ENDOSCOPIC CARPAL-TUNNEL RELEASE - A CADAVERIC STUDY

被引：68

作者：

LEE, DH

MASEAR, VR

MEYER, RD

STEVENS, DM

COLGIN, S

机构：

[1] Birmingham, Alabama

来源：

JOURNAL OF HAND SURGERY-AMERICAN VOLUME | 1992年 / 17A卷 / 06期

关键词：

D O I：

10.1016/S0363-5023(09)91046-2

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：

Five surgeons performed endoscopic (Dyonics) carpal tunnel releases on 24 fresh cadaver wrists. In 50 % of the specimens, transection of the transverse carpal ligament was incomplete. The average amount of incomplete release was 31 % (range, 0 % to 53 %). Three types of incomplete release were noted: (1) release of Guyon's canal release-one, (2) incomplete distal ligament release-five, and (3) incomplete central or superficial release-six. Other technical errors were noted in nine of 24 specimens. There were no nerve lacerations. Endoscopic carpal tunnel release is either a technically demanding procedure, commonly results in incompletely released ligaments, or both. Proper training, followed by practice on several cadaver specimens before its clinical use, is recommended.

引用

页码：1003 / 1008

页数：6

共 8 条

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