Faut-il reconstruire le rétinaculum des fléchisseurs (retinaculum flexorum) dans le canal carpien ?

Savornin, C.; Boabighi, A.; Tchenio, Philippe; Raimbeau, G.; Fouque, Pierre-Alain; Apard, Thomas; Regnard, P.J.; Hoël, Gérard

doi:10.1016/j.main.2010.09.023

Cited by 9 publications

(1 citation statement)

References 43 publications

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“… 28 Reconstruction of the flexor retinaculum: the aim is to reduce the duration of loss of strength after the surgery, the risk of subluxation of the flexors of the fingers and the presence of spinal pain. Several techniques have been proposed, 29 using Z-plasty, VY, zigzag incisions with dome sutures, radial tabs from a proximal pedicle or the plasty of Jakab et al 30 (which was the method preferred by Foucher et al 31 ), with vertex sutures using a flap from a distal radial pedicle and another from an ulnar pedicle, plasty and folding of the flexor retinaculum. Only one methodologically satisfactory paper on patients with bilateral carpal tunnel syndrome has been published, and it did not show any difference between those who were operated classically and those who underwent stretching of the flexor retinaculum.…”

Section: Treatmentmentioning

confidence: 99%

Carpal tunnel syndrome – Part II (treatment)

Chammas¹,

Boretto

Burmann

et al. 2014

Revista Brasileira de Ortopedia (English Edition)

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The treatments for non-deficit forms of carpal tunnel syndrome (CTS) are corticoid infiltration and/or a nighttime immobilization brace. Surgical treatment, which includes sectioning the retinaculum of the flexors (retinaculotomy), is indicated in cases of resistance to conservative treatment in deficit forms or, more frequently, in acute forms. In minimally invasive techniques (endoscopy and mini-open), and even though the learning curve is longer, it seems that functional recovery occurs earlier than in the classical surgery, but with identical long-term results. The choice depends on the surgeon, patient, severity, etiology and availability of material. The results are satisfactory in close to 90% of the cases. Recovery of strength requires four to six months after regression of the pain of pillar pain type. This surgery has the reputation of being benign and has a complication rate of 0.2–0.5%.

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