Abstract
Carpal tunnel syndrome (CTS)secondary to compression of the median nerve in the palm is the most frequent nerve entrapment of the upper extremity. Some forms are accessible to medical treatment,others need surgical treatment.The simple section of the transverse carpal ligament has been successfully used with predictable relief of distal paresthesia.However,diminished grip strength and / or palmar soreness are frequently an issue,resulting in a delayed return to work and recreational activities.The recent introduction of endoscopic release of CTS bolstered by commercial benefits has led us to set up a randomized prospective study to compare evolution of grip strength after three methods of carpal tunnel release (CTR)performed by the same surgeon: simple open section of the ligament, open section with ligament reconstruction,and endoscopic release (Agee procedure).
Access this chapter
Tax calculation will be finalised at checkout
Purchases are for personal use only
Preview
Unable to display preview. Download preview PDF.
References
Agee J, Tortosa R, Berry D, Peimer C (1990) Endoscopic release of the carpal tunnel: a randomized prospective multicenter study. 45th Annual Meeting of American Society for Surgery of the Hand, Toronto
Arner M, Hagberg L, Rosen B (1994) Sensory disturbances after two-portal endoscopic carpal tunnel release: a preliminary report. J Hand Surg. Am. 19, 548–51
Buch-Jaeger N, Foucher G (1994) Correlation of clinical signs with nerve conduction tests in the diagnosis of carpal tunnel syndrome. Journal of Hand Surgery 19B, 720–724
Buch-Jaeger N, Stutzmann-Simon S, Jesel M, Foucher G (1998) Efficacité clinique à moyen et long terme du traitement chirurgical du syndrome du canal carpien. La Main 3, 195–201
Bury TF, Akelman E, Weiss AP (1995) Prospective, randomized trial of splinting after carpal tunnel release. Ann Plast Surg 35, 19–22
Chaise F, Roger B, Laval-Jeantet M, Alhomme Ph (1986) Exploration tomodensitométrique des modifications anatomiques du poignet entraînées par la section du ligament annulaire antérieur. Revue de Chirurgie Orthopédique 72, 297–302.
Chow J (1990) Endoscopic release of the carpal ligament: a new technique for carpal tunnel syndrome. Arthroscopy 6, 289–296
Cook AC, Szabo RM, Birkholz SW, King EF (1995) Early mobilization following carpal tunnel release. A prospective randomized study. J Hand Surg Br 20, 228–30
Das SK, Brown HG (1976) In search of complications in carpal tunnel decompression. The hand 8, 243–249
Dellon AL (1992) Patient evaluation and management considerations in nerve compression. Hands Clinics 8, 229–239.
Duncan KH, Lewis RC, Foreman KA, Nordyke MD (1987) Treatment of carpal tunnel syndrome by members of the American Society for Surgery of the Hand: Results of a questionnaire. J Hand Surg 12A, 384–391
Foucher G, Malizos C, Sammut D et al. (1991) Primary palmaris longus transfer as an opponensplasty in carpal tunnel release. A series of 73 cases. J Hand Surg Br 16, 56–60
Foucher G (1994) Chirurgie des syndromes canalaires du poignet. Encyclopédie médico-chirurgicale (Paris-France), Techniques chirurgicales, Orthopédie Traumatologie 44-362
Foucher G, Braga Da Silva J (1995) Ouverture endoscopique du canal carpien. Chirurgie 120, 100–104.
Foucher G, Allieu Y, Buch N (1995) Bilan d’une expérience de libération endoscopique du canal carpien par la technique d’ Agee. À propos de 280 cas. Rhumatologie 47,2, 47–51
Foucher G, Van Overstraeten L, Braga Da Silva J, Nolens N (1996) Changes in grip strength in a randomized study of carpal tunnel release by three different techniques. Eur. J Orthop Surg Traumatol 6, 185–189
Fuss FK, Wagner TF (1996) Biomechanical alterations in the carpal arch and hand muscles after carpal tunnel release: a further approach toward understanding the function of the flexor retinaculum and the cause of postoperative grip weakness. Clin Anat 9, 100–8
Garstman GM, Kouach JC, Crouch CC et al. (1986) Carpal arcle alterations after carpal tunnel release. J Hand Surg 11A, 372–374
Gellmann H, Kan D, Gee V et al. (1989) Analysis of pinch and grip strength after carpal tunnel release. J Hand Surg 14A, 863–864
Gibbs KE, Rand W, Ruby LK (1996) Open vs endoscopic carpal tunnel release. Orthopedics 19, 1025–8
Jakab E, Ganos D, Cook FW (1991) Transverse carpal ligament reconstruction in surgery for carpal tunnel syndrome: a new technique. J Hand Surg 16A, 202–206
Jarit P (1991) Dominant-hand to non-dominant hand grip strength ratios of college baseball players. Journal of Hand Therapy 123–126
Jessurun W, Hillen B, Zonneveld F et al. (1987) Anatomical relation in the carpal tunnel: a computed tomographic study. J Hand Surg 12B, 64–67.
