Microsurgical open mini uniskin incision technique in the surgical treatment of carpal tunnel syndrome

Aydın, Keramettin; Çokluk, Cengiz; Cengiz, Nilgün; Bilgici, Ayhan

doi:10.4103/0028-3886.24710

Cited by 14 publications

(19 citation statements)

References 17 publications

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“…The recurrent thenar branch of the median nerve is also at risk for possible anatomical variations. In addition, palmar arteries, especially the superficial palmar arc, may be injured (2,9). No damage to these structures occurred in any of the patients in our study.…”

Section: Discussionmentioning

confidence: 69%

Carpal Tunnel Release Experience with Minimal Wrist Incision

Kale

2018

GMJ

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Objective: Carpal tunnel syndrome (CTS) is the most common peripheral trap neuropathy resulting from compression of the median nerve in the carpal tunnel of the wrist. Open release of the transverse carpal ligament is now the most commonly used method. New techniques are being developed to avoid complications of standard long curvilinear incision. Methods: Between March 2010 and January 2016, carpal tunnel release was performed by the same surgeon with 110 minimally invasive techniques in 96 patients due to CTS. Complaints and physical examination findings were compatible with CTS and mid-to severe-severity CTS cases supported by EMG were included in the study. Results: Complaints and examination findings were recorded at the postoperative 1 st year outpatient clinics of the patients. Of the110 carpal tunnel release, in 50 patients (%45,5) total, in 45 patients (%40.9) significant, in 13 patients (%11,8) slight improvement were recorded, while no improvement was recorded in 2 patients (%1,8). They stated that 88% of the patients were satisfied with the operation and 12% were not satisfied. Visual Analog Scale (VAS) was used to evaluate pain complaints. The mean VAS score was 7,5 preoperatively and 3,2 at post-operatively 1 year follow-up. Conclusion: In patients with CTS, median nerve decompression with minimal wrist incision is an effective and reliable surgical procedure.

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Section: Discussionmentioning

confidence: 69%

Carpal Tunnel Release Experience with Minimal Wrist Incision

Kale

2018

GMJ

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“…5) Several modifications regarding the length, location, and shape of the incision for OCTR have been reported. 59–63) …”

Section: Treatmentmentioning

confidence: 99%

Importance of Recognizing Carpal Tunnel Syndrome for Neurosurgeons: A Review

Yunoki

Kanda

Suzuki

et al. 2017

Neurol. Med. Chir.(Tokyo)

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Idiopathic carpal tunnel syndrome (CTS) is a common complaint, reflecting entrapment neuropathy of the upper extremity. CTS produces symptoms similar to those of other conditions, such as cervical spondylosis or ischemic or neoplastic intracranial disease. Because of these overlaps, patients with CTS are often referred to a neurosurgeon. Surgical treatment of CTS was started recently in our department. Through this experience, we realized that neurosurgeons should have an increased awareness of this condition so they can knowledgeably assess patients with a differential diagnosis that includes CTS and cervical spinal and cerebral disease. We conducted a literature review to gain the information needed to summarize current knowledge on the clinical, pathogenetic, and therapeutic aspects of CTS. Because the optimal diagnostic criteria for this disease are still undetermined, its diagnosis is based on the patient’s history and physical examination, which should be confirmed by nerve conduction studies and imaging modalities such as magnetic resonance imaging and ultrasonography. Treatment methods include observation, medication, splinting, steroid injections, and surgical intervention. Understanding the clinical features and pathogenesis of CTS, as well as the therapeutic options available to treat it, is important for neurosurgeons if they are to provide the correct management of patients with this disease.

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“…Idiopathic carpal tunnel syndrome is the commonest one of the many entrapment neuropathies encountered by neurosurgeons in Egypt and all over the world. It was reported that idiopathic carpal tunnel syndrome accounts for more than 200,000 surgical procedures per year in the United States [1]. Also, it was reported that idiopathic carpal tunnel syndrome affects up to 1% of the general population and that surgical treatment continues to be the most effective treatment for this condition [2].…”

Section: Introductionmentioning

confidence: 99%

Endoscopic decompression of the median nerve for idiopathic Carpal tunnel syndrome

Behairy¹

2018

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Carpal tunnel syndrome is one of the commonest entrapment neuropathies. Hand pain and numbness are mostly the presenting symptoms. Endoscopic carpal tunnel release (ECTR) has been demonstrated to reduce recovery time and allow faster return to the work. The purpose of this prospective descriptive study was to evaluate the efficacy and advantages of (ECTR) through single proximal incision. In this study, the procedure was done for 36 hands in 36 patients. The results showed that females:male = 9:1, mean age was 42 years. Right hand dominance was 90% and affected in 67%. Preoperatively, the condition was moderate in 61% and severe in 39%. The average operating time was 10 minutes and the mean follow up period was 6 months with no major postoperative complications. In 8%, transient neurapraxia was found and resolved in 1 week and tenderness was found in 70% and resolved in 4 weeks. We concluded that endoscopic carpal tunnel release is an effective minimal incisional safe procedure with a high success rate, rapid return to work.

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Microsurgical open mini uniskin incision technique in the surgical treatment of carpal tunnel syndrome

Abstract: In this clinical study we used a modified skin incision (mini uni-skin incision) technique in the surgical treatment of carpal tunnel surgery. Our results revealed that mini uni-skin incision is superior from the standard incision.

Cited by 14 publications

References 17 publications

Carpal Tunnel Release Experience with Minimal Wrist Incision

Carpal Tunnel Release Experience with Minimal Wrist Incision

Importance of Recognizing Carpal Tunnel Syndrome for Neurosurgeons: A Review

Endoscopic decompression of the median nerve for idiopathic Carpal tunnel syndrome

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