Arthroscopy: The Journal of Arthroscopic and Related Surgery
Volume 26, Issue 1 , Pages 26-33 , January 2010

Endoscopic Versus Open Carpal Tunnel Release

  • Haris S. Vasiliadis, M.D., Ph.D.

      Affiliations

    • Department of Orthopaedic Surgery, University of Ioannina, Ioannina, Greece
    • Department of Molecular Cell Biology and Regenerative Medicine, Sahlgrenska University Hospital, Gothenburg, Sweden
    • ,
  • Theodoros A. Xenakis, M.D., Ph.D.

      Affiliations

    • Department of Orthopaedic Surgery, University of Ioannina, Ioannina, Greece
    • ,
  • Grigorios Mitsionis, M.D., Ph.D.

      Affiliations

    • Department of Orthopaedic Surgery, University of Ioannina, Ioannina, Greece
    • ,
  • Nikolaos Paschos, M.D.

      Affiliations

    • Department of Orthopaedic Surgery, University of Ioannina, Ioannina, Greece
    • ,
  • Anastasios Georgoulis, M.D., Ph.D.

      Affiliations

    • Department of Orthopaedic Surgery, University of Ioannina, Ioannina, Greece
    • Corresponding Author InformationAddress correspondence and reprint requests to Anastasios Georgoulis, M.D., Ph.D., Department of Orthopaedic Surgery, University of Ioannina, Methodiou Anthrakitou 1, 45110 Ioannina, Greece

Received 13 September 2008 ,Accepted 23 June 2009.

References 

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  2. Okutsu I, Ninomiya S, Takatori Y, Ugawa Y. Endoscopic management of carpal tunnel syndrome. Arthroscopy. 1989;5:11–18
  3. Brown RA, Gelberman RH, Seiler JG, et al. Carpal tunnel release (A prospective, randomized assessment of open and endoscopic methods). J Bone Joint Surg Am. 1993;75:1265–1275
  4. Macdermid JC, Richards RS, Roth JH, Ross DC, King GJ. Endoscopic versus open carpal tunnel release: A randomized trial. J Hand Surg [Am]. 2003;28:475–480
  5. Agee JM, McCarroll HR, Tortosa RD, Berry DA, Szabo RM, Peimer CA. Endoscopic release of the carpal tunnel: A randomized prospective multicenter study. J Hand Surg [Am]. 1992;17:987–995
  6. Scholten RJ, Mink van der Molen A, Uitdehaag BM, Bouter LM, de Vet HC. Surgical treatment options for carpal tunnel syndrome. Cochrane Database Syst Rev. 2007;4:CD003905
  7. Ubogu EE, Benatar M. Electrodiagnostic criteria for carpal tunnel syndrome in axonal polyneuropathy. Muscle Nerve. 2006;33:747–752
  8. Chow JC. Endoscopic carpal tunnel release (Two-portal technique). Hand Clin. 1994;10:637–646
  9. Papageorgiou CD, Georgoulis AD, Makris CA, Moebius UG, Varitimidis SE, Soucacos PN. Difficulties and early results of the endoscopic carpal tunnel release using the modified Chow technique. Knee Surg Sports Traumatol Arthrosc. 1998;6:189–193
  10. Vasiliadis HS, Tokis AV, Andrikoula SI, et al. Microsurgical dissection of the carpal tunnel with respect to neurovascular structures at risk during endoscopic carpal tunnel release. Arthroscopy. 2006;22:807–812
  11. Phalen GS. The carpal-tunnel syndrome (Clinical evaluation of 598 hands). Clin Orthop Relat Res. 1972;83:29–40
  12. MacDermid JC, Evenhuis W, Louzon M. Inter-instrument reliability of pinch strength scores. J Hand Ther. 2001;14:36–42
  13. Levine DW, Simmons BP, Koris MJ, et al. A self-administered questionnaire for the assessment of severity of symptoms and functional status in carpal tunnel syndrome. J Bone Joint Surg Am. 1993;75:1585–1592
  14. Hudak PL, Amadio PC, Bombardier C. Development of an upper extremity outcome measure: The DASH (disabilities of the arm, shoulder and hand) [corrected] (The Upper Extremity Collaborative Group (UECG)). Am J Ind Med. 1996;29:602–608
  15. Themistocleous GS, Goudelis G, Kyrou I, et al. Translation into Greek, cross-cultural adaptation and validation of the Disabilities of the Arm, Shoulder, and Hand Questionnaire (DASH). J Hand Ther. 2006;19:350–357
  16. Biyani A, Wolfe K, Simison AJ, Zakhour HD. Distribution of nerve fibers in the standard incision for carpal tunnel decompression. J Hand Surg [Am]. 1996;21:855–857
  17. Born T, Mahoney J. Cutaneous distribution of the ulnar nerve in the palm: Does it cross the incision used in carpal tunnel release?. Ann Plast Surg. 1995;35:23–25
  18. Wheatley MJ, Hall JW, Faringer PD. Are the palmar cutaneous nerves safe during standard carpal tunnel release?. Ann Plast Surg. 1996;37:251–253
  19. Ahcan U, Arnez ZM, Bajrovic F, Zorman P. Surgical technique to reduce scar discomfort after carpal tunnel surgery. J Hand Surg [Am]. 2002;27:821–827
  20. Netscher D, Dinh T, Cohen V, Thornby J. Division of the transverse carpal ligament and flexor tendon excursion: Open and endoscopic carpal tunnel release. Plast Reconstr Surg. 1998;102:773–778
  21. Kline SC, Moore JR. The transverse carpal ligament (An important component of the digital flexor pulley system). J Bone Joint Surg Am. 1992;74:1478–1485
  22. Wehbe MA. Transverse carpal ligament (An important component of the digital flexor pulley system). J Bone Joint Surg Am. 1993;75:1575–1576
  23. Netscher DT. The benefit of transverse carpal ligament reconstruction following open carpal tunnel release. Plast Reconstr Surg. 2003;111:2020–2022
  24. Wilgis EF, Burke FD, Dubin NH, Sinha S, Bradley MJ. A prospective assessment of carpal tunnel surgery with respect to age. J Hand Surg [Br]. 2006;31:401–406
  25. Boeckstyns ME, Sorensen AI. Does endoscopic carpal tunnel release have a higher rate of complications than open carpal tunnel release? (An analysis of published series). J Hand Surg [Br]. 1999;24:9–15

 The authors report no conflict of interest.

PII: S0749-8063(09)00573-8

doi: 10.1016/j.arthro.2009.06.027

Arthroscopy: The Journal of Arthroscopic and Related Surgery
Volume 26, Issue 1 , Pages 26-33 , January 2010

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