A Comparison of Two Limited Open Techniques for Carpal Tunnel Release

Żyluk, Andrzej; Strychar, Jarosław

doi:10.1016/j.jhsb.2006.05.017

Cited by 40 publications

(34 citation statements)

References 11 publications

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“…During moderate to severe stages, surgical treatment is indicated. This can be performed either in the conventional way or endoscopically [20,21]. In both procedures the median nerve is decompressed through the opening of the flexor retinaculum.…”

Section: The Carpal Tunnel Syndromementioning

confidence: 99%

Osteoarticular complications related to HIV infection and highly active antiretroviral therapy

Lima¹,

Zumiotti²,

Camanho³

et al. 2007

Braz J Infect Dis

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With the significant increase in life expectancy for HIV-infected patients in the era of high potency antiretroviral therapy, major metabolic changes have been observed due to the prolonged period of the viral infection and the treatment itself. Osteoarticular changes resulting from these processes are mainly reported in long term HIVinfected patients receiving high potency antiretroviral therapy and include osteopenia/osteoporosis, osteonecrosis, carpal tunnel syndrome and adhesive capsulitis of the shoulder.

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Section: The Carpal Tunnel Syndromementioning

confidence: 99%

Osteoarticular complications related to HIV infection and highly active antiretroviral therapy

Lima¹,

Zumiotti²,

Camanho³

et al. 2007

Braz J Infect Dis

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show abstract

“…The advantages and disadvantages of the above techniques are a matter of debate, but their common goal is to release the median nerve by completely transecting the flexor retinaculum (FR) [5][6][7][8][9][10] . Whatever the technique, important structures such as the palmar cutaneous, recurrent motor and digital branches of the median nerve and the ulnar nerve, the superficial palmar arch and tendons must be protected during the operation 9 .…”

mentioning

confidence: 99%

Carpal tunnel syndrome: treatment with small transverse incision

Kaleff

Lima

Fernandes

et al. 2010

Arq. Neuro-Psiquiatr.

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Objective: To evaluate the application of a limited transverse incision technique to treat the carpal tunnel syndrome, with concern to its safety and efficacy in the opening of the flexor retinaculum (FR). Method: A prospective analysis of thirty FR release procedures performed on twenty-eight patients subjected to the proposed incision technique. Safety and total opening of the FR were evaluated through a questionnaire and an endoscopic inspection respectively. results: No major complications were observed. Two cases presented small local hematoma. One patient presented with transient neuropraxia of digital branch. In two of the first five cases, incomplete FR opening was identified during endoscopic revision with need of complementary opening. All patients reported relief of paresthesias and nocturnal pain symptoms. conclusion: The technique was safely performed on the prospection group, no major complications were detected and the opening of FR was observed in the majority of the patients. Key words: carpal tunnel syndrome, surgical procedures, minimally invasive, safety.Utilização de técnica de incisão transversal mínima no tratamento da síndrome do túnel do carpo resUMO Objetivo: Avaliação de técnica de incisão limitada no tratamento da síndrome do túnel do carpo, quanto à segurança clínica e efetividade na abertura do Retináculo Flexor (RF). Método: Estudo prospectivo de trinta procedimentos realizados em vinte e oito pacientes submetidos a técnica com incisão transversa mínima. A segurança da técnica e a abertura total do RF foram avaliadas através de questionário baseado em observações clinicas e inspeção endoscópica, respectivamente. resultados: Não foram observadas complicações maiores. Um único paciente apresentou neuropraxia de nervo interdigital. Dois pacientes apresentaram hematoma local pequeno. Em dois dos cinco primeiros casos observou-se uma abertura incompleta do RF, sendo necessária abertura complementar. Todos os pacientes apresentaram melhora do quadro clínico de dor noturna e parestesias. conclusão: A técnica foi executada com segurança no grupo analisado, sem a ocorrência de complicações graves, e com abertura do RF na quase totalidade dos casos. Palavras-chave: síndrome do túnel do carpo, cirurgia, minimamente invasiva, segurança.

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“…4,6 Other surgeons advocate mini-open incisions. 7,8 We present our early experience using the MANOS device (Thayer Intellectual Property, Inc., San Francisco, CA) for minimally invasive CTR. Nerve stimulation and an awake patient are the basis for avoiding nerve and tendon injury.…”

mentioning

confidence: 99%