The Value of Endoscopic Decompression in Surgical Therapy of Carpal Tunnel Syndrome

被引:1
作者
Hessenauer, Maximilian E. T. [1 ]
Arkudas, Andreas [1 ]
Ludoph, Ingo [1 ]
Polykandriotis, Elias [2 ]
Horch, Raymund E. [1 ]
机构
[1] Univ Klinikum Erlangen, Plast & Handchirurg Klin, Krankenhausstr 12, D-91012 Erlangen, Germany
[2] Sana Klinikum Hof GmbH, Abt Plast Hand & Mikrochirurg, Hof, Germany
来源
ZENTRALBLATT FUR CHIRURGIE | 2018年 / 143卷 / 01期
关键词
carpal tunnel syndrome; endoscopic decompression; median nerve; revisional surgery; RANDOMIZED CONTROLLED-TRIAL; GENERAL-POPULATION; RELEASE; METAANALYSIS; EXPERIENCES; OPERATIONS; SURGERY;
D O I
10.1055/s-0043-117494
中图分类号
R61 [外科手术学];
学科分类号
摘要
Carpal tunnel syndrome is one of the most common diseases in hand surgery. The gold standard in therapy is the surgical release of the carpal tunnel. We provide a brief update on the relevant pathogenesis, diagnosis and therapy and discuss questions related to minimal invasive decompression of the median nerve. Together with a review of the current literature, we report on our experiences in minimally invasive carpal tunnel release via a monoportal endoscopic access in over 700 cases. In conclusion, the endoscopic technique provides superior convalescence and patient safety is comparable to open methods. In addition, advantages and disadvantages of the various techniques are discussed.
引用
收藏
页码:74 / 80
页数:7
相关论文
共 42 条
  • [1] ENDOSCOPIC RELEASE OF THE CARPAL-TUNNEL - A RANDOMIZED PROSPECTIVE MULTICENTER STUDY
    AGEE, JM
    MCCARROLL, HR
    TORTOSA, RD
    BERRY, DA
    SZABO, RM
    PEIMER, CA
    [J]. JOURNAL OF HAND SURGERY-AMERICAN VOLUME, 1992, 17A (06): : 987 - 995
  • [2] AGEE JM, 1994, HAND CLIN, V10, P647
  • [3] Diagnostic properties of nerve conduction tests in population-based carpal tunnel syndrome
    Atroshi, I
    Gummesson, C
    Johnsson, R
    Ornstein, E
    [J]. BMC MUSCULOSKELETAL DISORDERS, 2003, 4 (1) : 1 - 7
  • [4] Prevalence of carpal tunnel syndrome in a general population
    Atroshi, I
    Gummesson, C
    Johnssson, R
    Ornstein, E
    Ranstam, J
    Rosén, I
    [J]. JAMA-JOURNAL OF THE AMERICAN MEDICAL ASSOCIATION, 1999, 282 (02): : 153 - 158
  • [5] Benquet B, 2000, Chir Main, V19, P86, DOI 10.1016/S1297-3203(00)73465-2
  • [6] MINIMAL-INCISION OPEN CARPAL-TUNNEL DECOMPRESSION
    BROMLEY, GS
    [J]. JOURNAL OF HAND SURGERY-AMERICAN VOLUME, 1994, 19A (01): : 119 - 120
  • [7] Three-dimensional computed tomography reconstruction of the carpal tunnel and carpal bones
    Buitrago-Téllez, CH
    Horch, R
    Allmann, KH
    Stark, GB
    Langer, M
    [J]. PLASTIC AND RECONSTRUCTIVE SURGERY, 1998, 101 (04) : 1060 - 1064
  • [8] Poor outcome for neural surgery (epineurotomy or neurolysis) for carpal tunnel syndrome compared with carpal tunnel release alone: A meta-analysis of global outcomes
    Chapell, R
    Coates, V
    Turkelson, C
    [J]. PLASTIC AND RECONSTRUCTIVE SURGERY, 2003, 112 (04) : 983 - 990
  • [9] Sonography and electrodiagnosis in carpal tunnel syndrome diagnosis, an analysis of the literature
    Chloros, George D.
    Cartwright, Michael S.
    Walker, Francis O.
    Wiesler, Ethan R.
    [J]. EUROPEAN JOURNAL OF RADIOLOGY, 2009, 71 (01) : 141 - 143
  • [10] CHOW J C Y, 1989, Arthroscopy, V5, P19, DOI 10.1016/0749-8063(89)90085-6