Kompressionssyndrome peripherer Nerven

Tackman, Wolfgang; Richter, Hans-Peter; Stöhr, Manfred

doi:10.1007/978-3-642-71768-0

Cited by 57 publications

(6 citation statements)

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“…The lesions are almost always incomplete. 90% will heal spontaneously (7,29). However, this process may take many months.…”

Section: Results Of Therapymentioning

confidence: 99%

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Iatrogenic Nerve Injuries

Antoniadis¹,

Kretschmer²,

Pedro³

et al. 2014

Deutsches Ärzteblatt International

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A thorough knowledge of the anatomy of the vulnerable nerves and of variants in their course can lessen the risk of iatrogenic nerve injury. When such injuries arise, early diagnosis and planning of further management are the main determinants of outcome. If adequate nerve regeneration does not occur, surgical revision should optimally be performed 3 to 4 months after the injury, and 6 months afterward at the latest. On the other hand, if postoperative high resolution ultrasound reveals either complete transection of the nerve or a neuroma in continuity, surgery should be performed without any further delay. If the surgeon becomes aware of a nerve transection during the initial procedure, then either immediate end-to-end suturing or early secondary management after three weeks is indicated.

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“…The lesions are almost always incomplete. 90% will heal spontaneously (7,29). However, this process may take many months.…”

Section: Results Of Therapymentioning

confidence: 99%

“…In this study the nerve lesion was associated with a surgical procedure in 94% of patients. Others have also documented that post-operative nerve lesions are most common (4)(5)(6)(7).…”

mentioning

confidence: 99%

Iatrogenic Nerve Injuries

Antoniadis¹,

Kretschmer²,

Pedro³

et al. 2014

Deutsches Ärzteblatt International

Self Cite

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“…The very good result of open carpal tunnel surgery, which means the lack of subjective and objective symptoms after decompression of median nerve, varies between 46 and 91 % [3,39].…”

Section: Discussionmentioning

confidence: 99%

Uniportal Endoscopic Surgery of Carpal Tunnel Syndrome: Technique and Clinical Results

Filippi¹,

Reisch²,

El-Shki³

et al. 2002

Minim Invasive Neurosurg

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The endoscopic carpal tunnel release is a new minimally invasive method which has been used to decompress the median nerve in the carpal tunnel for the past decade. Advantages of this method should be a decreased postoperative morbidity and earlier return to work. Preoperative complaints, postoperative results and complications of the therapy for a total of 60 patients are presented. All endoscopic releases were performed using the Agee uniportal technique. The overall success rate in our study was 56/60 (93.3 %). 47/54 (87.0 %) patients were completely free of pain after endoscopic surgery. An improvement in preoperative pain was noted in 4/54 (7.4 %) patients. Hypesthesia and dysesthesia disappeared totally in 39/46 (84.8 %) patients. An improvement of the sensible disturbances was observed in 4/46 (8.7 %) cases. 10/13 (76.9 %) preoperative pareses recovered completely, 3/13 (23.1 %) remained unchanged. The complication rate in total in our series was 4/60 (6.7 %), thereof 3 cases of post-operative infection (5 %) and one serious median nerve injury (1.7 %). The mean time for return to work was 29 days. Summing up, it may be said that monoportal endoscopic carpal tunnel release appears to be an effective and safe minimally invasive method for the treatment of carpal tunnel syndrome.

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“…Vaskuläre Symptome sind mit 1 ± 10 % der Patienten mit Armplexuskompression selten und nicht wegweisend [8,9]…”

Section: Vaskuläre Symptomeunclassified