THE USE OF TOPOGRAPHICAL LANDMARKS TO IMPROVE THE OUTCOME OF AGEE ENDOSCOPIC CARPAL-TUNNEL RELEASE

被引：36

作者：

COBB, TK ^{[1
]}

KNUDSON, GA ^{[1
]}

COONEY, WP ^{[1
]}

机构：

[1] MAYO CLIN & MAYO FDN,DEPT ORTHOPED,ROCHESTER,MN 55905

来源：

ARTHROSCOPY | 1995年 / 11卷 / 02期

关键词：

AGEE; CARPAL TUNNEL; CARPAL TUNNEL SYNDROME; ENDOSCOPIC CARPAL TUNNEL RELEASE; SURGERY; TECHNIQUES;

D O I：

10.1016/0749-8063(95)90062-4

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：

A modified approach to endoscopic carpal tunnel release has been developed and tested in 60 cadaveric specimens by three surgeons using the Agee endoscopic carpal tunnel release system. The modified approach, which includes specific localization of the hook of the hamate, flexor retinaculum, and the superficial palmar arch utilizing topographical landmarks, avoids entry into Guyon's canal and injury to the ulnar artery and nerve, median nerve, and common digital nerves. Use of the anatomic approach resulted in significantly superior results. There were fewer incomplete releases, and fewer surgical passes were required, for the inexperienced surgeons. When these anatomic considerations were not included, the learning curve was much steeper. For surgeons planning endoscopic surgical release of the transverse carpal ligament, the described topographical approach improves the technical competence with the procedure and reduces the number of complications and learning curve associated with new procedures. We recommend the use of topographical landmarks and other anatomic considerations during endoscopic carpal tunnel release.

引用

页码：165 / 172

页数：8

共 6 条

[1]

Agee, McCarroll, Tortosa, Berry, Szabo, Peimer, Endoscopic release of the carpal tunnel: a randomized prospective multicenter study, J Hand Surg Am, 17, pp. 987-995, (1992)

[2]

Brown, Gelberman, Seiler, Abrahamsson, Weiland, Urbaniak, Schoenfeld, Et al., Carpal tunnel release: A prospective randomized assessment of open and endoscopic methods, J Bone Joint Surg Am, 75, pp. 1265-1275, (1993)

[3]

Rowland, Kleinert, Endoscopic carpal-tunnel release in cadavers: An investigation of the results of twelve surgeons with this training model, J Bone Joint Surg Am, 76, pp. 266-268, (1994)

[4]

Cobb, Cooney, An, Relationship of deep structures of the hand and wrist to topographical landmarks, Clin Anat, 6, pp. 300-307, (1993)

[5]

Cobb, Dalley, Posteraro, Lewis, Anatomy of the flexor retinaculum, J Hand Surg Am, 18, pp. 91-99, (1993)

[6]

Lee, Masear, Meyer, Stevens, Colgin, Endoscopic carpal tunnel release: A cadaveric study, J Hand Surg Am, 17, pp. 1003-1008, (1992)

← 1 →