Treatment of Carpal Tunnel Syndrome

Carpal tunnel syndrome (CTS) is well known to occur in patients on hemodialysis. We have treated 20 cases (29 wrists) during the last four years. We analysed clinical symptoms, sings, surgical results and pathological findings.We found numbness or hypesthesia in all cases and spontaneous pain of fingers in 24 cases (83%). Surgical decompression of the median nerve by sectioning of the transverse carpal ligament was done in all cases. At the operation, we found thickening of the transverse carpal ligament. Amyloid deposits was found in the transverse carpal ligament as pathological findings. We consider that thickening of the transverse carpal tunnel ligament by amiloid deposits is the main factor of the cause of CTS.