| ID | 66903 |
| FullText URL | |
| Author |
Nakamichi, Ryo
Department of Rehabilitation Medicine, Okayama University Hospital
Saito, Taichi
Department of Sports Medicine, Dentistry and Pharmaceutical Sciences, Okayama University Graduate School of Medicine
ORCID
Kaken ID
Shimamura, Yasunori
Department of Sports Medicine, Dentistry and Pharmaceutical Sciences, Okayama University Graduate School of Medicine
Kaken ID
publons
Hamada, Masanori
Department of Rehabilitation Medicine, Okayama University Hospital
Nishida, Keiichiro
Department of Sports Medicine, Dentistry and Pharmaceutical Sciences, Okayama University Graduate School of Medicine
Kaken ID
publons
researchmap
Ozaki, Toshifumi
Department of Sports Medicine, Dentistry and Pharmaceutical Sciences, Okayama University Graduate School of Medicine
Kaken ID
publons
researchmap
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| Abstract | Background The purpose of this study was to examine two techniques for Carpal Tunnel Syndrome, mini-Open Carpal Tunnel Release (mini-OCTR) and Endoscopic Carpal Tunnel Release (ECTR), to compare their therapeutic efficacy.
Methods Sixteen patients who underwent mini-OCTR in palmar incision and 17 patients who underwent ECTR in the wrist crease incision were included in the study. All patients presented preoperatively and at 1, 3, and 6 months postoperatively and were assessed with the Visual Analogue Scale (VAS) and the Disabilities of Arm, Shoulder and Hand Score (DASH). We also assessed the pain and cosmetic VAS of the entire affected hand or surgical wound, and the patient's satisfaction with the surgery. Results In the objective evaluation, both surgical techniques showed improvement at 6 months postoperatively. The DASH score was significantly lower in the ECTR group (average = 3 months: 13.6, 6 months: 11.9) than in the mini-OCTR group (average = 3 months: 27.3, 6 months: 20.6) at 3 and 6 months postoperatively. Also, the pain VAS score was significantly lower in the ECTR group (average = 17.1) than in the mini-OCTR group (average = 36.6) at 3 months postoperatively. The cosmetic VAS was significantly lower in the ECTR group (average = 1 month: 15.3, 3 months: 12.2, 6 months: 5.41) than in the mini-OCTR group (average = 1 month: 33.3, 3 months: 31.2, 6 months: 24.8) at all time points postoperatively. Patient satisfaction scores tended to be higher in the ECTR group (average = 3.3) compared to the mini-OCTR group (average = 2.7). Conclusions ECTR in wrist increase incision resulted in better pain and cosmetic recovery in an early postoperative phase compared with mini-OCTR in palmar incision. Our findings suggest that ECTR is an effective technique for patient satisfaction. |
| Keywords | Carpal tunnel syndrome
Mini-open
Endoscopy
Patient-oriented evaluation
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| Note | The version of record of this article, first published in BMC Musculoskeletal Disorders, is available online at Publisher’s website: http://dx.doi.org/10.1186/s12891-023-07151-w
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| Published Date | 2024-04-01
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| Publication Title |
BMC Musculoskeletal Disorders
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| Volume | volume25
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| Issue | issue1
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| Publisher | BMC
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| Start Page | 251
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| ISSN | 1471-2474
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| Content Type |
Journal Article
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| language |
English
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| OAI-PMH Set |
岡山大学
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| Copyright Holders | © The Author(s) 2024.
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| File Version | publisher
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| PubMed ID | |
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| Web of Science KeyUT | |
| Related Url | isVersionOf https://doi.org/10.1186/s12891-023-07151-w
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| License | http://creativecommons.org/licenses/by/4.0/
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| Citation | Nakamichi, R., Saito, T., Shimamura, Y. et al. Comparison of early clinical outcome in carpal tunnel release - mini-open technique with palmar incision vs. endoscopic technique with wrist crease incision-. BMC Musculoskelet Disord 25, 251 (2024). https://doi.org/10.1186/s12891-023-07151-w
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