Minimally Invasive Endoscopic Decompression for Anterior Interosseous Nerve Syndrome: Technical Notes

Damert, H.-G.; Hoffmann, Reimer; Kraus, Armin; Stowell, R. Lee; Lubahn, John D.

doi:10.1016/j.jhsa.2013.07.026

Cited by 16 publications

(5 citation statements)

References 21 publications

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“…Anterior interosseous nerve 11 dusing scissors to release the pronator teres entrapment of the anterior interosseous nerve. Olecranon bursa 9 dcreating a second working portal to introduce instruments to resect the olecranon bursa, with instruments such as a motorized shaver and pituitary rongeur.…”

Section: Discussionmentioning

confidence: 99%

Endoscopic Excision of Supracondylar Humeral Spur for Decompression of the Median Nerve and Brachial Artery

Bain

Gupta

Phadnis

et al. 2016

Arthroscopy Techniques

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The humeral supracondylar process and Struthers ligament comprise a relatively rare but well-known anatomic variant. They are usually asymptomatic but may produce clinical symptoms related to compression of the median nerve or brachial artery below the ligament. Previously, surgery has been performed with an open ligament release and supracondylar process excision. This article reports on the use of endoscopic findings and the method of ligament release and process excision. Endoscopy is a minimally invasive technique that provides excellent visualization and enables the surgeon to perform dissection with magnification and precision. It allows the surgeon to introduce open surgical techniques into the depths of the wound in a controlled manner. Because of the dead space created, there is a risk of hematoma formation. Many of the concepts used in open surgery are now being used for endoscopic surgery, and vice versa. The barriers and differences among endoscopic, arthroscopic, and open procedures are being broken down. We report another endoscopic technique, which is part of the ongoing evolution of musculoskeletal surgery.

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Section: Discussionmentioning

confidence: 99%

Endoscopic Excision of Supracondylar Humeral Spur for Decompression of the Median Nerve and Brachial Artery

Bain

Gupta

Phadnis

et al. 2016

Arthroscopy Techniques

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“…These procedures are attractive due to their minimal incision, which promotes decreased scar tissue formation, adhesions, blood loss, as well as improved recovery time and cosmetics. 57 Ochi et al compared the efficacies of combined internal and external neurolysis in the context of minimal incision surgery and wide incision surgery in patients with AINS who presented a mean of 5 months after symptom onset and reported that 82% of patients managed surgically recovered greater than or equal to M4 strength. Interestingly, they found no significant difference between minimal and wide incision surgery outcomes.…”

Section: Treatment Options Conservative Managementmentioning

confidence: 99%

Anterior Interosseous Nerve Syndrome

Russo

Rando

et al. 2022

Orthopedic Reviews

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Anterior interosseous nerve syndrome (AINS) is a rare form of peripheral neuropathy which involves disruption of the anterior interosseous nerve. The pathophysiology of AINS remains unclear. AINS typically initially presents with forearm pain and may gradually progress to palsy of the deep muscles of the anterior forearm. Diagnosis of AINS requires thorough patient history and physical exam. EMG is the preferred diagnostic study and classically reveals abnormal activity and prolonged latency periods within the evoked action potentials of the FPL and PQ. Due to the self-limiting nature of AINS, there is general agreement that conservative and symptomatic management should be explored for up to 6 months as first line therapy, which usually includes analgesics and nonsteroidal anti-inflammatory drugs, contracture prevention, hand therapy, and hand splinting. Surgical options such as internal neurolysis and minimally invasive endoscopic decompression may be explored if functional recovery from conservative management is limited.

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“…Vereinzelt wurde bei frühzeitiger chirurgischer Therapie im Sinne einer offenen Epineurotomie und Neurolyse von positiven Ergebnissen berichtet [28]. Neben der offenen chirurgischen Therapie sind auch endoskopische Verfahren und endoskopisch assistierte Verfahren beschrieben, die von den jeweiligen Autoren bevorzugt werden [30,31]. Insgesamt fehlt es in der vorhandenen Literatur an randomisiert kontrollierten Studien zum Vergleich der operativen Techniken sowie des Therapie-Outcomes.…”

Section: Therapieunclassified

“…Positive outcomes have often been reported after early open epineurotomy and neurolysis [28]. Apart from open surgical treatment, endoscopic procedures and endoscopy-assisted procedures have also been outlined, which were preferred in previous studies [30,31]. Overall, evidence from RCTs comparing surgical techniques and therapeutic outcomes is lacking.…”

Section: Treatmentmentioning

confidence: 99%

Treatment of Peripheral Nerve Compression Syndromes of the Upper Extremities: a Systematic Review

et al. 2021

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Background Nerve compression syndromes are referred to as chronic irritation or pressure palsies of peripheral nerves in areas of preformed anatomical constriction. Carpal tunnel syndrome is the most common nerve compression syndrome, followed by cubital tunnel syndrome. In addition, less frequent nerve compression syndromes of the upper extremities that affect the median, ulnar or radial nerves have been described. This review provides an overview of current treatment options for nerve compression syndromes of the upper extremities. Study Design Systematic overview. Methods Based on established national (AWMF) and international guidelines as well as the Cochrane Library, we performed a systematic literature search on PubMed (NLM), focusing on randomised controlled trials. Results Over the research period (2012 – 2020), there were 43 randomised trials that investigated surgical carpal tunnel release methods, 68 that compared different conservative therapies and 12 that compared surgical versus conservative treatments. Furthermore, eight studies analysed surgical techniques and four analysed conservative techniques for cubital tunnel syndrome. No randomised trials were conducted on the less common peripheral nerve compression syndromes, but case reports and observational studies were conducted. Conclusion For carpal and cubital tunnel syndromes, there are evidence-based diagnostic methods as well as therapeutic recommendations based on randomised and controlled trials. When diagnosis is made after clinical examination and supported by radiological and electrophysiological evaluation, surgical treatment is considered superior to conservative treatment. In particular, excellent long-term results can be achieved by surgery for carpal and cubital tunnel syndromes. More controlled studies are needed to establish evidence-based therapeutic recommendations for the less common nerve compression syndromes, which are somewhat controversially and inconsistently defined.

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Minimally Invasive Endoscopic Decompression for Anterior Interosseous Nerve Syndrome: Technical Notes

Cited by 16 publications

References 21 publications

Endoscopic Excision of Supracondylar Humeral Spur for Decompression of the Median Nerve and Brachial Artery

Endoscopic Excision of Supracondylar Humeral Spur for Decompression of the Median Nerve and Brachial Artery

Anterior Interosseous Nerve Syndrome

Treatment of Peripheral Nerve Compression Syndromes of the Upper Extremities: a Systematic Review

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