Early results of surgical treatment for carpal tunnel syndrome using a single-portal endoscopic method
Journal Title: Ortopedia Traumatologia Rehabilitacja - Year 2006, Vol 8, Issue 2
Abstract
Background. Carpal tunnel syndrome, the most common peripheral neuropathy, is caused by increased carpal tunnel pressure and decreased carpal tunnel volume. The aim of our study was to evaluate early results in single-portal endoscopic carpal tunnel release for the surgical treatment of carpal tunnel syndrome. Material and methods. The population included 67 patients with 80 hands operated using single-portal endoscopic carpal tunnel release. The sample included in this study consisted of 45 patients (67% of the total) and 56 hands (70%). In order to assess surgical outcome, we used the patients' subjective evaluation, the results of the Carpal Tunnel Syndrome Symptom Severity Scale and the Carpal Tunnel Syndrome Functional Status Scale, data acquired during anamnesis and physical examinations, and the results of electromyography tests.Results. In 49 cases (88%) the results were rated subjectively as good or excellent, in 6 cases (11%) satisfactory, and in 1 case (2%) unsatisfactory. At follow-up 12 months after surgery the results from the Carpal Tunnel Syndrome Symptom Severity Scale ranged from 1.2 to 3.64 (mean 1.55), and on the Carpal Tunnel Syndrome Functional Status Scale from 1.12 to 3.71 (mean 1.66). Conclusions. Single-portal endoscopic carpal tunnel release gives good results in the surgical treatment of carpal tunnel syndrome among patients diagnosed with grade I or grade II CTS, and in those groups of patients for whom revision surgery is not planned, tenosynovectomy is not indicated, and there is no need to inspect the motor branch of the median nerve.
Authors and Affiliations
Karol Szyluk, Jerzy Widuchowski, Andrzej Jasiński, Bogdan Koczy, Wojciech Widuchowski
Keywords
Related Articles
- EP ID EP56505
- DOI -
- Views 88
- Downloads 0
Czy wykorzystanie STABHA™ do suplementacji macierzy zewnątrzkomórkowej uszkodzonych tkanek miękkich narządu ruchu jest skuteczną metodą leczenia obrażeń ostrych i tendinopatii?
Wiskosuplementacja, czyli dostawowe podanie kwasu hialuronowego w celu stabilizacji struktury chemicznej i poprawy jakości funkcjonalnej płynu stawowego, jest obecnie powszechnie stosowaną metodą terapeutyczną, której sk...
Total Hip Arthroplasty in HIV-seropositive Patients – Case Study and Review of Literature
Hip arthroplasty is widely used in the treatment of osteoarthritis, especially in patients with steroid-induced osteonecrosis of the femoral head. However, this procedure in HIV-seropositive patients has not been describ...
Wybrane parametry chodu u dzieci z okołoporodowym uszkodzeniem splotu ramiennego (OUSR) – badania pilotażowe.
WstępUszkodzenie splotu ramiennego jest jednym z częstszych urazów okołoporodowych (OUSR). Konsekwencją uszkodzenia splotu ramiennego jest różnego stopnia niedowład mięśni kończyny górnej. Ze względu na wpływ tego niedow...
Bilateral Perthes’ disease
Background. Most patients who develop Perthes disease have unilateral hip involvement. Bilateral involvement occurs in approximately 8-24% of cases. The purpose of this study was to compare the development and outcome of...
Assessment of Transverse Abdominal Muscle Symmetry by Ultrasonography
Background. One of the methods of assessing the transverse abdominal muscle is ultrasonography, which visualizes its thickness and location. We set out to answer the question if the transverse abdominal muscle can always...