Endoscopic versus open carpal tunnel release for idiopathic carpal tunnel syndrome: a meta-analysis of randomized controlled trials

Zuo, Dongqing; Zhou, Zifei; Wang, Hongsheng; Liao, Yuxin; Zheng, Longpo; Hua, Yingqi; Cai, Zhengdong

doi:10.1186/s13018-014-0148-6

Cited by 92 publications

(70 citation statements)

References 44 publications

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“…Local, regional or general anaesthesia are options, but local is faster and more cost effective [50,51]. 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).…”

Section: Carpal Tunnel Syndrome (Cts)mentioning

confidence: 92%

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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Section: Carpal Tunnel Syndrome (Cts)mentioning

confidence: 92%

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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“…In addition, in the light of much heterogeneity in published literature regarding the outcomes of endoscopic vis-à-vis open carpal tunnel release, [16][17][18] only patients who had received either both open or both endoscopic carpal tunnel release were studied in order to reduce the effect of the type of release on the outcome of the surgery.…”

Section: Discussionmentioning

confidence: 99%

The Effect of Hand Dominance on Patient-Reported Outcomes of Carpal Tunnel Release in Patients with Bilateral Carpal Tunnel Syndrome

Tang

Wei

Tay

2017

J Hand Surg Asian-Pac Vol

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Background: There is a paucity of studies in published literature that examines the effect of hand dominance on the resolution of symptoms following a carpal tunnel release. The objective of this study is to examine the effect of hand dominance on the resolution of symptoms following surgical decompression in patients with severe and moderate carpal tunnel syndrome. Methods: Bilateral carpal tunnel release (total 90 open and 84 endoscopic) was performed on 87 patients (11 males, 76 females) presenting with bilateral severe or moderate carpal tunnel syndrome of equal severity. Patient-reported outcome of resolution of symptoms were recorded, with patients followed up until complete resolution of symptoms or last recorded consultation (mean follow-up duration 11.4 months, range 3.1 to 32.4 months). Results: In patients with bilateral severe carpal tunnel syndrome, a larger proportion of non-dominant hand (75.4%) achieved complete resolution compared to dominant hand (72.1%), and did so at a statistically shorter time (mean: 52.3 days) than the dominant hand (mean: 81.0 days). However, there was no statistically significant difference between proportion of patients and time taken before complete resolution of symptoms between dominant and non-dominant hand in patients with bilateral moderate carpal tunnel syndrome. Conclusions: Symptoms in the non-dominant hand resolved faster after carpal tunnel release in patients with severe carpal tunnel syndrome. We postulate that greater daily activity by the dominant hand compared to the non-dominant hand may be a contributing factor to its slower rate of symptoms resolution post-surgically in patients with bilateral severe carpal tunnel syndrome. This effect of hand dominance is not evident in post-surgical patients with moderate carpal tunnel syndrome.

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“…The symptoms are alleviated once the pressure within the carpal tunnel subsides and/or the likely swelling of the carpal tunnel contents is reduced. Currently there are various treatment methods available to help alleviate carpal tunnel syndrome (CTS) symptoms (Zuo et al, 2015). Percutaneous balloon carpal tunnel plasty, invented by Dr J Lee Berger is a novel treatment procedure that involves stretching the TCL.…”

Section: Introductionmentioning

confidence: 99%