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Abstract
A new technique of endoscopic carpal tunnel release using a 1.5-cm longitudinal palmar
incision was used in 280 cases. The incision allows identification of the superficial
palmar arch as well as the median nerve and its branches. A new knife/sleeve device
that attaches to a standard 4-mm endoscope was created to simplify the procedure.
The flexor retinaculum is endoscopically divided proximally into the distal forearm;
the “interthenar fascia” (fascia superficial to transverse carpal ligament) can be
preserved. Early postoperative results include a mean overall return to work and full
activity of 14 days. Postoperative pinch and grip strengths were near or at the preoperative
level by weeks after surgery. One third of patients required no postoperative analgesics
with minimal scar, ulnar pillar, and radial pillar tenderness.
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References
- Lectures on surgical pathology.in: Lindsay & Bakiston, Philadelphia1900: 1842-1854
- The principle of decompression in the treatment of certain diseases of peripheral nerves.Surg Clin North Am. 1933; 13: 9005-9013
- Spontaneous compression of the median nerve at the wrist.JAMA. 1951; 145: 1128-1133
- The carpal tunnel syndrome.in: Clinical evaluation of 598 hands. Ed 2. Clin Orthop. 83. 1972: 29-40
- Entrapment neuropathies.in: Ed 2. Little, Brown, Boston/Toronto1990: 25-92
- Musculoskeletal conditions in the United States.in: AAOS, Park Ridge, IL1992: 98-104
- Endoscopic release of the carpal tunnel: A randomized prospective multicenter study.J Hand Surg. 1992; 17A: 987-995
- Endoscopic carpal tunnel release: a comparison of two techniques with open release.Arthroscopy. 1993; 9: 498-508
- Endoscopic release of the carpal ligament: A new technique for carpal tunnel syndrome.Arthroscopy. 1989; 5: 19-24
- Endoscopic management of carpal tunnel syndrome.Arthroscopy. 1989; 5: 11-18
- Endoscopic carpal tunnel release using the subligamentous two-portal technique.Contemp Orthop. 1991; 22: 269-277
- Endoscopic carpal tunnel release: A single portal technique.Contemp Ortho. 1993; 26: 109-115
- Carpal tunnel release.in: A prospective, randomized assessment of open and endoscopic methods. Ed 3. J Bone Joint Surg Am. 75. 1993: 1265-1275
- Endoscopic carpal tunnel release.J Hand Surg. 1992; 17A: 1009-1011
- The Chow technique of endoscopic release of the carpal ligament for the carpal tunnel syndrome: Four years of clinical results.Arthroscopy. 1993; 9: 301-314
- Endoscopic carpal tunnel release in orthopedic surgery workshop report, Chicago: aAAOS Council on Clinical Resources1992
- Endoscopic carpal tunnel release in a community-based series.J Hand Surg. 1993; 18A: 451-454
- Commentary: Single portal endoscopic carpal tunnel release.Contemp Orthop. 1993; 26: 115-116
- Incidental Guyon's canal release during attempted endoscopic carpal tunnel release: An anatomical study and report of two cases.Arthroscopy. 1993; 9: 382-386
- Endoscopic carpal tunnel release: A cadaveric study.J Hand Surg. 1992; 71 A: 1003-1008
- Endoscopic carpal tunnel release: An anatomic study of the two-incision method in human cadavers.J Hand Surgery. 1992; 17A: 996-1002
- Anatomic relationships of an endoscopic carpal tunnel device to surrounding structures.J Hand Surg. 1993; 18A: 442-450
- Anatomy of the flexor retinaculum.J Hand Surg. 1993; 18A: 91-99
- Endoscopic carpal tunnel release: A cadaveric study.Arthroscopy. 1992; 9: 209-213
- Carpal arch alteration and related clinical status after endoscopic carpal tunnel release.J Hand Surg. 1992; 17A: 1012-1016
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© 1995 Published by Elsevier Inc.
