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 106
- Downloads 0
Contemporary possibilities of treatment of cartilage lesions with special regard to the knee joint
The last twenty years have been marked by a rapid development of articular cartilage treatment and regeneration techniques. We present current concepts in the treatment of cartilage lesions and injuries, including gene t...
Triplane Fracture of Distal Femur in an Adult Rare Case Study and Review
A 30-year-old patient sustained the fracture in a motorcycle accident. A triplane-type of fracture of the distal femur was confirmed by CT scan. The trochlear fragment was reduced anatomically and was stabilized with 6.5...
Barwnikowe guzkowo-kosmkowe zapalenie błony maziowej - różnorodność postaci, niespójność nomenklatury i postępowanie. Studium przypadków
Barwnikowe guzkowo-kosmkowe zapalenie błony maziowej (pigmented villonodular synovitis - PVNS) oraz guz olbrzymiokomórkowy pochewek ścięgnistych (tenosynovial giant cell tumor - TGCT) występujące w postaciach klinicznych...
Poprawa kliniczna po dwóch latach od jednoczasowej, obustronnej, otwartej repozycji zastarzałych zwichnięć stawów ramiennych z wewnętrzną stabilizacją złamań guzków większych. Opis przypadku.
Aloplastyka całkowita stawu biodrowego u pacjentów HIV seropozytywnych. Studium przypadku i przegląd piśmiennictwa
Aloplastyka stawów biodrowych jest powszechnie stosowaną metodą terapeutyczną u pacjentów z chorobą zwyrodnieniową stawów, w szczególności z posterydową martwicą głowy kości udowej. U pacjentów HIV seropozytywnych zabieg...