Double incision open technique for carpal tunnel release: An alternative to endoscopic release

Wilson, Kenneth M.

doi:10.1016/0363-5023(94)90088-4

Cited by 82 publications

(64 citation statements)

References 10 publications

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“…A 1-cm volar incision is made through which visualization and identification of structures can be made and the release undertaken [16,21,34,41]. This method has delivered very promising results with complications at a rate of 4.7 %, but of which there were no nerve injuries and no long-term sequelae [9,16,21,22,34,40,42]. However, no publications from 1966 through 2006, reviewing outcome of "open minimal incision" type of CTR meeting our study inclusion criteria, were found (2006 Rab et al study with bilateral CTR randomized to open on one side and two portal endoscopic on the other side which did not meet inclusive criteria of this metaanalysis, because there were only 10 patients and parameter data was in non-standard units, but essentially reaffirmed its conclusions) [32].…”

Section: Discussionmentioning

confidence: 99%

Outcomes of open and endoscopic carpal tunnel release: a meta-analysis

Kohanzadeh

Herrera²,

Dobke

2012

HAND

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Methods A meta-analysis of retrospective series of Carpal tunnel release including >20 patients, with results measuring outcomes based on at least six of the following nine parameters (paresthesia relief, scar tenderness, two-point discrimination, thenar muscle weakness, Semmes-Weinstein/SW monofilament testing, return to work time, grip and pinch strength, and complications). Results Endoscopic carpal tunnel approach showed statistically superior outcomes in eight of the nine categories investigated. Only in the category of complications (mean occurrence of 1.2 % in the open release versus 2.2 % in the endoscopic release group) was the endoscopic group inferior.Conclusion This suggests that the endoscopic release is superior to the open release, particularly in experienced hands.

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Section: Discussionmentioning

confidence: 99%

Outcomes of open and endoscopic carpal tunnel release: a meta-analysis

Kohanzadeh

Herrera²,

Dobke

2012

HAND

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“…42 Light touch, if impaired, usually returns within the first 3 months after surgery. 95 Pain that occurs following CTR is usually due to the surgical incision and pillar pain or tenderness. 51 Pillar pain occurs at the bony pillars of attachment for the transverse carpal ligament (the hook of the hamate, pisiform, scaphoid tubercle, and the ridge of the trapezium).…”

Section: Consequences Of Ctr: What To Expect Following Surgerymentioning

confidence: 99%

Conservative Interventions for Carpal Tunnel Syndrome

Michlovitz¹

2004

J Orthop Sports Phys Ther

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The assessment and conservative interventions in patients with carpal tunnel syndrome (CTS) are described in this paper. Information about surgical procedures and postoperative care has also been included. It is difficult to make definitive conclusions about the literature regarding success of treatment for CTS due to variations in outcome measures, severity of CTS, and inconsistencies in duration, dosage, and follow-up time for interventions. Based on what is known to date, this author recommends that patients with mild or moderate CTS be provided with a conservative program of splinting the wrist in neutral for nocturnal wear. In addition, intermittent exercise (nerve-gliding exercises) and activity modification, including avoidance of protracted periods of sustained gripping activities and awkward wrist positions, can be useful. This conservative program may be complemented by pain-relieving modalities during times of activity and supplemental participation in other exercise such as yoga. If symptoms are not relieved to the satisfaction of the patient, or they recur, then it is incumbent upon the therapist to refer the patient to a hand surgeon for injection or possible surgical decompression.

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“…9,12,13,17) The primary goal of limited skin incisions is to achieve better cosmetic results, lesser scar formation and decreased postoperative pain on the surface of palm. 2,8,9,12,13,16,17) As many as 24% of postoperative problems are related to skin incision. 1) Hypertrophic and/or sensitive scar formation, and tenderness are the most common sequelae.…”

Section: Discussionmentioning

confidence: 99%

“…2,8,9,13,16,17) The standard skin incision for carpal tunnel surgery runs from the wrist flexion crease, and extends curvilinearly to a point in line with the distal border of the fully extended thumb. 11) In this technique, the incision is generally placed 2 to 3 mm medial to the volar crease, in line with the long axis of the ring finger.…”

Section: Discussionmentioning

confidence: 99%

Open Median Nerve Release Using Double Mini Skin Incision in Patients With Carpal Tunnel Syndrome: Technique and Clinical Results

Çokluk

Şenel

Iyigün

et al. 2003

Neurol. Med. Chir.(Tokyo)

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Patients who undergo open carpal tunnel surgery frequently complain of the postoperative cosmetic appearance at the site of the incision on the palm. This problem occurs as a result of excessive scar formation, and the long incision. A double mini skin incision, each 1 cm long, was used in the surgical treatment of carpal tunnel syndrome. The transverse carpal ligament was easily sectioned. Postoperatively healing was good with no excessive scar formation.

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Double incision open technique for carpal tunnel release: An alternative to endoscopic release

Cited by 82 publications

References 10 publications

Outcomes of open and endoscopic carpal tunnel release: a meta-analysis

Outcomes of open and endoscopic carpal tunnel release: a meta-analysis

Conservative Interventions for Carpal Tunnel Syndrome

Open Median Nerve Release Using Double Mini Skin Incision in Patients With Carpal Tunnel Syndrome: Technique and Clinical Results

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