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

Filippi, R.; Reisch, Róbert; El-Shki, D; Grunert, Peter

doi:10.1055/s-2002-32490

Cited by 17 publications

(20 citation statements)

References 21 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…4,7,15) No meaningful differences have been reported between the open and endoscopic techniques in the aspects of operating time and cost of surgery. 6,15) The advantage of the endoscopic technique is reduced scar formation on the palmar surface of the hand.…”

Section: Discussionmentioning

confidence: 99%

See 1 more Smart Citation

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)

View full text Add to dashboard Cite

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.

show abstract

Section: Discussionmentioning

confidence: 99%

“…6,15) The advantage of the endoscopic technique is reduced scar formation on the palmar surface of the hand. 7,15) On the other hand, the endoscopic technique has some disadvantages such as high complication and recurrence rates. 4,7,10) The human hands are not only a biomechanical organ but also a tactile sensory apparatus of the body.…”

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)

View full text Add to dashboard Cite

show abstract

“…De los resultados de los pacientes se investigó sobre la recuperación (aparición de nuevos síntomas, no recuperación en el post operatorio, nuevas intervenciones, edema en la herida, cicatriz hipertrófica y el dolor). Respecto al dolor en pilares del túnel se buscó si este se presentó por más de tres meses, esto debido a que en otros estudios establecen su evolución autolimitada 16,17 , y otros no lo toman en cuenta como evento adverso.…”

Section: Metodologiaunclassified

Manejo endoscópico del síndrome de túnel del carpo, una experiencia de 5 años

Goeta

Neira

López

et al. 2016

revsal

View full text Add to dashboard Cite

RESUMENIntroducción: El síndrome de túnel del carpo afecta el 1% de la población, siendo la neuropatía por compresión más frecuente, la liberación endoscópica es una técnica que presenta buenos resultados, aunque no está exenta de complicaciones. Objetivo: El objetivo del estudio es determinar la prevalencia de complicaciones asociadas en una experiencia de 5 años. Metodología: Estudio de corte transversal en pacientes con diagnóstico del túnel del carpo sometidos a liberación endoscópica en un periodo de 5 años, donde se documentó todas las complicaciones neurológicas, vasculares e infección. Resultados: Se incluyeron 175 manos en 139 pacientes con un promedio de edad de 52 años de edad; el 89.2% de los casos se presentaron en mujeres. Las comorbilidades encontradas fueron: hipertensión arterial 31.6%, hipotiroidismo 29.5%, diabetes 5%, y consumo de cigarrillo 11%. La prevalencia de complicaciones fue del 5.7% (10 casos), de las cuales la lesión neurológica fue del 0.6% clasificada como neuropraxia del nervio cubital, 1.7% presentaron hematomas que resolvieron sin cirugía y 3.4% presentaron infección que resolvieron con manejo antibiótico y curaciones. Todas las complicaciones presentaron una recuperación satisfactoria. El 99% de los pacientes presentaron resolución de los síntomas. Conclusiónes: La técnica de liberación endoscópica del túnel del carpo es una técnica segura, en donde se encontró un porcentaje bajo de complicaciones siendo comparables a otras series.Palabras claves: Endoscopía, Síndrome de túnel carpiano, complicaciones. ABSTRACT Introduction:The carpal tunnel syndrome affects 1% of the population, remain the most common compression neuropathy, endoscopic release is a technique that gives good results, although not without complications. The aim of the study is to determine the prevalence of complications in an experience

show abstract

“…Surgical treatment of CTS continues to be one of the most frequently performed operations for peripheral neuropathy 2,3,14) . Open carpal tunnel release (OCTR) has been the standard treatment for CTS that has failed non-surgical treatment and has provided excellent results, but could be associated with post-operative pillar pain, delayed improvement of pinch strength, and a slow return to work 7,11,24) . Many investigators have described various types of endoscopic carpal tunnel release (ECTR) procedures to decrease postoperative pillar pain and the duration of the hospital stay 5,6,20) .…”

Section: Introductionmentioning

confidence: 99%

“…Some investigators have studied the anatomic variations of the carpal tunnel contents and the anatomic relationship of the carpal tunnel to Guyon' s canal based on cadaveric specimens 3,7,8,11,14) and reported positional variability of ulnar neurovascular structures with different wrist positions 4,8,9,13,17,22) . However, results about deviation of neurovascular structures are based upon dissected specimens which may not entirely represent intra-operative situations when normal anatomy is not violated.…”

mentioning

confidence: 99%

Position Change of the Neurovascular Structures around the Carpal Tunnel with Dynamic Wrist Motion

Kwon

Kim

Hong

et al. 2011

J Korean Neurosurg Soc

View full text Add to dashboard Cite

Objective : The purpose of this study was to determine the anatomic relationships between neurovascular structures and the transverse carpal ligament so as to avoid complications during endoscopic carpal tunnel surgery. Methods : Twenty-eight patients (age range, 35-69 years) with carpal tunnel syndrome were entered into the study. We examined through wrist magnetic resonance imaging in three different positions (neutral, radial flexion, and ulnar flexion) and determined several anatomic landmark (distance from the hamate hook to the median nerve, ulnar nerve, and ulnar vessel) based on the lateral margin of the hook of the hamate. The median nerve and ulnar neurovascular structure were studied with the wrist in the neutral, ulnar, and radial flexion positions. Results : The ulnar neurovascular structures usually passed just over or ulnar to the hook of the hamate. However, in 12 hands, a looped ulnar artery coursed 0.6-3.3 mm radial to the hook of the hamate and continued to the superficial palmar arch. The looped ulnar artery migrates on the ulnar side of Guyon's canal (-5.2-1.8 mm radial to the hook of the hamate) with the wrist in radial flexion. During ulnar flexion of the wrist, the ulnar artery shifts more radially beyond the hook of the hamate (-2.5-5.7 mm). Conclusion : It is appropriate to transect the ligament greater than 4 mm apart from the lateral margin of the hook of the hamate without placing the edge of the scalpel toward the ulnar side. We would also recommend not transecting the transverse carpal ligament in the ulnar flexed wrist position to protect the ulnar neurovascular structure.

show abstract

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

Cited by 17 publications

References 21 publications

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

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

Manejo endoscópico del síndrome de túnel del carpo, una experiencia de 5 años

Position Change of the Neurovascular Structures around the Carpal Tunnel with Dynamic Wrist Motion

Contact Info

Product

Resources

About