Endoscopy-assisted Percutaneous Carpal Tunnel Release through Single Small Incision.
- Author:
Jung Man KIM
;
Yang Guk CHUNG
;
Il Jae IHM
- Publication Type:Original Article
- Keywords:
Percutaneous carpal tunnel release;
Endoscopy-assisted;
Single incision;
Menis cectomy hook knife
- MeSH:
Anesthesia, Conduction;
Cicatrix;
Culicidae;
Humans;
Lacerations;
Ligaments;
Tendon Injuries;
Wrist
- From:The Journal of the Korean Orthopaedic Association
1999;34(1):173-179
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
PURPOSE: To avoid prolonged recovery time and scar tenderness in open carpal tunnel release and possible nerve or tendon injuries by bulky instruments in endoscopic techniques, we tried to percutaneously release the transverse carpal ligament using simple, thin instruments. MATERIALS AND METHODS: We performed carpal tunnel release percutaneously through a single small incision on the wrist with curved mosquito and meniscectomy hook knife under general or regional anesthesia in 41 wrists of 27 patients during the last 5 years and followed up for at least one year. Before and after release, endoscopic examinations were done to rule out space occupying lesions or other anormalies and to confirm complete release. RESULTS: According to the Cseuz's criteria, 38 cases (93%) showed excellent or good results, which was compatible to open or endoscopic technique with special instruments and there was no major neurovascular injury except one superficial palmar arch laceration associated with the second palmar incision in complicated case. CONCLUSIONS: From earlier experience, we learned that this simple technique may be used successfully with low cost without any fear of complication.
