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

页码：74 / 80

页数：7

共 42 条

[11] THE CHOW TECHNIQUE OF ENDOSCOPIC RELEASE OF THE CARPAL LIGAMENT FOR CARPAL-TUNNEL SYNDROME - 4 YEARS OF CLINICAL-RESULTS [J].

CHOW, JCY .

ARTHROSCOPY, 1993, 9 (03) :301-314

[12]

Chung RC, 1998, PLAST RECONSTR SURG, V102, P1089

[13]

EISENHARDT SU, 2010, SCAND J PLAST RECONS, V44, P311, DOI DOI 10.3109/2000656X.2010.534618

[14]

Friol J P, 1994, Ann Chir Main Memb Super, V13, P162, DOI 10.1016/S0753-9053(94)80042-1

[15] Splinting vs surgery in the treatment of carpal tunnel syndrome - A randomized controlled trial [J].

Gerritsen, AAM ;

de Vet, HCW ;

Scholten, RJPM ;

Bertelsmann, FW ;

de Krom, MCTFM ;

Bouter, LM .

JAMA-JOURNAL OF THE AMERICAN MEDICAL ASSOCIATION, 2002, 288 (10) :1245-1251

[16] Endoscopic release of the carpal tunnel with Preissler's technique. Experiences from of 1000 operations [J].

Goldhahn, J ;

Pfluger, D ;

Zollmann, P .

ZENTRALBLATT FUR CHIRURGIE, 2000, 125 (09) :772-775

[17]

Haase J, 2007, ADV TECH STAND NEURO, V32, P175, DOI 10.1007/978-3-211-47423-5_7

[18]

Hohenberger W, 2005, CHAZ, V109, P169

[19] A new device for safe and easy dilatation of the carpal canal in endoscopic surgical treatment of the carpal tunnel syndrome [J].

Horch, R .

MINIMALLY INVASIVE NEUROSURGERY, 1996, 39 (02) :60-62

[20] Median nerve compression can be detected by magnetic resonance imaging of the carpal tunnel [J].

Horch, RE ;

Allmann, KH ;

Laubenberger, J ;

Langer, M ;

Stark, GB .

NEUROSURGERY, 1997, 41 (01) :76-82

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