Carpal Tunnel Release by the Agee Endoscopic Technique

1999 ◽  
Vol 24 (5) ◽  
pp. 583-585 ◽  
Author(s):  
L. ERHARD ◽  
T. OZALP ◽  
N. CITRON ◽  
G. FOUCHER
Keyword(s):  
Carpal Tunnel ◽  
Carpal Tunnel Release ◽  
Senior Author ◽  
Endoscopic Technique ◽  
Point Scale ◽  
Mean Delay ◽  
Endoscopic Carpal Tunnel Release

Ninety-five hands (86 patients) were treated by endoscopic carpal tunnel release using the technique of Agee. They were the first ones operated on by the senior author (GF) using this technique. The patients were interviewed at a mean follow-up of 4.5 years: 72% of hands were free of symptoms and 94% were described by the patients as functionally normal. Seventeen hands (out of 27) with residual or recurrent symptoms were examined. Nine hands (nine patients) were only partially improved (mean 6.7 on a 10 point scale) and in eight hands (seven patients), some symptoms had recurred after a mean delay of 3.8 years. It was possible to find a second pathology in most of these cases. It is necessary to inform the patient before operation that incomplete relief or recurrence of symptoms can occur after endoscopic carpal tunnel release, as with conventional release.

The Results of Carpal Tunnel Release: Open Versus Endoscopic Technique

1994 ◽  
Vol 19 (1) ◽  
pp. 14-17 ◽  
Author(s):  
S. BANDE ◽  
L. DE SMET ◽  
G. FABRY
Keyword(s):  
Patient Satisfaction ◽  
Return To Work ◽  
Carpal Tunnel ◽  
Carpal Tunnel Release ◽  
Endoscopic Technique ◽  
Open Release ◽  
Significant Difference ◽  
Open Versus ◽  
Portal Technique

We retrospectively compared two similar groups of patients who underwent either endoscopic decompression of the carpal tunnel (single portal technique, 44 patients) or open decompression (58 patients) during 1 year in our department. To find out whether there was any subjective difference between the results of the two techniques, we sent each patient a questionnaire and received a 95% response. No major complications occurred. Three endoscopic decompressions had to be abandoned, and open release was performed. We could not demonstrate any significant difference in relief of symptoms and return to work between the two groups. Patient satisfaction at 6 to 18 months follow-up was high with both techniques.

Carpal tunnel release: a randomized comparison of three surgical methods

2013 ◽  
Vol 38 (6) ◽  
pp. 646-650 ◽  
Author(s):  
M. B. Larsen ◽  
A. I. Sørensen ◽  
K. L. Crone ◽  
T. Weis ◽  
M. E. H. Boeckstyns
Keyword(s):  
Grip Strength ◽  
Carpal Tunnel ◽  
Controlled Trial ◽  
Carpal Tunnel Release ◽  
Endoscopic Technique ◽  
Randomized Controlled ◽  
Surgical Methods ◽  
Single Blind ◽  
Endoscopic Group

A single-blind, randomized, controlled trial was done to compare the results of carpal tunnel release using classic incision, short incision, or endoscopic technique. In total, 90 consecutive cases were included. Follow-up was 24 weeks. We found a significantly shorter sick leave in the endoscopic group. No significant differences in pain, paraesthesiae, range of motion, pillar pain, and grip strength could be found at 24 weeks of follow-up, although intermediate significant differences were seen, especially in grip strength, in favour of endoscopic technique. No major advantage to using a short incision could be found. There were no serious complications in either group. The results indicate that the endoscopic procedure is safe and has the benefit of faster rehabilitation and return to work.

Risk and Complications in Endoscopic Carpal Tunnel Release

1995 ◽  
Vol 20 (2) ◽  
pp. 222-227 ◽  
Author(s):  
K. SHINYA ◽  
M. LANZETTA ◽  
W. B. CONOLLY
Keyword(s):  
Clinical Features ◽  
Carpal Tunnel ◽  
Reflex Sympathetic Dystrophy ◽  
Carpal Tunnel Release ◽  
Endoscopic Carpal Tunnel Release ◽  
Incorrect Diagnosis ◽  
Palmar Fasciitis ◽  
The One

Single portal endoscopic carpal tunnel release was carried out in 107 hands of 88 patients. There were 11 complications. These included incomplete release (2), post operative scarring around the median and ulnar nerves (2), laceration of the superficial palmar arterial arch (1), reflex sympathetic dystrophy (2), palmar fasciitis (1), and wound inflammation (3). In two cases there was no relief of symptoms. In one there was incorrect diagnosis and in another, incorrect indication for endoscopic carpal tunnel release. The follow-up was from 3 to 18 months with an average of 6.8 months. The overall results of the patients in this series are being presented in another paper. Of the 107 procedures, 73 were rated as having an excellent, 25 good, three fair, and six poor results. The case of laceration of the superficial palmar arterial arch is discussed in detail in the paper. The two cases of reflex sympathetic dystrophy and the one case of palmar fasciitis had mild clinical features and resolved within 3 months. The inflammation in three of the wounds at the wrist resolved within 2 days of removal of the percutaneous sutures. These three patients had returned to heavy hand activities within a few days of surgery.

A COMPARISON OF WORKERS' COMPENSATION PATIENTS AND NONWORKERS' COMPENSATION PATIENTS UNDERGOING ENDOSCOPIC CARPAL TUNNEL RELEASE

Hand Surgery ◽  
2010 ◽  
Vol 15 (02) ◽  
pp. 75-80 ◽  
Author(s):  
Scott F. M. Duncan ◽  
James H. Calandruccio ◽  
Marianne V. Merritt ◽  
John R. Crockarell ◽  
Ryosuke Kakinoki
Keyword(s):  
Carpal Tunnel ◽  
Carpal Tunnel Release ◽  
Workers Compensation ◽  
Activity Levels ◽  
Worker's Compensation ◽  
Duration Of Symptoms ◽  
Worker’S Compensation ◽  
Endoscopic Carpal Tunnel Release ◽  
Significant Difference

This study compares results of endoscopic carpal tunnel release using the two-portal technique in two groups of patients based on whether or not they were receiving workers' compensation. There were 50 patients in the worker's compensation group and 63 in the nonworker's compensation group. Mean follow-up was 40.8 months and 44.8 months, respectively. Duration of symptoms before surgery was statistically different in the two groups, 13.6 months in the worker's compensation groups compared to 26.2 months in the nonworker's compensation group. Worker's compensation patients tended to be younger, have shorter duration of symptoms before surgery, report lower postoperative activity levels, have more subsequent surgeries, and have mediocre results when compared to nonworker's compensation patients. There was no statistically significant difference in the rate or timing of return to work. Our series of 113 patients who had endoscopic carpal tunnel release indicates that careful patient selection is necessary to achieve satisfactory outcomes in worker's compensation patients.

Open Compared With 2-Portal Endoscopic Carpal Tunnel Release: A 5-Year Follow-Up of a Randomized Controlled Trial

2009 ◽  
Vol 34 (2) ◽  
pp. 266-272 ◽  
Author(s):  
Isam Atroshi ◽  
Manfred Hofer ◽  
Gert-Uno Larsson ◽  
Ewald Ornstein ◽  
Ragnar Johnsson ◽  
...  
Keyword(s):  
Randomized Controlled Trial ◽  
Carpal Tunnel ◽  
Controlled Trial ◽  
Carpal Tunnel Release ◽  
Randomized Controlled ◽  
Endoscopic Carpal Tunnel Release
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