Neurophysiological recovery after open carpal tunnel decompression: Comparison of simple decompression and decompression with epineurotomy

被引:23
作者
Borisch, N [1 ]
Haussmann, P [1 ]
机构
[1] DRK Hosp, Dept Hand Surg Plast & Reconstruct Surg, Baden Baden, Germany
关键词
carpal tunnel syndrome; epineurotomy; neurophysiology; open carpal tunnel decompression;
D O I
10.1016/S0266-7681(03)00152-9
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
Two hundred and seventy-three patients with carpal tunnel syndrome without advanced neurophysiological changes (distal motor latency below 11 ms) were randomized to treatment by open carpal tunnel release with, or without, epineurotomy. Patients were examined clinically and by nerve conduction studies preoperatively and at 3, 6 and 12 months postoperatively. We found no statistically significant difference between simple decompression and decompression combined with epineurotomy with regard to either the clinical or the neurophysiological outcome.
引用
收藏
页码:450 / 454
页数:5
相关论文
共 26 条
[1]  
ARYIAN S, 1977, PLASTIC RECONSTRUCTI, V60, P539
[2]   INTERNAL NEUROLYSIS AS AN ADJUNCT TO TREATMENT OF CARPAL-TUNNEL SYNDROME [J].
CURTIS, RM ;
EVERSMANN, WW .
JOURNAL OF BONE AND JOINT SURGERY-AMERICAN VOLUME, 1973, A 55 (04) :733-740
[3]   TREATMENT OF CARPAL-TUNNEL SYNDROME - COMPARATIVE-STUDY WITH AND WITHOUT EPINEUROLYSIS [J].
FISSETTE, J ;
ONKELINX, A .
HAND, 1979, 11 (02) :206-210
[4]   OUTCOME FOLLOWING EPINEUROTOMY IN CARPAL-TUNNEL SYNDROME - A PROSPECTIVE, RANDOMIZED CLINICAL-TRIAL [J].
FOULKES, GD ;
ATKINSON, RE ;
BEUCHEL, C ;
DOYLE, JR ;
SINGER, DI .
JOURNAL OF HAND SURGERY-AMERICAN VOLUME, 1994, 19A (04) :539-547
[5]  
Gassmann N, 1977, Handchirurgie, V9, P137
[6]   RESULTS OF TREATMENT OF SEVERE CARPAL-TUNNEL SYNDROME WITHOUT INTERNAL NEUROLYSIS OF THE MEDIAN NERVE [J].
GELBERMAN, RH ;
PFEFFER, GB ;
GALBRAITH, RT ;
SZABO, RM ;
RYDEVIK, B ;
DIMICK, M .
JOURNAL OF BONE AND JOINT SURGERY-AMERICAN VOLUME, 1987, 69A (06) :896-903
[7]  
GENBA K, 1993, MUSCLE NERVE, V16, P567
[8]   INTERNAL NEUROLYSIS OR LIGAMENT DIVISION ONLY IN CARPAL-TUNNEL SYNDROME .2. A 3 YEAR FOLLOW-UP WITH AN EVALUATION OF VARIOUS NEUROPHYSIOLOGICAL PARAMETERS FOR DIAGNOSIS [J].
HOLMGREN, H ;
RABOW, L .
ACTA NEUROCHIRURGICA, 1987, 87 (1-2) :44-47
[9]  
HONGELL A, 1971, Scandinavian Journal of Plastic and Reconstructive Surgery, V5, P103
[10]   Practice parameter: Electrodiagnostic studies in carpal tunnel syndrome - Report of the American Association of Electrodiagnostic Medicine, American Academy of Neurology, and the American Academy of Physical Medicine and Rehabilitation [J].
Jablecki, CK ;
Andary, MT ;
Floeter, MK ;
Miller, RG ;
Quartly, CA ;
Vennix, MJ ;
Wilson, JR .
NEUROLOGY, 2002, 58 (11) :1589-1592