الفهرس 
INTRODUCTIONOnly 14 pages are availabe for public view
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Abstract
• This study was conducted on 20 hands in 20 females all of them suffered from unilateral carpal tunnel syndrome diagnosed clinically and investigated with electro-physiological study.
• Age of the patients of this study ranged between 25 and 55 years with a mean of 40.28.9 years
• All of the patients were females, house wives and right handed.
• The duration of compliant ranged from 8 to 24 months with a mean of 14.60 5.906 months.
• The main complaint was nocturnal paraesthesia was present in 18 hands (90%). pain at work, 17 hands (85%). While constant paraesthesia was present only in 7 hands (35%). Tinel’s sign was positive in 100% of hands, Phalen sign was positive in 72.5% of hands and direct compression test was positive in 100% of hands.
• Median nerve entrapment was confirmed by electrophysiological studies that showed motor delay in all cases.
• Medical treatment in the form of non steroidal anti-inflammatory drugs was tried in all cases without appreciated improvement.
• Surgical decompression was done by slitting the flexor retinaculum by limited palmar approach (LPA) in 20 hands.
• The period of follow up was 24 weeks.
• There were no complications from the surgery.
• Postoperative DML after 24 months showed good improvment.
• The end result was not influenced by age.
• The end result was influenced by the duration of complaint, the longer the duration the worse was the end results.
• Nocturnal paraesthesia was significantly improved two weeks post-operatively.