Single surgeon series of outcomes of 897 consecutive endoscopic carpal tunnel releases stratified by disease severity

Satteson, Ellen; Cunningham, Teresa; Gerard, J. Bento; Person, David W.; Tannan, Shruti

doi:10.1016/j.bjps.2018.10.023

Cited by 3 publications

(2 citation statements)

References 5 publications

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“…Two studies of the single-portal technique did not report details of the specific technique or the approach used in the surgery. Satteson et al 27 reported a signiﬁcant difference only in incidence of neuropraxia, with higher rates occurring in the mild neuropraxia group. Hein et al, 28 using a MicroAire single-portal smart release set, reported that their patients used narcotic pain medication for only 2 days following the operation and returned to ADL in an average of 5 days.…”

Section: Resultsmentioning

confidence: 96%

“…Two studies were RCT studies by Kempton et al 18 and Truelove et al 19 . Seven studies were prospective studies, the most prevalent research design, including studies by Degeorge et al, 20 Li et al, 21 Trung et al, 22 Grandizio et al, 23 Ng et al, 24 , 25 and Rooij et al 26 Only five retrospective studies were identified, by Satteson et al, 27 Hein et al, 28 Liu and Wu, 29 Wellington et al, 30 and Tarfusser et al 31 …”

Section: Resultsmentioning

confidence: 99%

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Endoscopic carpal surgery in carpal tunnel syndrome: A systematic review

2023

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Objective: Endoscopic carpal tunnel release has become increasingly popular and has shown the advantage of early recovery of hand function with minimal morbidity. In this systematic review, we aimed to summarize the currently available data and describe the reported advantages and disadvantages of endoscopic carpal tunnel surgery for treating carpal tunnel syndrome. Methods: In this study, we followed the Preferred Reporting Items for Systematic Reviews and Meta-Analyses, which is a set of reporting requirements for systematic reviews and meta-analyses. The search strategy with MeSH terms was “MeSH (carpal tunnel syndrome) AND (endoscopic)” Filters: in the last 5 years, English—on February 27th, 2022. A total of 131 articles fulfilled the first screening criteria. A detailed analysis of those articles identified 39 that matched the criteria, of which 14 were considered appropriate for this analysis after applying the complete inclusion and exclusion criteria. Results: A total of 14 studies met the eligibility criteria. Analysis of those studies found that all types of portals in endoscopic carpal tunnel release reduced postoperative pain at a short-term follow-up. There was no evidence to suggest the superiority of the single- or two-portal techniques in terms of outcomes. In terms of pain relief, symptom resolution, patient satisfaction, duration to return to work, and adverse events, this early use of endoscopic carpal tunnel release produced satisfactory outcomes. Further studies comparing the number of portals are needed. Conclusion: Endoscopic carpal tunnel surgery for treating carpal tunnel syndrome is effective and both single- and dual-portal techniques provide advantages in terms of early recovery and minimal morbidity.

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Section: Resultsmentioning

confidence: 96%

Section: Resultsmentioning

confidence: 99%

Endoscopic carpal surgery in carpal tunnel syndrome: A systematic review

2023

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Endoscopic Carpal Tunnel Release

Karamanos

Jillian

Person

2020

Orthopedic Clinics of North America

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Compression Neuropathies of the Upper Extremity: A Review

et al. 2021

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Compressive neuropathies of the forearm are common and involve structures innervated by the median, ulnar, and radial nerves. A thorough patient history, occupational history, and physical examination can aid diagnosis. Electromyography, X-ray, and Magnetic Resonance Imaging may prove useful in select syndromes. Generally, first line therapy of all compressive neuropathies consists of activity modification, rest, splinting, and non-steroidal anti-inflammatory drugs. Many patients experience improvement with conservative measures. For those lacking adequate response, steroid injections may improve symptoms. Surgical release is the last line therapy and has varied outcomes depending on the compression. Carpal Tunnel syndrome (CTS) is the most common, followed by ulnar tunnel syndrome. Open and endoscopic CTS release appear to have similar outcomes. Endoscopic release appears to incur decreased cost baring a low rate of complications, although this is debated in the literature. Additional syndromes of median nerve compression include pronator syndrome (PS), anterior interosseous syndrome, and ligament of Struthers syndrome. Ulnar nerve compressive neuropathies include cubital tunnel syndrome and Guyon’s canal. Radial nerve compressive neuropathies include radial tunnel syndrome and Wartenberg’s syndrome. The goal of this review is to provide all clinicians with guidance on diagnosis and treatment of commonly encountered compressive neuropathies of the forearm.

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Single surgeon series of outcomes of 897 consecutive endoscopic carpal tunnel releases stratified by disease severity

Cited by 3 publications

References 5 publications

Endoscopic carpal surgery in carpal tunnel syndrome: A systematic review

Endoscopic carpal surgery in carpal tunnel syndrome: A systematic review

Endoscopic Carpal Tunnel Release

Compression Neuropathies of the Upper Extremity: A Review

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