In Reply: Dr Bleecker states that we should
have excluded individuals with work-related CTS. We doubt that absence of
exposure to ergonomic stressors in the surgery group is the major reason for
the difference in success rates between the groups. In our study, only 28%
of the patients in the surgery group and 37% in the splint group indicated
that their complaints might have been due to their normal daily activities,
including work. Furthermore, absence from paid labor (during the whole trial)
was only 12 days on average in the surgery group.
Gerritsen AAM, de Vet HCW, Scholten RJPM, Bertelsmann FW, de Krom MCTFM, Bouter LM. Splinting vs Surgery for Carpal Tunnel SyndromeSplinting vs Surgery for Carpal Tunnel Syndrome. JAMA. 2003;289(4):420–423. doi:10.1001/jama.289.4.420-a
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