A POTENTIAL COMPLICATION OF ENDOSCOPIC CARPAL-TUNNEL RELEASE

被引：29

作者：

SCOGGIN, JF ^{[1
]}

WHIPPLE, TL ^{[1
]}

机构：

[1] ORTHOPAED RES VIRGINIA,8919 3 CHOPT RD,RICHMOND,VA 23229

来源：

ARTHROSCOPY | 1992年 / 8卷 / 03期

关键词：

CARPAL TUNNEL SYNDROME; ENDOSCOPIC RELEASE; CARPAL LIGAMENT; SURGERY COMPLICATIONS;

D O I：

10.1016/0749-8063(92)90069-N

中图分类号：

R826.8 [整形外科学]; R782.2 [口腔颌面部整形外科学]; R726.2 [小儿整形外科学]; R62 [整形外科学（修复外科学）];

学科分类号：

摘要：

Complications of carpal tunnel release have been well documented in the literature. Recently, a procedure for endoscopic release of the transverse carpal ligament has been described. This case report demonstrates a potential complication of endoscopic carpal tunnel release, in which the flexor digitorum superficialis tendon to the ring finger was nearly cut when the arthroscopic trocar passed beneath it. The procedure was converted to an open carpal tunnel release when the transverse fibers of the carpal ligament were not seen after several passes of the trocar. This complication was related to the inability to fully extend the wrist and metacarpophalangeal joints because of arthritic contractures. This case underscores the need for accurate identification of endoscopic anatomy prior to release of the carpal tunnel. The surgeon should not hesitate to convert to open technique if it becomes necessary.

引用

页码：363 / 365

页数：3

共 9 条

[1]

Learmonth, The principle of decompression in the treatment of certain diseases of peripheral nerves, Surg Clin North Am, 13, pp. 905-913, (1933)

[2]

Blair, Avoiding complications of surgery for nerve compression syndrome, Orthop Clin North Am, 19, pp. 125-129, (1988)

[3]

Eason, Belsole, Greene, Carpal tunnel release: Analysis of suboptimal results, J Hand Surg [B], 10, pp. 365-369, (1985)

[4]

Lilly, Magnell, Severance of the thenar branch of the median nerve as a complication of carpal tunnel release, The Journal of Hand Surgery, 3, pp. 399-402, (1985)

[5]

Louis, Greene, Noellert, Complications of carpal tunnel surgery, Journal of Neurosurgery, 62, pp. 353-356, (1985)

[6]

Chow, Endoscopic release of the carpal ligament: A new technique for carpal tunnel syndrome, Arthroscopy, 5, pp. 19-24, (1989)

[7]

Okutsu, Endoscopic management of carpal tunnel syndrome, Arthroscopy, 5, pp. 11-18, (1989)

[8]

Agee, Tortosa, Berry, Pimer, Endoscopic release of the carpal tunnel: A randomized prospective multicenter study, Proceedings of the 45th Annual Meeting of The American Society for Surgery of the Hand, (1990)

[9]

Chow, Endoscopic release of the carpal ligament for carpal tunnel syndrome: 22-month clinical results, Arthroscopy, 6, pp. 288-296, (1990)

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