Safety of Endoscopic Carpal Tunnel Release Performed Under Local Anesthesia

Allam, Omar; Park, Kitae Eric; Carney, Martin J.; Kim, Samuel; Craig, Moores; Thomson, James G.; Pršić, Adnan

doi:10.1097/01.gox.0000720800.54109.08

Cited by 2 publications

(8 citation statements)

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“…For the hand laterality affected by CTS, only four articles mentioned the hand laterality of their patients. 10 , 20 , 26 , 27 As a whole, the right hand was more affected (n=138/235, 58.72%) than the left hand (n=97/235, 41.27%). Three articles described the endoscopic CTS release method using a single-port technique, 10 , 22 , 24 and two articles described the two-port chow method.…”

Section: Resultsmentioning

confidence: 93%

“…We included data from 12 studies in the present systematic review ( Figure 1 ), and 11 studies were included in the meta-analysis. 10 , 20 , 21 , 22 , 23 , 24 , 25 , 26 , 27 , 28 , 29 , 30 These studies were published between 2001 and 2021. Six studies were published in European countries, 22 , 24 , 25 , 26 , 27 , 29 while the remaining studies were published in the United States.…”

Section: Resultsmentioning

confidence: 99%

“… Authors Country Study Design Patients Operative characteristics Level of evidence Groups (E/O) Sample size Age range Gender (M/F) Type of anesthesia Surgical technique Operative time (min) Allam et al. 2020 20 USA P 138/0 138 NA NA LA ECTR NA II Aultman et al. 2020 21 USA P 50/43 93 26-78 29/34 LA with sedation versus WALANT only ECTR NA II Chalidis et al.…”

Section: Resultsmentioning

confidence: 99%

“…In all included studies, women were the majority (n = 9914/1450, 68.35%); in two articles, gender was not mentioned. 20 , 28 In seven articles, LA was administered, 12 , 20 , 22 , 23 , 24 , 27 , 28 two articles compared LA with regional anesthesia, 25 , 29 one article used only regional anesthesia (median and ulnar nerve block), 26 one article used LA with sedation versus WALANT only, 21 and one article compared general anesthesia or regional anesthesia versus LA. 29 Regarding the clinical and operative characteristics, the duration of presenting complaints of CTS was presented in two studies, 22 , 24 with a mean duration of 43.3 months.…”

Section: Resultsmentioning

confidence: 99%

“… Authors Surgical complications Anesthesia-related complications Follow-up interval Patient satisfaction Postoperative pain Allam et al. 2020 20 Infection:6, neuropraxia:2, wound dehiscence:2, nerve laceration:0 NA NA NA NA Aultman et al. 2020 21 NA NA NA E(walant:7.26, mac:6.2) Walant: H:6.2, Average:4, L:2.6.…”

Section: Resultsmentioning

confidence: 99%

See 4 more Smart Citations

“Anesthesia for Endoscopic Carpal Tunnel Syndrome Release: A Comprehensive Systematic Review and Meta-Analysis of Local Versus Regional Versus General Anesthesia”

Abukhudair¹,

Alhindi²,

Alarbedi³

et al. 2023

JPRAS Open

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Section: Resultsmentioning

confidence: 93%

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

See 3 more Smart Citations

“Anesthesia for Endoscopic Carpal Tunnel Syndrome Release: A Comprehensive Systematic Review and Meta-Analysis of Local Versus Regional Versus General Anesthesia”

Abukhudair¹,

Alhindi²,

Alarbedi³

et al. 2023

JPRAS Open

View full text Add to dashboard Cite

Prospective evaluation of a novel device for ultrasound-guided percutaneous treatment of carpal tunnel and trigger finger disease. Efficacy and safety of sono-instruments®

Moungondo,

Van Rompaey,

Moussa

et al. 2024

J Ultrasound

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Purpose To evaluate the safety and effectiveness of percutaneous release procedures under sonography using Sono-Instruments® in the treatment of carpal tunnel syndrome (CTS) and trigger finger (TF). Methods Prospective study involving 30 patients, divided into two groups (15 CTS, and 15 TF). The primary outcomes were surgical performance-related outcomes (visibility, ease of use, satisfaction, duration) using Sono-Instruments® and patient-related outcomes (pain, activity limitations, time to return to work, functional scores). Secondary outcomes included complications. Patients were followed for two months post-operatively. Results In the CTS group, the average age of the patients was 58.7 years. The percutaneous release of the transverse carpal ligament was effectively completed in all cases, with excellent device performance and no adverse events. At one week, all patients could wash their hands, 80% could perform activities of daily living, and 80% of those working had returned to their activities. At two months, all patients had resumed all activities. Pillar pain was still present in 53.3%. In the TF group, the patients had an average age of 57.9 years. The percutaneous release of the A1 annular pulley was successful in all cases, with excellent device performance and no adverse events. At one week, all patients could wash their hands, 93.3% could do all activities of daily living, and 75% of those working were back to their professional activities. At two months, all patients were back to all activities of daily living and work. The DASH score was significantly improved at two months, compared to preoperative, for both groups (p < 0.001). Conclusion Percutaneous sono-guided release using Sono-Instruments® is safe and efficient, and associated with quick functional recovery. Level of evidence II.

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Safety of Endoscopic Carpal Tunnel Release Performed Under Local Anesthesia

Cited by 2 publications

References 0 publications

“Anesthesia for Endoscopic Carpal Tunnel Syndrome Release: A Comprehensive Systematic Review and Meta-Analysis of Local Versus Regional Versus General Anesthesia”

“Anesthesia for Endoscopic Carpal Tunnel Syndrome Release: A Comprehensive Systematic Review and Meta-Analysis of Local Versus Regional Versus General Anesthesia”

Prospective evaluation of a novel device for ultrasound-guided percutaneous treatment of carpal tunnel and trigger finger disease. Efficacy and safety of sono-instruments®

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