DOI: 10.30565/medalanya.1962056 ISSN: 2587-0319

Association of Preoperative EMG Severity With Clinical Outcomes After Mini-Open Carpal Tunnel Release in Moderate and Severe Carpal Tunnel Syndrome

Tahir Burak Sarıtaş, Muhammed Halit Yücel, Berkehan Paşaoğlu, Soner Kocak, Mustafa Çalışkan, Cemil Ertürk
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Aim: Carpal tunnel release generally improves symptoms across electrodiagnostic severity groups, but whether preoperative electromyography (EMG) severity is associated with residual postoperative symptoms remains uncertain. This study evaluated this association after mini-open carpal tunnel release.Methods: This single-center retrospective cohort included 112 adults with moderate (n=51) or severe (n=61) EMG-reported median nerve involvement who underwent mini-open release between January 2022 and January 2024 and had at least 12 months of follow-up. The presence or absence of residual numbness/paresthesia, residual pain, nocturnal symptoms, reoperation, and complications was assessed at final follow-up. Groups were compared using Fisher’s exact test; exploratory univariable logistic regression was limited to numbness/paresthesia and pain. A post hoc Bonferroni sensitivity analysis for five outcomes used p

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