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ID 31644
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Author
Takahiro, Hirooka
Hashizume, Hiroyuki
Nagoshi, Mitsuru
Inoue, Hajime
Nagashima, Hiroaki
Abstract

Forty-one hands of 37 patients with idiopathic carpal tunnel syndrome treated by endoscopic carpal tunnel release (ECTR) were followed up for more than one year after surgery. Surgical results were evaluated using Kelly's criteria, the Semmes-Weinstein test, the static and moving 2-point discrimination tests, tip-pinch strength, and motor and sensory nerve conduction studies. Clinical results, according to Kelly's criteria three months after surgery, were excellent or good in 36 hands, and fair or poor in five hands. No recovery was evident at six months and 12 months after surgery in fair and poor hands. Based on these findings, we conclude that a neurolysis of the median nerve and release of constriction of the thenar muscle branch should be performed using the conventional open technique for patients with poor results three months after ECTR if the patients are dissatisfied with ECTR results

Keywords
carpal tunnel syndrome
endoscopic carpal tunnel release
idiopathic
Amo Type
Article
Published Date
1999-02
Publication Title
Acta Medica Okayama
Volume
volume53
Issue
issue1
Publisher
Okayama University Medical School
Start Page
39
End Page
44
ISSN
0386-300X
NCID
AA00508441
Content Type
Journal Article
language
英語
File Version
publisher
Refereed
True
Web of Science KeyUT