Endoscopic versus open carpal tunnel release
| Autor: | Masato Maruya, Shinichi Konno, Shinichi Kikuchi, Soichi Ejiri, Yasufumi Sekiguchi, Ryoichi Kawakami |
|---|---|
| Rok vydání: | 2012 |
| Předmět: |
Adult
Male medicine.medical_specialty Exacerbation prospective randomized controlled trial carpal tunnel syndrome law.invention Randomized controlled trial law Activities of Daily Living medicine Humans Postoperative Period Prospective Studies therapeutic results Prospective cohort study Carpal tunnel syndrome Aged Aged 80 and over medicine.diagnostic_test business.industry Endoscopy Hand surgery General Medicine Middle Aged Hand medicine.disease Endoscopic carpal tunnel release Surgery 494.67 endoscopic carpal tunnel release Palmar incision Treatment Outcome Female business Okutsu procedure |
| Zdroj: | FUKUSHIMA JOURNAL OF MEDICAL SCIENCE. 58:49-59 |
| ISSN: | 2185-4610 0016-2590 |
| DOI: | 10.5387/fms.58.49 |
| Popis: | Purpose : The surgical techniques widely used in Japan for idiopathic carpal tunnel syndrome (CTS) are the Okutsu method of endoscopic carpal tunnel release (ECTR) and palmar incision for open carpal tunnel release (OCTR). However, no prospective randomized controlled trials (RCTs) have compared treatment outcomes between these two procedures. This RCT compared shortterm outcomes between ECTR and OCTR for CTS. Materials and Methods : Subjects were 101 hands (79 patients) treated in the department. ECTR was performed on 51 hands (40 patients), and OCTR was performed on 50 hands (39 patients). For assessment items, the following patient-based outcomes were evaluated : 1) changes in subjective symptoms ; and 2) impairment in activities of daily living. The following items were also evaluated by physicians : 3) abductor pollicis brevis-distal latency (APB-DL) ; 4) sensation ; and 5) muscle strength. All these assessments were made in postoperative weeks 4 and 12. Results : Recovery of muscle strength at postoperative week 4 was significantly better with ECTR (p |
| Databáze: | OpenAIRE |
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