Carpal Tunnel Release Using the Paine Retinaculotome Inserted through a Palmar Incision

Fernandes, Carlos Henrique; Nakachima, Luís Renato; Hirakawa, Celso Kiyoshi; Santos, João Batista Gomes dos; Faloppa, Flávio

doi:10.1007/s11552-013-9566-x

Cited by 7 publications

(14 citation statements)

References 14 publications

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“…A steep learning curve 10,45 increased the technical difficulties, 13,21,28,32,33,50 and potentially devastating complications have been reported with endoscopic techniques. 1,5,13,18,21,27,28,51 A variety of limited-open or mini-open techniques using multiple devices, 4,26,[52][53][54][55] or no special devices, [56][57][58][59] have not yet undergone the intense scrutiny given to more established endoscopic carpal tunnel-release techniques, and that complications and learning curves associated with these techniques should be studied further before they are put to wider use. 10 In the present article, a new technique for carpal tunnel release is reported for the first time in a peer reviewed journal.…”

Section: Discussionmentioning

confidence: 99%

“…A tourniquet was applied to the arm and inflated to 250 mmHg. 4,27 Surgical loupes (3 Â magnification) were used for the procedure. One goal of this technique is to avoid any type of palm incision, thus, a transverse incision was made over the palmar distal wrist crease, starting at a couple of mm radial to the medial border of the palmaris longus tendon 32 and extending toward the ulna by 1 cm 25 ( Figures 5 and 6), however, any other surgical approach may be used.…”

Section: Surgical Techniquementioning

confidence: 99%

“…One goal of this technique is to avoid any type of palm incision, thus, a transverse incision was made over the palmar distal wrist crease, starting at a couple of mm radial to the medial border of the palmaris longus tendon 32 and extending toward the ulna by 1 cm 25 (Figures 5 and 6), however, any other surgical approach may be used. 3,4,8,10 If the palmaris longus tendon was not detectable or out of its most usual anatomical position, then the line of continuation of the 3rd interdigital space was used as reference. Only the skin was cut sharply.…”

Section: Surgical Techniquementioning

confidence: 99%

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‘INSIGHT-PRECISION’: a new, mini-invasive technique for the surgical treatment of carpal tunnel syndrome

Carmo¹

2019

J Int Med Res

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Objective To describe a new mini-invasive surgical technique for carpal tunnel release and to present clinical findings associated with using this technique. Methods Patients with idiopathic carpal tunnel syndrome without prior surgical treatment, who underwent a new minimally-invasive surgical technique using a specific surgical tool-kit developed by the author, were included. Prospective data were collected, including preoperative electrodiagnostic testing. The subjective condition of all patients was evaluated pre- and postoperatively with a five-level Likert-type scale (LS) and muscular strength was tested using a JAMAR dynamometer and pinch gauge. Results A total of 116 patients (157 hands/cases) underwent surgery performed by the author, and were followed for a mean of 40 months (range, 6 months–7 years). Of these, preoperative electrodiagnostic testing was performed in 112 patients (96.6%). No significant complications were reported. By three months, patients reported that they were satisfied or very satisfied in 147/149 cases (98.7%; LS grade I and II). Strength recovery at three months, based on the average of four measures, was 99.17% (range, 97.43–100.97%). Conclusions The described technique is minimally invasive, safe and simple to perform, and provides good results.

