scholarly journals Massive Thrombophlebitis as a Complication after Carpal Tunnel Release: Comorbid Factors?

2018 ◽  
Vol 1 (3) ◽  
pp. 01-03
Author(s):  
Liselore Maeckelbergh
Keyword(s):  
Blood Pressure ◽  
Systolic Blood Pressure ◽  
Carpal Tunnel ◽  
Carpal Tunnel Release ◽  
Superficial Fascia ◽  
Palmaris Longus ◽  
Vertical Incision ◽  
Locoregional Anesthesia ◽  
Portal Technique ◽  
Blunt Probe

Seven days before the patient had an endoscopic carpal tunnel release under locoregional anesthesia. We performed a single-portal technique as described by Agee. The patient was positioned in dorsal decubitus with this right arm on a side table. The arm tourniquet was inflated to a pressure 100mmHg above systolic blood pressure. The tourniquet was inflated after draping and was released after suture. The vertical incision was located radiocarpal along the ulnar border of the musculus palmaris longus. A proximal based flap of the superficial fascia is created and elevated. A blunt probe was used to gently probe the undersurface of the ligament. Sequentially larger dilators are passed into the carpal tunnel. The arthroscope with the blade is passed in and the dissection of the ligamentum transversum carpi is made. The incision is closed with resorbable sutures after which a compressive bandage is applied.

scholarly journals Massive Thrombophlebitis as a Complication after Carpal Tunnel Release: Comorbid Factors?

2018 ◽  
Vol 1 (3) ◽  
pp. 01-03
Author(s):  
Liselore Maeckelbergh ◽  
Jan Noyez ◽  
Arne Decramer
Keyword(s):  
Blood Pressure ◽  
Systolic Blood Pressure ◽  
Carpal Tunnel ◽  
Carpal Tunnel Release ◽  
Superficial Fascia ◽  
Palmaris Longus ◽  
Vertical Incision ◽  
Locoregional Anesthesia ◽  
Portal Technique ◽  
Blunt Probe

Seven days before the patient had an endoscopic carpal tunnel release under locoregional anesthesia. We performed a single-portal technique as described by Agee. The patient was positioned in dorsal decubitus with this right arm on a side table. The arm tourniquet was inflated to a pressure 100mmHg above systolic blood pressure. The tourniquet was inflated after draping and was released after suture. The vertical incision was located radiocarpal along the ulnar border of the musculus palmaris longus. A proximal based flap of the superficial fascia is created and elevated. A blunt probe was used to gently probe the undersurface of the ligament. Sequentially larger dilators are passed into the carpal tunnel. The arthroscope with the blade is passed in and the dissection of the ligamentum transversum carpi is made. The incision is closed with resorbable sutures after which a compressive bandage is applied.

Primary Palmaris Longus Transfer as an Opponensplasty in Carpal Tunnel Release

1991 ◽  
Vol 16 (1) ◽  
pp. 56-60 ◽  
Author(s):  
G. FOUCHER ◽  
C. MALIZOS ◽  
D. SAMMUT ◽  
F. MARIN BRAUN ◽  
J. MICHON
Keyword(s):  
Carpal Tunnel ◽  
Carpal Tunnel Release ◽  
Long Term Results ◽  
Technical Modification ◽  
Palmaris Longus

Seventy three Camitz-Littler operations combining carpal tunnel release and palmaris longus oppenens transfer provided 90.7% good long term results. A technical modification can provide pronation.

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.

ENDOSCOPIC CARPAL TUNNEL RELEASE: SINGLE OR DOUBLE PORTAL?

Hand Surgery ◽  
1996 ◽  
Vol 01 (02) ◽  
pp. 89-94
Author(s):  
Malcolm H. Wicks
Keyword(s):  
Return To Work ◽  
Carpal Tunnel ◽  
Local Anaesthesia ◽  
Carpal Tunnel Release ◽  
The Other ◽  
Pinch Strength ◽  
Accelerated Rehabilitation ◽  
Light Sedation ◽  
Portal Technique ◽  
No Tourniquet

This report outlines my experience with 20 patients who underwent bilateral endoscopic carpal tunnel releases: one side by a uni-portal (Unit-Cut) release, the other by a two portal (modified Chow) technique at the same time. All patients were treated as out-patients, the operations being performed under local anaesthesia with light sedation, no tourniquet inflated, and with pressure bandage applied for twelve hours only. The patients underwent an accelerated rehabilitation programme beginning the same day, and were encouraged to use their hands as soon as possible. Grip and pinch strength return was similar for both techniques, the single portal being slightly quicker. Return to work averaged 8.5 days (range 3–25 days) and full activities returned by 14.3 days (range 1–40 days). When asked, the patient strongly preferred the single portal technique, i.e., 18 out of 20 patients.

