Subscribe to RSS
DOI: 10.1055/a-0832-2560
Die endoskopische Karpaltunnelspaltung im monoportalen Verfahren
Endoscopic Carpal Tunnel Release Via a Monoportal ApproachPublication History
Publication Date:
05 June 2019 (online)
Zusammenfassung
Das Karpaltunnelsyndrom stellt eines der häufigsten Beschwerdebilder in der Handchirurgie dar. Therapie der Wahl ist beim neurophysiologisch gesicherten Karpaltunnelsyndrom die operative Spaltung des Retinaculum musculorum flexorum. Die minimalinvasive endoskopische Karpaltunnelspaltung kann eine verbesserte Rekonvaleszenz bei gleichzeitig hoher Patientensicherheit gegenüber klassischen offenen Verfahren vorweisen. In der vorliegenden Videopublikation stellen wir das Operationsverfahren zur Karpaltunnelspaltung im monoportalen endoskopischen Vorgehen dar. Zudem berichten wir unsere Therapieerfahrungen in über 800 Fällen.
Abstract
Carpal tunnel syndrome is a very common condition in hand surgery. The gold standard in therapy is the surgical release of the flexor retinaculum. Endoscopic carpal tunnel release provides superior convalescence and patient safety. In this video paper, we demonstrate endoscopic carpal tunnel release via a monoportal approach and report our experience in treating over 800 cases.
-
Literatur
- 1 Mondelli M, Giannini F, Giacchi M. Carpal tunnel syndrome incidence in a general population. Neurology 2002; 58: 289-294
- 2 Hessenauer MET, Arkudas A, Ludolph I. et al. [The Value of Endoscopic Decompression in Surgical Therapy of Carpal Tunnel Syndrome]. Zentralbl Chir 2018; 143: 74-80 doi:10.1055/s-0043-117494
- 3 Gerritsen AA, de Vet HC, Scholten RJ. et al. Splinting vs. surgery in the treatment of carpal tunnel syndrome: a randomized controlled trial. JAMA 2002; 288: 1245-1251
- 4 Horch R. A new device for safe and easy dilatation of the carpal canal in endoscopic surgical treatment of the carpal tunnel syndrome. Minim Invasive Neurosurg 1996; 39: 60-62 doi:10.1055/s-2008-1052218
- 5 Noszczyk BH, Krzesniak N, Nowak M. Superficial plane endoscopy for carpal tunnel release. Wideochir Inne Tech Maloinwazyjne 2014; 9: 262-266 doi:10.5114/wiitm.2014.41632
- 6 Agee JM, McCarroll jr. HR, Tortosa RD. et al. Endoscopic release of the carpal tunnel: a randomized prospective multicenter study. J Hand Surg Am 1992; 17: 987-995
- 7 Vasiliadis HS, Nikolakopoulou A, Shrier I. et al. Endoscopic and Open Release Similarly Safe for the Treatment of Carpal Tunnel Syndrome. A Systematic Review and Meta-Analysis. PloS One 2015; 10: e0143683 doi:10.1371/journal.pone.0143683
- 8 Goldhahn J, Pfluger D, Zollmann P. [Preissler endoscopic carpal ligament release. Experiences from 1000 operations]. Zentralbl Chir 2000; 125: 772-775 doi:10.1055/s-2000-10658
- 9 Haase J. Carpal tunnel syndrome – a comprehensive review. Adv Tech Stand Neurosurg 2007; 32: 175-249