Stellenwert der endoskopischen Karpaltunneldekompression

Zusammenfassung

Das Karpaltunnelsyndrom ist eine der häufigsten Erkrankungen in der Handchirurgie. Goldstandard der Therapie ist die operative Spaltung des Lig. carpi transversum. Neben einer Zusammenfassung der neuesten Erkenntnisse bez. Pathogenese, Diagnostik und Therapie wird hier auf Fragen über minimalinvasive Therapiemodalitäten eingegangen. Insbesondere berichten wir neben einem aktuellen Literaturüberblick unsere eigenen Therapieerfahrungen mit der monoportalen endoskopischen Karpaltunnelspaltung in über 700 Fällen. Zusammenfassend zeigt sich bei gleichwertiger Therapiesicherheit eine Überlegenheit des endoskopischen Verfahrens hinsichtlich der Rekonvaleszenz. Die Vor- und Nachteile der verschiedenen Verfahren werden anhand der Daten diskutiert.

Abstract

Carpal tunnel syndrome is one of the most common diseases in hand surgery. The gold standard in therapy is the surgical release of the carpal tunnel. We provide a brief update on the relevant pathogenesis, diagnosis and therapy and discuss questions related to minimal invasive decompression of the median nerve. Together with a review of the current literature, we report on our experiences in minimally invasive carpal tunnel release via a monoportal endoscopic access in over 700 cases. In conclusion, the endoscopic technique provides superior convalescence and patient safety is comparable to open methods. In addition, advantages and disadvantages of the various techniques are discussed.

Schlüsselwörter

Karpaltunnelsyndrom - endoskopische Dekompression - N. medianus - Revisionsoperationen

Key words

carpal tunnel syndrome - endoscopic decompression - median nerve - revisional surgery

• Literatur

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