scholarly journals Comparison of Wide Awake Local Anaesthesia No Tourniquet Technique with Tourniquet Application under General Anesthesia in Carpal Tunnel Syndrome: A Retrospective Study

2019 ◽  
Vol 35 (4) ◽  
pp. 220-223
Author(s):  
Mustafa Çağlar Kır ◽  
Mehmet Kürşad Bayraktar ◽  
Hakan Gürbüz
Keyword(s):  
Retrospective Study ◽  
Carpal Tunnel Syndrome ◽  
General Anesthesia ◽  
Carpal Tunnel ◽  
Local Anaesthesia ◽  
Tunnel Syndrome ◽  
Wide Awake ◽  
No Tourniquet

scholarly journals Positive patient experience of wide awake local anaesthesia no tourniquet (WALANT) hand surgery in the government setting: a prospective descriptive study

2021 ◽  
Vol 20 (3) ◽  
Author(s):  
Jaco J Naude ◽  
Odette Koch ◽  
Ludwig W Schmidt ◽  
Theo LB le Roux
Keyword(s):  
Patient Experience ◽  
Carpal Tunnel ◽  
Local Anaesthesia ◽  
Surgical Procedure ◽  
Hand Surgery ◽  
Descriptive Study ◽  
Trigger Finger ◽  
The Mean ◽  
Wide Awake ◽  
No Tourniquet

ABSTRACT BACKGROUND: The purpose of this study was to establish a subjective patient experience with wide awake local anaesthesia no tourniquet (WALANT) procedures performed in the institution from May 2019 to March 2020. WALANT surgery was initiated to improve standard operating procedure and to decrease theatre burden METHODS: This prospective, descriptive study included 100 patients with a mean age of 59 years who required either a carpal tunnel or trigger finger release. The patients' pain experience was documented on the visual analogue scale (VAS) for the local anaesthetic injection and the surgical procedure. Overall experience was assessed on the patient's preference to have the procedure performed by the WALANT method or the conventional method RESULTS: One hundred patients were included, of which 67 had medical comorbidities. The mean VAS score was 1.5 (SD±1.6) with pain on injection. The mean VAS pain score during the surgical procedure was 0.2 (SD±0.7). One hundred per cent of patients (100/100) felt they would do the WALANT outpatient procedure again instead of admission to hospital and surgery in the theatre. Two complications occurred related to wound care problems, and were successfully managed. None of the patients required reoperations for incomplete release of the carpal tunnel or trigger finger surgery CONCLUSION: The results of this study suggest that minor hand surgery using the WALANT protocol can be performed effectively and with high patient satisfaction rates in the orthopaedic outpatient clinic, and is a useful tool in the skillset of a hand surgeon Level of evidence: Level 4 Keywords: WALANT, hand surgery, trigger finger, carpal tunnel release

scholarly journals Prognostic factors in carpal tunnel syndrome treated with 5% dextrose perineural injection: A retrospective study

2021 ◽  
Vol 18 (9) ◽  
pp. 1960-1965
Author(s):  
Tsung-Yen Ho ◽  
Si-Ru Chen ◽  
Tsung-Ying Li ◽  
Chun-Yi Li ◽  
King Hei Stanley Lam ◽  
...  
Keyword(s):  
Prognostic Factors ◽  
Retrospective Study ◽  
Carpal Tunnel Syndrome ◽  
Carpal Tunnel ◽  
Perineural Injection ◽  
Tunnel Syndrome

scholarly journals Modified Altissimi and Mancini technique for carpal tunnel decompression

2013 ◽  
Vol 34 (1) ◽  
pp. 9-12
Author(s):  
A Sigdel ◽  
S Uprety ◽  
Govind KC
Keyword(s):  
Carpal Tunnel Syndrome ◽  
Carpal Tunnel ◽  
Local Anaesthetic ◽  
Local Anaesthesia ◽  
Institute Of Medicine ◽  
Day Case ◽  
Novel Technique ◽  
Tunnel Syndrome ◽  
Median Nerve Injury

Introduction: Carpal tunnel syndrome is the commonest compressive peripheral nerve neuropathy; open carpal tunnel decompression still remains the preferred method as a day case procedure using local  anaesthesia. The local anaesthetic is commonly administered by subcutaneous infiltration alone (the Gale technique) or by infiltration of the local anaesthetic into the carpal tunnel in addition to the subcutaneous infiltration (the Altissimi and Mancini technique). The purpose of this study was to evaluate the efficacy of the modified Altissimi and Mancini technique of local anesthesia. Methods: Fourteen hands of twelve patients age ranged from 26 to 55 years, two patients with bilateral involvements were recruited. Most involved hand was operated first with the modified Altissimi and Mancini technique of local anaesthesia. Results: Intra-operative pain was evaluated using visual analog score. Patients experienced no to very little intra-operative pain VAS 0- 2. Only one patient experienced tourniquet discomfort which subsided after release. There was neither any intra-operative nor during follow up, the signs of iatrogenic median nerve injury. Conclusion: We concluded that open carpal tunnel decompression using modified Altissimi and Mancini technique under local anaesthesia and with tourniquet control is a safe, effective and acceptable novel technique. DOI: http://dx.doi.org/10.3126/joim.v34i1.9116 Journal of Institute of Medicine, April, 2012; 34:1 9-12

scholarly journals Carpal Tunnel Syndrome After Recurrent Pregnancies

2020 ◽  
Author(s):  
Mesude Kisli
Keyword(s):  
Retrospective Study ◽  
Carpal Tunnel Syndrome ◽  
Carpal Tunnel ◽  
Grand Multiparity ◽  
Study Population ◽  
Tunnel Syndrome ◽  
The Mean ◽  
Severity Of The Disease ◽  
Number Of Births

