Carpal tunnel syndrome: treatment with small transverse incision

Arquivos de Neuro-Psiquiatria

Paulo Roland Kaleff²  Marcelo Senna Xavier De Lima²  Yvens Barbosa Fernandes²  Danylo José Palma Honorato¹  Antonio Augusto Roth Vargas²  Donizeti César Honorato² 

[1] ,Hospital Centro Médico de Campinas Neurosurgery Department Campinas SP ,Brazil

关键词: carpal tunnel syndrome;    surgical procedures;    minimally invasive;    safety;    síndrome do túnel do carpo;    cirurgia;    minimamente invasiva;    segurança;   

DOI  :  10.1590/S0004-282X2010000100020

来源: SciELO

【 摘 要 】

OBJECTIVE: To evaluate the application of a limited transverse incision technique to treat the carpal tunnel syndrome, with concern to its safety and efficacy in the opening of the flexor retinaculum (FR). METHOD: A prospective analysis of thirty FR release procedures performed on twenty-eight patients subjected to the proposed incision technique. Safety and total opening of the FR were evaluated through a questionnaire and an endoscopic inspection respectively. RESULTS: No major complications were observed. Two cases presented small local hematoma. One patient presented with transient neuropraxia of digital branch. In two of the first five cases, incomplete FR opening was identified during endoscopic revision with need of complementary opening. All patients reported relief of paresthesias and nocturnal pain symptoms. CONCLUSION: The technique was safely performed on the prospection group, no major complications were detected and the opening of FR was observed in the majority of the patients.

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