Post-burn carpal tunnel syndrome: A systematic review.
Carpal tunnel syndrome diagnosis was delayed a mean of 137.5 days in burn patients.
Post-burn carpal tunnel syndrome: A systematic review.
The aim of this study is to evaluate, through a review of the literature, the specificities of the management of mononeuropathy of the median nerve at the wrist occurring at a distance from the burn injury.
We included all articles that mentioned nerve injury associated with burns and excluded those that did not address the median nerve or in which the median nerve was the subject of early release.
diagnosis was delayed over four months on average, worsening nerve outcomes
Thirteen articles met the inclusion criteria and were reviewed.
The majority of these involved electrical and thermal burns, with TBSA ranging from 2% to 65%.
The affected population was young (36.7 years) and predominantly male.
Diagnostic electromyography was not always performed.
Carpal tunnel syndrome can have significant functional consequences in burn patients because it is often overlooked and treated late.
Early clinical and electromyographic diagnosis is essential to ensure surgical management before irreversible intra-neural injury occurs.
Ultrasound could be useful for the early detection of signs of median nerve injury at the wrist when electromyography is not possible, and to verify the absence of another associated etiology in the development of carpal tunnel syndrome after burns.