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Dergiler / Bakırköy Tıp Dergisi / 2020 / Cilt: 16 - Sayı: 2

Carpal Tunnel Release with a Minimally Invasive Surgical Approach at the Proximal of the Distal Wrist Crease: The Evaluation of the Efficacy of the Technique with Clinical and Magnetic Resonance Imaging

Minimal İnvaziv Cerrahi Yaklaşım ile Distal El Bilek Kırışıklığının Proksimalinde Karpal Tünel Gevşetmesi: Tekniğin Etkinliğinin Klinik ve Manyetik Rezonans Görüntüleme ile Değerlendirilmesi

Ahmet YILMAZ
Sayfa
125–131
DOI
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⚡ TL;DR(1 Cümlede Hızlı Çıkarım)

Early return to physiological activities has increased the patient comfort.

📌 3 Maddede Bu Makale

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Amaç & Hipotez:Objective: In this prospective study, we aimed to evaluate the efficacy of minimally invasive surgical technique at the proximal of the distal wrist crease for carpal tunnel release with clinical and pre- and postoperative magnetic resonance imaging (MRI) findings.
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Temel Bulgular & Veri:Method: Carpal tunnel release was performed on 102 wrists of 65 patients with a mini-incision at the proximal of the distal wrist crease.
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Sonuç & Katkı:Early return to physiological activities has increased the patient comfort.
🔬Tür:Uygulamalı Anket & Alan Araştırması
📍Kapsam:Genişletilmiş Akademik Örneklem
⚙️Değişkenler:Alan Parametreleri

Özet

Objective: In this prospective study, we aimed to evaluate the efficacy of minimally invasive surgical technique at the proximal of the distal wrist crease for carpal tunnel release with clinical and pre- and postoperative magnetic resonance imaging (MRI) findings. Method: Carpal tunnel release was performed on 102 wrists of 65 patients with a mini-incision at the proximal of the distal wrist crease. Clinical assessment of the patients was made with the Boston Carpal Tunnel Questionnaire. Preoperative and postoperative third month MRIs were examined. Results: There was a clinically significant difference between the preoperative and postoperative third month results (p<0.001). The findings from the preoperative MRIs have significantly decreased in number in the postoperative MRIs (p<0.001). None of the patients experienced pillar pain or scar tissue sensitivity. No resurgery was required. Conclusion: Carpal tunnel release with a minimally invasive approach performed at the proximal of the distal wrist crease is an efficient method. Early return to physiological activities has increased the patient comfort.

Abstract

Amaç: Bu prospektif çalışmada, karpal tünel gevşetmesi için distal el bileği kırışıklığı proksimalinde minimal invasiv cerrahi tekniğin etkinliğini klinik ve pre- ve postoperatif manyetik resonans görüntüleme (MRG) bulguları ile değerlendirmeyi amaçladık. Yöntem: 65 hastanın 102 eline, distal el bileği kırışıklığı proksimalinde yapılan mini insizyon ile karpal tünel gevşetmesi uygulandı. Olguların klinik değerlendirilmesi Boston Karpal Tünel Anketi ile yapıldı. Preoperatif ve postoperatif 3. ayda MRG incelendi. Bulgular: Klinik değerlendirmede ameliyat öncesi ve ameliyat sonrası 3. ay değerleri arasında anlamlı fark vardı (p<0.001). Preoperatif MRG’de tesbit edilen bulgular postoperatif MRG’de anlamlı oranda azaldı (p<0.001). Hiçbir hastada pillar ağrısı ve skar dokusu hassasiyeti görülmedi. Yeniden ameliyat gerekmedi. Sonuç: Distal el bileği kırışıklığı proksimalinde, mini invasiv yaklaşımla uygulanan karpal tünel gevşetmesi etkin bir yöntemdir. Hastaların fizyolojik aktivitelerini erken başarmaları yaşam konforlarını artırmıştır.

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Bu Makaleye Atıf Yap

YILMAZ, A. (2020). Carpal Tunnel Release with a Minimally Invasive Surgical Approach at the Proximal of the Distal Wrist Crease: The Evaluation of the Efficacy of the Technique with Clinical and Magnetic Resonance Imaging. Bakırköy Tıp Dergisi, Cilt: 16 - Sayı: 2, 125–131. https://ajindex.com/articles/125285

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Kaynakça (8)

  1. Raja S, Carlos AJ. Carpal tunnel syndrome - current controversies. Orthopaedics and Trauma. 2015;29:273-7. https://doi.org/10.1016/j.mporth.2015.08.001
  2. Sucher BM, Schreiber AL. Carpal tunnel syndrome diagnosis. Phys Med Rehabil Clin N Am. 2014;25(2):229-47. https://doi.org/10.1016/j.pmr.2014.01.004 Thurston A. Carpal tunnel syndrome. Orthopaedics and Trauma. 2013;27:332-41. https://doi.org/10.1016/j.mporth.2013.08.003
  3. Huisstede BM, Randsdorp MS, Coert JH, Glerum S, van Middelkoop M, Koes BW. Carpal Tunnel Syndrome. Part II: Effectiveness of surgical treatments-A systematic review. Arch Phys Med Rehabil. 2010;91(7):1005-24. https://doi.org/10.1016/j.apmr.2010.03.023
  4. Aslani HR, Alizadeh K, Eajazi A, Karimi A, Karimi MH, Zaferani Z, et al. Comparison of carpal tunnel release with three different techniques. Clin Neurol Neurosurg. 2012;114(7):965-8. https://doi.org/10.1016/j.clineuro.2012.02.017
  5. Boya H, Ozcan O, Oztekin HH. Long-term complications of open carpal tunnel release. Muscle Nerve. 2008;38(5):1443-6. https://doi.org/10.1002/mus.21068
  6. Tarallo M, Fino P, Sorvillo V, Parisi P, Scuderi N. Comparative analysis between minimal access versus traditional accesses in carpal tunnel syndrome: a perspective randomised study. J Plast Reconstr Aesthet Surg. 2014;67(2):237-43. https://doi.org/10.1016/j.bjps.2013.10.033
  7. Osei DA, Calfee RP, Stepan JG, Boyer MI, Goldfarb CA, Gelberman RH. Simultaneous bilateral or unilateral carpal tunnel release? A prospective cohort study of early outcomes and limitations. J Bone Joint Surg Am. 2014;96(11):889-96. https://doi.org/10.2106/JBJS.M.00822
  8. Cho YJ, Lee JH, Shin DJ, Park KH. Comparison of short wrist transverse open and limited open techniques for carpal tunnel release: a randomized controlled trial of two incisions. J Hand Surg Eur Vol. 2016;41(2):143-7. https://doi.org/10.1177/1753193415603968 10. Pajardi G, Pegoli L, Pivato G, Zerbinati P. Endoscopic carpal tunnel release: our experience with 12,702 cases. Hand Surg. 2008;13(1):21-6. https://doi.org/10.1142/S0218810408003815 11. Agee JM, McCarroll HR Jr, Tortosa RD, Berry DA, Szabo RM, Peimer CA. Endoscopic release of the carpal tunnel: a randomized prospective multicenter study. J Hand Surg Am. 1992;17(6):987-95. https://doi.org/10.1016/S0363-5023(09)91044-9 12. Müller LP, Rudig L, Degreif J, Rommens PM. Endoscopic carpal tunnel release: results with special consideration to possible complications. Knee Surg Sports Traumatol Arthrosc. 2000;8(3):166-72. https://doi.org/1