e.g., immobilization of the wrist by splinting) with a sufficient number of patients and relevant outcome measures are urgently needed to enable the selection of the best treatment option for patients with carpal tunnel syndrome.

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