Comparative analysis of open versus endoscopic carpal tunnel release in a comprehensive national database

Douglas, Scott; Sax, Oliver C.; Dubin, Jeremy; Remily, Ethan; Bains, Sandeep S.; Hameed, Daniel; Chen, Zhongming; Ingari, John V.

doi:10.1016/j.hansur.2023.10.009

Cited by 2 publications

(1 citation statement)

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“…The recurrent motor nerve, a branch of the median nerve, that ordinarily supplies the thenar muscles, is another nerve that could be damaged. Its injury could have a substantial impact on thumb function [ 14 , 15 ]. Due to the preferable outcomes of the OCTR, more technical advancements are being conducted in this technique.…”

Section: Reviewmentioning

confidence: 99%

Surgical Interventions for the Management of Carpal Tunnel Syndrome: A Narrative Review

Alrayes,

Altawili,

Alsaffar

et al. 2024

Cureus

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Carpal tunnel syndrome (CTS) is a severe condition that affects the hand, causing pain, numbness, paresthesia, and autonomic dysfunction caused by increased pressure, damage, and demyelination of the median nerve in the carpal tunnel. The most effective treatment for CTS is carpal tunnel release (CTR) via transverse carpal ligament (TCL) transect. We can apply decompression through endoscopic procedures; standard open techniques and minimally invasive wrist incisions can all be used to accomplish decompression. Superior outcomes have been reported in many studies, including patient satisfaction, symptom relief, improvements in multiple assessment modality results, and fewer complications. Soreness at the incision site, tenderness around the site of ligament release, transitory loss of motor or sensory function, and the need for a repeat operation are all postoperative consequences. There is minimal and low-quality evidence to support the effectiveness of postoperative rehabilitation, such as wrist orthoses, dressings, exercise, and ice therapy, which have benefited patients anecdotally.

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Section: Reviewmentioning

confidence: 99%