Talk:Carpal tunnel surgery

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Wiki Education Foundation-supported course assignment[edit]

This article was the subject of a Wiki Education Foundation-supported course assignment, between 4 March 2019 and 29 March 2019. Further details are available on the course page. Student editor(s): Emersonbryant. Peer reviewers: MJBinSF.

Above undated message substituted from Template:Dashboard.wikiedu.org assignment by PrimeBOT (talk) 18:41, 17 January 2022 (UTC)[reply]

Comments[edit]

what happens to the tranverse carpal ligament after it has been cut . does it heal or does it just stay flapping around ????? — Preceding unsigned comment added by 82.33.64.72 (talkcontribs) 06:58, 2 September 2013 (UTC)[reply]

The cut edges scar to the surrounding tissues. --Manthony121 (talk) 02:22, 14 January 2014 (UTC)[reply]

UCSF Peer Review Feedback (Winter 2019)[edit]

This article has been edited and updated as part of the UCSF WikiMedicine elective (Winter 2019 course). This post reflects peer review feedback for the working version of the updated article.

Overall impressions & Global comments:

  • Terrific improvements over prior version! Great job explaining a complicated and technical topic in non-technical language. Overall I think the draft is excellent and does a good job of providing the average Wikipedia user with a basic understanding of this topic. I also recognize this (like almost every Wiki article) is a work in progress and will continue to evolve. The following constructive feedback is offered purely for your consideration and I would defer to your judgment/expertise regarding any of my comments.
  • Any specific contraindications? If so, perhaps consider adding a short Contraindications section (see Manual of Style for surgical procedures).
  • Consider adding “Recovery/Rehabilitation” section. Recommended by Manual of Style, but also appropriate here because I imaging this will be important to people researching this topic who are considering undergoing this procedure.
  • This is just a style point, but I love Wikipedia pages that have lots of hyperlinks so you can really go down a rabbit hole and educate yourself thoroughly on whatever topic you’re interested in. With that in mind, I would suggest including links for anatomical terms, medications, etc that are referenced in the article that the average layperson may not be familiar with. For example, in the Indications section, you could add links for “median nerve,” “denervation,” “splinting,” “corticosteroids,” “abductor pollicis brevis,” and “sensory loss,” all of which have their own Wikipedia pages. The same is true for these types of terms that are used elsewhere in the article.
  • Another global comment, and also probably a style point: I’ve seen some Wikipedia pages that have citations after every sentence, and others that only have citations at the end of a paragraph (often in a string cite with multiple references cited). Generally, it seems like having citations at the end of each sentence is more helpful for the reader, because then you know which statement is supported by which source. There are a couple of places in the article where a few uncited sentences are followed by a string cite to multiple sources (e.g., TCTR section under Technique, and 1st paragraph of Risks & Complications). It might be helpful to break up those string cites and instead include the relevant citation at the end of each sentence.

Lede:

  • Do you have a source you can cite for the first sentence?
  • Great job defining “static” numbness, but considering the audience for this article, you might want to consider avoiding use of static altogether – e.g., “constant (as opposed to occasional) numbness” or something like that.

Indications:

  • Consider defining AAOS (“according to American Academy of Orthopaedic Surgeons (AAOS) guidelines…”), and adding hyperlink to AAOS Wikipedia page.
  • Consider replacing “chronicity” and “idiopathic” with less technical substitutes (e.g., for chronicity, maybe something like “how long the person has had symptoms” or something along those lines).

Technique:

Intro paragraph:

  • Because you later describe the TCTR and CTRMTA techniques, it might be helpful to explain where these fit in to the overall scheme. Right now it just says there are “two major types of surgery,” open and endoscopic, and doesn’t mention TCTR or CTRMTA.
  • Recommend adding citations for uncited sentences (see global comments above).

Open surgery:

  • Consider changing section header to “Open carpal tunnel release” so it is consistent with the “two major types of surgery” described in the intro paragraph above (otherwise, a layperson may be confused re whether “open carpal tunnel release” is the same thing as “open surgery”).
  • Any citation for 1st sentence?

Endoscopic carpal tunnel release:

  • Any important examples of the studies that are mentioned in the last sentence of paragraph 1? If so, would be helpful to cite them.
  • Also, would recommend adding citations for the second paragraph if you have supporting sources.

Thread carpal tunnel release:

  • Consider adding citations for uncited sentences (see global comments above).

Carpal tunnel release through mini transverse approach (CTRMTA):

  • Looks great!

Risks & Complications:

  • Because you describe data re outcomes, might be helpful to rename this section Outcomes, Risks & Complications, just so people know to look there for outcomes (they’ll see the word “outcomes” in the table of contents).
  • Consider adding citations for uncited sentences (see global comments above).

Surgical Method:

  • Is this section different than technique? If so, it might be helpful to explain how it's different. On the other hand, if it is essentially the same thing, consider removing it or folding it into the Technique section/discussion.

Research:

  • See global comments re citing every sentence vs at end of paragraph.

Again, terrific job on improving this page. It is a really great resource for anyone interested in this topic, and especially for people who want to learn about this because they are considering undergoing this procedure or know someone who is. Great job! — Preceding unsigned comment added by MJBinSF (talkcontribs) 21:11, 24 March 2019 (UTC)[reply]