Skip to main content

The Distal Single Incision Scope-Assisted Carpal Tunnel Release — Thirteen-Year Follow-Up Results

  • Chapter
Book cover Carpal Tunnel Syndrome
  • 3634 Accesses

Abstract

Carpal tunnel syndrome (CTS)was first recognized by Sir James Paget in 1854 and continues to attract considerable attention in contemporary orthopedics [18]. Learmonth first described surgical decompression of peripheral nerves in the 1930s while Phalen’s contributions to the clinical evaluation of CTS began in the 1950s [9, 20, 21].Known both as the most researched and most common peripheral nerve entrapment neuropathy,the incidence of CTS continues to increase [6]. According to data reported by the National Institute for Occupational Safety and Health (NIOSH),roughly 60% of all work-related illnesses are “disorders associated with repeated trauma” [16].In addition,with about 50%of all CTS cases being work related,return to work can reflect significant costs to industries [22].Postoperative scar/pillar tenderness and/or weakness of pinch and grip strength are of ten variables that delay thereturn to work [1].

This is a preview of subscription content, log in via an institution to check access.

Access this chapter

Chapter
USD 29.95
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
USD 129.00
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
Softcover Book
USD 169.99
Price excludes VAT (USA)
  • Compact, lightweight edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info
Hardcover Book
USD 219.99
Price excludes VAT (USA)
  • Durable hardcover edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Institutional subscriptions

Preview

Unable to display preview. Download preview PDF.

Unable to display preview. Download preview PDF.

References

  1. Agee JM, McCarroll HR Jr et al. (1992) Endoscopic release of the carpal tunnel: a randomized prospective multicenter study. J Hand Surg [Am] 17(6):987–95

    CAS  Google Scholar 

  2. Brown MG, Keyser B et al. (1992) Endoscopic carpal tunnel release. J Hand Surg [Am] 17(6):1009–11

    CAS  Google Scholar 

  3. Brown RA, Gelberman RH et al. (1993) Carpal tunnel release. A prospective, randomized assessment of open and endoscopic methods. J Bone Joint Surg Am 75(9):1265–75

    PubMed  CAS  Google Scholar 

  4. Chow JC (1989) Endoscopic release of the carpal ligament: a new technique for carpal tunnel syndrome. Arthroscopy 5(1):19–24

    Article  PubMed  CAS  Google Scholar 

  5. Cobb TK, Dalley BK et al. (1993) Anatomy of the flexor retinaculum. J Hand Surg [Am] 18(1):91–9

    Article  CAS  Google Scholar 

  6. Dawson DM, Hallet M et al. (1990). Entrapment neuropathies. Little, Brown. Boston, pp 25–92

    Google Scholar 

  7. Feinstein PA (1993) Endoscopic carpal tunnel release in a community-based series. J Hand Surg [Am] 18(3):451–4

    CAS  Google Scholar 

  8. Lanz U (1977) Anatomical variations of the median nerve in the carpal tunnel. J Hand Surg [Am] 2(1):44–53

    CAS  Google Scholar 

  9. Learmonth J (1933) The principle of decompression in the treatment of certain diseases of peripheral nerves. Surg Clin North Am 13:905–913

    Google Scholar 

  10. Lee DH, Masear VR et al. (1992) Endoscopic carpal tunnel release: a cadaveric study. JHand Surg [Am] 17(6):1003–8

    CAS  Google Scholar 

  11. Luallin SR, Toby EB (1993) Incidental Guyon’s canal release during attempted endoscopic carpal tunnel release: an anatomical study and report of two cases. Arthroscopy 9(4):382–6; discussion 381

    Article  PubMed  CAS  Google Scholar 

  12. Menon J (1994) Endoscopic carpal tunnel release: preliminary report. Arthroscopy 10(1):31–8

    Article  PubMed  CAS  Google Scholar 

  13. Mirza MA, King ET Jr (1993) Palmar uniportal extrabursal endoscopic carpal tunnel release. 23rd Meeting of the American Association of Hand Surgery, Cancun, Mexico

    Google Scholar 

  14. Mirza MA, King ET Jr (1996) Newer techniques of carpal tunnel release. Orthop Clin North Am 27(2):355–71

    PubMed  CAS  Google Scholar 

  15. Mirza MA, King ET Jr et al. (1995) Palmar uniportal extrabursal endoscopic carpal tunnel release. Arthroscopy 11(1):82–90

    Article  PubMed  CAS  Google Scholar 

  16. National Institute for Occupational Safety and Health (1997) Carpal Tunnel Syndrome. (http://www.cdc.gov/niosh/ctsfs.html, Accessed October 27, 2004)

  17. Okutsu I, Ninomiya S et al. (1989) Endoscopic management of carpal tunnel syndrome. Arthroscopy 5(1):11–8

    Article  PubMed  CAS  Google Scholar 

  18. Paget J (1900) Lectures on surgical pathology. Lindsay & Bakiston. Philadelphia, pp 1842–1854

    Google Scholar 

  19. Palmer DH, Paulson JC et al. (1993) Endoscopic carpal tunnel release: a comparison of two techniques with open release. Arthroscopy 9(5):498–508

    Article  PubMed  CAS  Google Scholar 

  20. Phalen GS (1951) Spontaneous compression of the median nerve at the wrist. J Am Med Assoc 145(15):1128–33

    PubMed  CAS  Google Scholar 

  21. Phalen GS (1972) The carpal-tunnel syndrome. Clinical evaluation of 598 hands. Clin Orthop 83:29–40

    Article  PubMed  CAS  Google Scholar 

  22. Praemer A, Furner S et al. (1992) Occupational Injuries. Musculoskeletal conditions in the United States. AAOS, Park Ridge, IL, pp 98–104

    Google Scholar 

  23. Resnick CT, Miller BW (1991) Endoscopic carpal tunnel release using the subligamentous two-portal technique. Contemp Orthop 22(3):269–77

    PubMed  CAS  Google Scholar 

  24. Rotman MB, Manske PR (1993) Anatomic relationships of an endoscopic carpal tunnel device to surrounding structures. J Hand Surg [Am] 18(3):442–50

    CAS  Google Scholar 

  25. Seiler JG, 3rd, Barnes K et al. (1992) Endoscopic carpal tunnel release: an anatomic study of the two-incision method in human cadavers. J Hand Surg [Am] 17(6): 996–1002

    Article  Google Scholar 

  26. Viegas SF, Pollard A et al. (1992) Carpal arch alteration and related clinical status after endoscopic carpal tunnel release. J Hand Surg [Am] 17(6):1012–6

    CAS  Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Editor information

Editors and Affiliations

Rights and permissions

Reprints and permissions

Copyright information

© 2007 Springer-Verlag Berlin Heidelberg

About this chapter

Cite this chapter

Mirza, M.A., Reinhart, M.K. (2007). The Distal Single Incision Scope-Assisted Carpal Tunnel Release — Thirteen-Year Follow-Up Results. In: Luchetti, R., Amadio, P. (eds) Carpal Tunnel Syndrome. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-540-49008-1_27

Download citation

  • DOI: https://doi.org/10.1007/978-3-540-49008-1_27

  • Publisher Name: Springer, Berlin, Heidelberg

  • Print ISBN: 978-3-540-22387-0

  • Online ISBN: 978-3-540-49008-1

  • eBook Packages: MedicineMedicine (R0)

Publish with us

Policies and ethics