Carpal tunnel release by mini palmar incision

Pataradool, Kawee; Kitidumrongsook, Pravit; Patradul, Adisorn

doi:10.5372/1905-7415.0501.017

Cited by 3 publications

(6 citation statements)

References 22 publications

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“…The aim in both of these procedures is to decrease pillar pain or scar tenderness. It was reported that outcomes were similar to those of the endoscopic approach [5, 9]. In a study comparing limited palmar incision with conventional technique, authors concluded that limited palmar incision is as effective and safe as conventional technique.…”

Section: Discussionmentioning

confidence: 89%

“…However, in midpalmar incision, ligament is cut distally to proximally [5, 9, 28–30]. The aim in both of these procedures is to decrease pillar pain or scar tenderness.…”

Section: Discussionmentioning

confidence: 99%

“…Endoscopic procedures for CTS were firstly used in 1989 and aimed at the advantage of decreased postoperative pain and faster return of patients to their work [ 9 – 11 ]. However, in a randomized controlled study which is comparing endoscopic surgery with open surgery for CTS, Atroshi et al reported that endoscopic surgery was associated with less postoperative pain.…”

Section: Discussionmentioning

confidence: 99%

“…Also, injury to the superficial palmar arch or median or ulnar nerve was been reported in the literature [ 5 , 11 , 13 – 21 ]. Additionally, endoscopic procedures require costly equipment, technical support, and prolonged operative setup time [ 9 ].…”

Section: Discussionmentioning

confidence: 99%

“…Wrist-incision technique is performed with a incision which is 1 cm above distal wrist crease and transverse carpal ligament is cut blindly from proximal to distal end. However, in midpalmar incision, ligament is cut distally to proximally [ 5 , 9 , 28 – 30 ]. The aim in both of these procedures is to decrease pillar pain or scar tenderness.…”

Section: Discussionmentioning

confidence: 99%

See 4 more Smart Citations

A Retrospective Comparison of Conventional versus Transverse Mini-Incision Technique for Carpal Tunnel Release

Gülşen

Evcılı³

et al. 2013

ISRN Neurology

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Background. In this retrospective study, we aimed to compare the results of two surgical techniques, conventional and transverse mini-incision. Materials and Methods. 95 patients were operated between 2011 and 2012 in Bitlis State Hospital. 50 patients were operated with conventional technique and 45 of them were operated with minimal transverse incision. Postoperative complications, incision site problems, and the time of starting to use their hands in daily activities were noted. Results. 95 patients were included in the study. The mean age was 48. 87 of them were female and 8 were male. There was no problem of incision site in both of the two surgical techniques. Only in one patient, anesthesia developed in minimal incision technique. The time of starting to use their hands in daily activities was 22,2 days and 17 days in conventional and minimal incision technique, respectively. Conclusion. Two surgical techniques did not show superiority to each other in terms of postoperative complications and incision site problems except the time of starting to use their hands in daily activities.

show abstract

Section: Discussionmentioning

confidence: 89%

“…However, in midpalmar incision, ligament is cut distally to proximally [5, 9, 28–30]. The aim in both of these procedures is to decrease pillar pain or scar tenderness.…”

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

See 3 more Smart Citations

A Retrospective Comparison of Conventional versus Transverse Mini-Incision Technique for Carpal Tunnel Release

Gülşen

Evcılı³

et al. 2013

ISRN Neurology

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Case report: Ultrasound-guided needle knife technique for carpal ligament release in carpal tunnel syndrome treatment

Sun,

Zou,

et al. 2023

Front. Neurol.

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Carpal tunnel syndrome (CTS) is a common peripheral neuropathy of the hand, mainly manifesting as sensory disturbances, motor dysfunctions, and pain in the fingers and hand. The pathogenesis of the disease is associated with fibrosis of the transverse carpal ligament in the carpal tunnel, which compresses median nerve. In our case, we demonstrate an ultrasound-guided needle knife technique to treat CTS. We guided the patient to a supine position on the examination table. The skin of the wrist area was sterilized for the procedure. After the skin was dry, we positioned sterile drapes, located the median nerve and compression, and marked the compression point. Local anesthesia was administered. An ultrasound-guided needle knife was inserted. The needle knife was advanced under ultrasound guidance. The carpal ligament was incised. A gradual release of pressure on the median nerve was observed on the ultrasound monitor. After treatment, the patient’s finger sensation and motor function can significantly improve, and pain symptoms are markedly reduced, this case demonstrates that small needle-knife treatment can serve as a safe and effective minimally invasive therapeutic method.

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Comparison of clinical outcomes between open and modified endoscopic release for carpal tunnel syndrome

et al. 2021

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The aim of the present study was to investigate a novel technology, requiring only a single portal and no special equipment, to perform endoscopic treatment of carpal tunnel (CT) syndrome (CTS). This novel technique involves a surgical approach and standard operating procedures and is designed to minimize the potential for complications. Patients with CTS were randomly assigned using a computer-generated random allocation and stratified by site to either the modified endoscopic CT release (MECTR) group ( n=48) or open CT release (OCTR) group (n=46). Various medical indexes were compared between the two groups, including operative time, hospitalization time, the time required to resume a normal life or work, intraoperative complications, incision infection rate, the amelioration of symptoms (Kelly grading), post-operative scar pain score, recovery of grip strength and pinch strength, two-point discrimination and the presence of sympathetic dystrophy. The results revealed that all patients had grade A wound healing and the symptoms were completely relieved. No significant differences were observed between the two groups with regards to the incision infection rate, intra operative complications, grip strength, pinch strength, two-point discrimination, presence of sympathetic dystrophy and clinical symptom amelioration. In addition, compared with the OCTR group, the MECTR group had a decreased operative and hospitalization time, post-operative scar pain score and time required to resume a normal lifestyle. Post-operative electromyographic examination also revealed that the median nerve sensory conduction speed increased compared with that prior to surgery in both groups. In conclusion, the use of MECTR for the treatment of CTS achieved higher patient satisfaction, a shorter operative time and hospitalization time, an earlier return to work time or resumption of a normal life, as well as less post-operative scar pain compared with OCTR. Thus, these results suggested that MECTR may be an effective method for the treatment of idiopathic CTS. Trial registration no. ChiCTR2000041165, retrospectively registered 20th December 2020.

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Carpal tunnel release by mini palmar incision

Cited by 3 publications

References 22 publications

A Retrospective Comparison of Conventional versus Transverse Mini-Incision Technique for Carpal Tunnel Release

A Retrospective Comparison of Conventional versus Transverse Mini-Incision Technique for Carpal Tunnel Release

Case report: Ultrasound-guided needle knife technique for carpal ligament release in carpal tunnel syndrome treatment

Comparison of clinical outcomes between open and modified endoscopic release for carpal tunnel syndrome

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