A New Technique for Endoscopic Carpal Tunnel Decompression

1995 ◽  
Vol 20 (4) ◽  
pp. 465-469 ◽  
Author(s):  
T. M. TSAI ◽  
T. TSURUTA ◽  
S. A. SYED ◽  
H. KIMURA
Keyword(s):  
Median Nerve ◽  
Carpal Tunnel ◽  
Carpal Tunnel Release ◽  
Glass Tube ◽  
New Technique ◽  
Motor Branch ◽  
Flexor Retinaculum ◽  
Fresh Cadaver ◽  
Custom Made ◽  
Portal Technique

A new one-portal technique for endoscopic carpal tunnel release (ECTR) is introduced with its clinical results. The incision is made at the palmar aspect of file hand. A custom-made glass tube with a groove is inserted, and under endoscope observation, a meniscus knife is pushed forward along the groove to release the flexor retinaculum. This new technique has been studied in ten fresh cadaver hands and used in 123 patients' hands. Results of the cadaver study showed that the flexor retinaculum was released completely in all ten hands. No injuries to tendons, nerves, or arteries were noted. In one case the cotton tip was lost from the stick. All clinical releases were performed uneventfully except for three cases of neuropraxia of the digital nerve of the radial side of the ring finger, one laceration of the motor branch of the median nerve, one mild infection, one loss of cotton tip from the cotton swab stick, and one case of chipping of the glass tube. The case with the laceration of the motor branch of the median nerve occurred early in the series and required the conventional open incision to repair the nerve. The cases with loss of cotton from the stick and chipping of the tube also required a conventional incision to remove the cotton and glass chip. Advantages of this one-portal technique with the glass tube include less scar tenderness than with two-portal techniques, decreased risk of injury to the superficial palmar arch and ulnar nerve because of the distal approach, a view of pathology in the carpal tunnel through the glass tube, and confirmation of release of the flexor retinaculum.

Endoscopic Carpal Tunnel Release

1997 ◽  
Vol 22 (4) ◽  
pp. 505-507 ◽  
Author(s):  
A. P. ARMSTONG ◽  
J. R. FLYNN ◽  
D. M. DAVIES
Keyword(s):  
Retrospective Study ◽  
Carpal Tunnel ◽  
Complication Rate ◽  
Carpal Tunnel Release ◽  
Endoscopic Release ◽  
Iatrogenic Nerve Injury ◽  
Portal Technique ◽  
Results Of Surgery

We report our experience over a 30 month period of endoscopic release of the carpal tunnel by the Chow two-portal technique. The objective of this retrospective study was to evaluate the long-term subjective results of surgery and to assess if any iatrogenic nerve injury had been caused by the endoscopic procedure. The follow-up period was from 3 to 34 months. Our permanent, iatrogenic, postoperative nerve complication rate was 0.9% (2/208). No other serious complications occurred.

A Severe Infection Following Endoscopic Carpal Tunnel Release

1996 ◽  
Vol 21 (5) ◽  
pp. 672-674 ◽  
Author(s):  
H. RIEGER ◽  
J. GRÜNERT ◽  
E. BRUG
Keyword(s):  
Surgical Treatment ◽  
Carpal Tunnel ◽  
Wound Closure ◽  
Carpal Tunnel Release ◽  
Hand Function ◽  
Severe Infection ◽  
Collagen Sponge ◽  
Primary Wound Closure ◽  
Endoscopic Carpal Tunnel Release ◽  
Portal Technique

A 59-year-old patient underwent endoscopic carpal tunnel release by Chow's two-portal technique. He developed a pyogenic tenosynovitis and an infection within the ulnar and radial bursae, an abscess in the middle palmar, thenar and Parona's space, and a pyogenic wrist arthritis. Surgical treatment included a wide exposure of the infected region, débridement, irrigation, application of a resorbable collagen sponge containing gentamicin, insertion of two drains and primary wound closure. The infection was brought under control and hand function restored.

scholarly journals Corrigendum to “Revision of Carpal Tunnel Release due to Palmaris Longus Profundus”

2017 ◽  
Vol 2017 ◽  
pp. 1-1
Author(s):  
Christos Lyrtzis ◽  
Konstantinos Natsis ◽  
Evagelos Pantazis
Keyword(s):  
Carpal Tunnel ◽  
Carpal Tunnel Release ◽  
Palmaris Longus

General versus locoregional anesthesia in carotid surgery: A prospective randomised trial

VASA ◽  
2006 ◽  
Vol 35 (4) ◽  
pp. 232-238 ◽  
Author(s):  
Kasprzak ◽  
Altmeppen ◽  
Angerer ◽  
Mann ◽  
Mackh ◽  
...  
Keyword(s):  
Blood Pressure ◽  
Systolic Blood Pressure ◽  
General Anesthesia ◽  
Carotid Endarterectomy ◽  
Randomised Trial ◽  
Complication Rates ◽  
Cardiopulmonary Complication ◽  
Locoregional Anesthesia ◽  
Significant Difference ◽  
Ica Stenosis

Background: To evaluate the influence of anesthetic technique on perioperative neurological and cardiopulmonary complication rates in patients undergoing carotid endarterectomy. Patients and methods: 186 patients with symptomatic internal carotid artery (ICA) stenosis > 70% or asymptomatic ICA stenosis > 80% were prospectively randomized for either locoregional (LA) or general anesthesia (GA). Results: Neurological complication rates were similar in both groups (GA 2% vs. LA 2%). Cardiopulmonary complication rates were not significantly different (GA 4% vs LA 1%).There were no stroke-related deaths, but one patient from the GA group died from severe postoperative pneumonia. Thus, a significant difference in combined stroke / cardiopulmonary related death between the two groups (GA 1% vs LA 0%) could not be found. However, perioperative cardiopulmonary monitoring showed that significantly more patients operated under general anesthesia had hypertensive events, with systolic blood pressure values greater than 180 mmHg on postoperative day one. There were no differences in the number of postoperatively hypotensive episodes (systolic blood pressure values < 100 mmHg) between the two groups. Conclusions: Significant differences in the perioperative neurological and cardiopulmonary complication rates between general and locoregional anesthesia in patients undergoing carotid endarterectomy could not be observed.

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