Abstract Background: The primary aim of the retrospective study was to study whether the number of births in women ( primipara, multipara and grand multipara women ) the long term after deliveries has an impact on the development of Carpal tunnel syndrome ( CTS ).Methods: Our study population is composed of patients who are referred with suspicion of CTS. Four hundred and fifty female patients ( 150 primara, 150 multipara and 150 grand multipara women ) referred to the electrophsiology laboratory with clinical suspicion CTS were included into the descriptive and retrospective study between November 2016 and June 2018. Primiparity, multiparity and grand multiparity were defined as women having 1, 2 – 5 and 6 - 9 deliveries, respectively. Patients who passed 2 years after their last birth were included in the study. All of the patients were assessed and compared in terms of electrophysiological CTS presence and degree of CTS. Also BMI was calculated for each patient and it compared among groups.Results: The disease has not been changed with the number of births ( p > 0.05 ). The mean BMI of the primipara, multipara and grand multipara women were 28,06 ± 1,12 kg / m2, 27,59 ± 3,72 kg / m2 and 27,82 ± 3,11 kg / m2, respectively. There was no significant statistically difference in BMI among groups ( p > 0.05). However, the severity of the disease varies according to BMI ( p < 0.05 ). It was calculated that as the BMI increases, the severity of the disease increases. Conclusions: Number of pregnancies in women ( primipara, multipara and grand multipara women ) concerning the long term after deliveries has not impact on the development of CTS. Other risk factors such as BMI may play a significant role in the development of CTS in these patients.

Carpal tunnel syndrome and finger deformities in children with mucopolysaccharidoses and mucolipidoses: a retrospective review of 52 patients

2021 ◽  
pp. 175319342110619
Author(s):  
Clément Thirache ◽  
Mathilde Gaume ◽  
Cyril Gitiaux ◽  
Arielle Salon ◽  
Caroline Dana ◽  
...  
Keyword(s):  
Retrospective Study ◽  
Carpal Tunnel Syndrome ◽  
Carpal Tunnel ◽  
Clinical Signs ◽  
Single Centre ◽  
Level Of Evidence ◽  
Age At Surgery ◽  
Tunnel Syndrome ◽  
The Mean

This single-centre retrospective study reports our management of carpal tunnel syndrome in 52 children (103 hands) with mucopolysaccharidoses and mucolipidoses. All except one were bilateral. The median age at surgery was 4 years (range 1.5 to 12). The diagnosis of carpal tunnel syndrome was confirmed by an electromyogram (EMG) in all patients; 38% of these presented without any clinical signs. Surgical neurolysis was performed in all hands, combined with epineurotomy in 52 hands (50%) and flexor tenosynovectomy in 75 hands (73%). Surgery was bilateral in 98% of children (102 hands). The mean follow-up was 12 years (range 1 to 19) and the EMG was normalized in 78% of hands. Ten patients suffered recurrence, eight of whom required further surgery. Screening for carpal tunnel syndrome is essential for the management of children mucopolysaccharidoses and mucolipidoses. Surgical treatment should be carried out early with follow-up by EMG to detect recurrence. Level of evidence: IV

Carpal Tunnel Syndrome: The Correlation between Outcome, Symptoms and Nerve Conduction Study Findings

2001 ◽  
Vol 26 (5) ◽  
pp. 475-480 ◽  
Author(s):  
L. LONGSTAFF ◽  
R. H. MILNER ◽  
S. O’SULLIVAN ◽  
P. FAWCETT
Keyword(s):  
Retrospective Study ◽  
Carpal Tunnel Syndrome ◽  
Carpal Tunnel ◽  
Nerve Conduction ◽  
Symptom Relief ◽  
Successful Outcome ◽  
Decompression Surgery ◽  
Duration Of Symptoms ◽  
Tunnel Syndrome ◽  
Outcome Of Surgery

A retrospective study was performed on 62 patients who had undergone carpal tunnel decompression surgery. Each patient was assessed in clinic, their case notes were reviewed and their electrophysiological results were analysed and graded according to severity. The median preoperative duration of symptoms was 2 years. No relationship was found between the nature or duration of pre-operative symptoms and the severity of the electrophysiological impairment. Furthermore, no relationship could be identified between pre-operative nerve conduction impairment and either successful outcome of surgery (defined as complete symptom relief) or time to resolution of symptoms after surgery.

Evaluation of multiple level nerve compression

1996 ◽  
Vol 4 (3) ◽  
pp. 1-5 ◽  
Author(s):  
Meral Omurtag ◽  
Christine B Novak ◽  
Susan E Mackinnon
Keyword(s):  
Retrospective Study ◽  
Carpal Tunnel Syndrome ◽  
Upper Extremity ◽  
Carpal Tunnel ◽  
Nerve Compression ◽  
Cubital Tunnel ◽  
Workers Compensation ◽  
Multiple Level ◽  
Tunnel Syndrome

In this retrospective study, the charts of 100 patients (81 females and 19 males, mean age 41 years) with a diagnosis of multiple level nerve compression were reviewed. Forty-five patients were involved with Workers' Compensation. The most common referral diagnosis was carpal tunnel syndrome (43%); only one patient was referred with the diagnosis of ‘multiple crush’. Of the 43 patients referred with a diagnosis of carpal tunnel syndrome, 35% had two levels of nerve compression (carpal and cubital tunnel or carpal tunnel and thoracic outlet) and 65% had three levels of nerve compression (carpal tunnel, cubital tunnel and thoracic outlet). This study suggests that multiple level nerve compression is frequently unrecognized and recommends full upper extremity evaluation, especially in patients referred with a diagnosis of carpal tunnel syndrome, to identify all levels of nerve compression.

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