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Section: Discussionmentioning

confidence: 99%

Section: Surgical Techniquementioning

confidence: 99%

Section: Surgical Techniquementioning

confidence: 99%

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‘INSIGHT-PRECISION’: a new, mini-invasive technique for the surgical treatment of carpal tunnel syndrome

Carmo¹

2019

J Int Med Res

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“…Open field (Figures 1F and G) or endoscopy has a similar time out of work, but the latter MN damage is more frequent [52][53][54]. Retinaculotome decompression is similar to endoscopy but with less time and cost requirements [55] (Figures 1H and I). Re-operation is indicated in failure or recurrence.…”

Section: Carpal Tunnel Syndrome (Cts)mentioning

confidence: 99%

Peripheral Nerve Entrapment and their Surgical Treatment

Vanaclocha‐Vanaclocha¹,

Saiz-Sapena²,

MaríaOrtiz‐Criado³

et al. 2017

Peripheral Nerve Regeneration - From Surgery to New Therapeutic Approaches Including Biomaterials and Cell-Based Therapies Deve

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Nerves pass from one body area to another through channels made of connective tissue and/or bone. In these narrow passages, they can get trapped due to anatomic abnormalities, ganglion cysts, muscle or connective tissue hypertrophy, tumours, trauma or iatrogenic mishaps. Nearly all nerves can be affected. The clinical presentation is pain, paraesthesia, sensory and motor power loss. The specific clinical features will depend on the affected nerve and on the chronicity, severity, speed and mechanism of compression.Its incidence is higher under some occupations and is some systemic conditions: diabetes mellitus, hypothyroidism, acromegaly, alcoholism, oedema and inflammatory diseases. The diagnosis is suspected with the clinical presentation and provocative clinical test, being confirmed with electrodiagnostic and/or ultrasonographic studies. Magnetic Resonance Studies (MRI) rule out ganglion cysts or tumours. Conservative medical treatment is often sufficient. In refractory ones, surgical decompression should be performed before nerve damage and muscle atrophy are irreversible. The 'double crash' syndrome happens when a peripheral nerve is compressed at more than one point along its trajectory. In cases with marked muscle atrophy, a 'supercharge end-to-side' nerve transfer can be added to the decompression. After decompression in those few cases with refractory pain, a nerve neurostimulator can be applied.

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“…Attempting to avoid the side effects induced by intra-pelvic obturator nerve trunk resection, some researchers attempted local anesthetic agent infiltration at the obturator nerve outside the obturator canal and at the quadratus femoris nerve branch and reported that it also provided good short term pain relief [43,57,72,[75][76][77][78][79][80][81][82]. This pain improvement lasted usually one to four days [27,81] but in some exceptional cases up to three months [80,81].…”

Section: Historical Background Hip Joint Denervationmentioning

confidence: 99%

Percutaneous Radiofrequency Hip Joint Denervation

Saiz-Sapena¹,

Vanaclocha²,

Ortiz-Criado³

et al. 2021

Chronic Pain - Physiopathology and Treatment

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With an aging population, chronic osteoarthritic hip joint pain is becoming a major issue. Most patients with hip pain can control their pain with conservative measures but with a gradual reduction in their quality of life. When gradually reduced ambulation and pain become recalcitrant, total hip arthroplasty is the next step. For most patients, this is a good way to improve pain control and to recover some quality of life, but for a few this aggressive surgical procedure is not possible. Sometimes co-morbidities make total hip arthroplasties undesirable. At other times, the age of the patients recommends to wait for a while. In these cases, other options have to be explored. Percutaneous partial hip joint sensory denervation has become a notable option as it can provide acceptable rates of pain relief with minimal surgical aggressiveness. There are three modalities to perform it: thermal, cooled and pulsed radiofrequency.

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Carpal Tunnel Release Using the Paine Retinaculotome Inserted through a Palmar Incision

Abstract: After many years, no permanent nerve or vascular damage has been reported. This method has demonstrated itself to be efficient and safe in the treatment of the carpal tunnel syndrome.

Cited by 7 publications

References 14 publications

‘INSIGHT-PRECISION’: a new, mini-invasive technique for the surgical treatment of carpal tunnel syndrome

‘INSIGHT-PRECISION’: a new, mini-invasive technique for the surgical treatment of carpal tunnel syndrome

Peripheral Nerve Entrapment and their Surgical Treatment

Percutaneous Radiofrequency Hip Joint Denervation

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