Jimenez DF, Gibbs SR, Clapper AT (1998) Endoscopic treatment of carpal tunnel syndrome: a critical review. J Neurosurg 88: 817–26
Kapandji AJ (1990) La plastie d’agrandissement du ligament annulaire antérieur du carpe dans le traitement du syndrome du canal carpien. Ann Chir Main 9, 305–314
Kiritsis PG, Kline SC (1995) Biomechanical changes after carpal tunnel release: a cadaveric model for comparing open, endoscopic, and step-cut lengthening techniques. J Hand Surg Am 20, 173–80
Langloh ND, Linscheid RL (1972) Recurrent and unrelieved carpal tunnel syndrome. Clinical Orthopaedics 41–47
Mirza MA, King ET Jr, Tanveer S (1995) Palmar uniportal extrabursal endoscopic carpal tunnel release. Arthroscopy 11, 82–90
Nakao E, Short WH, Werner FW et al. (1998) Changes in carpal tunnel pressures following endoscopic carpal tunnel release: a cadaveric study. J Hand Surg Am 23, 43–7
Netscher D, Mosharrafa A, Lee M et al. (1997) Transverse carpal ligament: its effect on flexor tendon excursion, morphologic changes of the carpal canal, and on pinch and grip strengths after open carpal tunnel release. Plast Reconstr Surg 100, 636–42
Palmer DH, Paulson JC, Lane Larsen CL et al. (1993) Endoscopic carpal tunnel release: a comparison of two techniques with open release. Arthroscopy 9, 498–508
Phalen GS (1966) The carpal tunnel syndrome. Seventeen years’ experience in diagnosis and treatment of six hundred fifty-four hands. J Bone Joint Surg 48A, 211–228
Richmann JA, Gelberman RH, Rydevik BL et al. (1989) Carpal tunnel syndrome: morphology changes after release of the transverse carpal ligament. J Hand Surg 14A, 852–857
Rothan MB, Manske PR, Mirly AL (1993) Anatomical study of an endoscopic carpal tunnel device to surrounding structures. J Hand Surg 18A, 442–450
Sennwald GR, Benedetti R (1995) The value of one-portal endoscopic carpal tunnel release: a prospective randomized study. Knee Surg Sports Traumatol. Arthrosc 3, 113–6
Skorpik G, Landsiedl F (1996) Das Karpaltunnelsyndrom. Ein Vergleich der endoskopischen und offenen operativen Behandlung. Handchir Mikrochir Plast Chir 28, 133–7
Stutzmann S, Buch Jaeger N, Foucher G (1998) Syndrome du canal carpien. Résultats du traitement conservateur par orthèse de repos nocturne surmesure. La Main 3, 203–210
Viegas SF, Pollard A, Kaminksi K (1992) Carpal arch alteration and related clinical status after endoscopic carpal tunnel release. J Hand Surg Am 17, 1012–6
Author information
Authors and Affiliations
Editor information
Editors and Affiliations
Rights and permissions
Copyright information
© 2007 Springer-Verlag Berlin Heidelberg
About this chapter
Cite this chapter
Foucher, G., Pajardi, G., Van Overstraeten, L., Braga Da Silva, J. (2007). Comparison of Grip Strength Evolution After Carpal Tunnel Release by Three Different Techniques. In: Luchetti, R., Amadio, P. (eds) Carpal Tunnel Syndrome. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-540-49008-1_34
Download citation
DOI: https://doi.org/10.1007/978-3-540-49008-1_34
Publisher Name: Springer, Berlin, Heidelberg
Print ISBN: 978-3-540-22387-0
Online ISBN: 978-3-540-49008-1
eBook Packages: MedicineMedicine (R0)