Skip to main content
SpringerLink
Log in

Endoskopische Karpaltunnelspaltung

  • Chapter
Das Karpaltunnelsyndrom

  • 60 Accesses

Zusammenfassung

Obwohl die endoskopische Karpaltunnelspaltung seit nunmehr 10 Jahren angewandt wird, bestehen nach wie vor kontroverse Ansichten bezüglich der Effektivität und Sicherheit dieser Technik An Hand eigener Erfahrungen mit über 800 endoskopischen Karpaltunnelspaltungen und nach Durchsicht der Literatur werden in der vorliegenden Arbeit die Prinzipien der endoskopischen Karpaltunnelspaltung beschrieben. Darüber hinaus wird der aktuelle Stellenwert der endoskopischen Karpaltunnelspaltung im Vergleich zur konventionellen offenen Methode erörtert.

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

Access this chapter

Log in via an institution
Chapter
USD 29.95
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
USD 44.99
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
Softcover Book
USD 59.99
Price excludes VAT (USA)
  • Compact, lightweight 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.

Literatur

  1. Agee JM, McCarrol Jr HR, Tortosa RD, Berry DA, Stabo RM, Peimer CA (1992) Endoscopic release of the carpal tunnel: A randomized prospective multicenter study. J Hand Surg 17A: 987–995.

    Google Scholar 

  2. Arner M, Hagberg L, Rosen B (1994) Sensory disturbances after two-portal endoscopic carpal tunnel release: A preliminary report. J Hand Surg 19A: 548–551.

    Google Scholar 

  3. Bande S, De Smet L, Fabry G (1994) The results of carpal tunnel release: Open versus endoscopic technique. J Hand Surg 19B: 14–17.

    Google Scholar 

  4. Baranowski D, Klein W, Grünert J (1992) Revisionsoperationen beim Karpaltunnelsyndrom. Handchir Mikrochir Plast Chir 25: 127–132.

    Google Scholar 

  5. Bromley GS (1994) Minimal-incision open carpal tunnel decompression. J Hand Surg 19A: 119–120.

    Article  CAS  Google Scholar 

  6. Brown AR, Gelberman RH, Seiler JG, Abrahamsson SO, Weiland AJ, Urbaniak JR, et al. (1993) Carpal tunnel release. J Bone Joint Surg 75A (9): 1265–1275.

    PubMed  CAS  Google Scholar 

  7. Brown MG, Keyser B, Rothenberg ES (1992) Endoscopic carpal tunnel release. J Hand Surg 17A: 1009–1011.

    Article  CAS  Google Scholar 

  8. Brown MG, Rothenberg ES, Keyser B, Woloszyn TT, Wolford A (1993) Results of 1236 endoscopic carpal tunnel release procedures using the Brown technique. Contemp Orthop 27 (3): 163–169.

    Google Scholar 

  9. Carroll RE, Green DP (1972) The significance of the palmar cutaneous nerve at the wrist. Clin Orthop 83: 24–28.

    Article  PubMed  CAS  Google Scholar 

  10. Cartotto RC, McCabe S, Mackinnon SE (1992) Two devastating complications of carpal tunnel surgery. Ann Plast Surg 28: 472–474.

    Article  PubMed  CAS  Google Scholar 

  11. Chow JCY (1990) Endoscopic release of the carpal ligament for carpal tunnel syndrome: 22-month clinical result. Arthroscopy 6: 288–296.

    Article  PubMed  CAS  Google Scholar 

  12. Chow JCY (1989) Endoscopic release of the carpal ligament: A new technique for carpal tunnel syndrome. Arthroscopy 5: 19–24.

    Article  PubMed  CAS  Google Scholar 

  13. Chow JCY (1993) The Chow technique of endoscopic release of the carpal ligament for carpal tunnel syndrome: Four years of clinical results. Arthroscopy 9: 301–314.

    Article  PubMed  CAS  Google Scholar 

  14. Cobb TK, Dalley BK, Posteraro RH, Lewis RC (1993) Anatomy of the flexor retinaculum. J Hand Surg 18A: 91–99.

    Article  CAS  Google Scholar 

  15. Cook AC, Szabo RM, Birkholz SW, King EF (1995) Early mobilization following carpal tunnel release. J Hand Surg 20B: 228–230.

    CAS  Google Scholar 

  16. Davlin LB, Aulicino PL, Bergfield TL (1992) Anatomical variations of the median nerve at the wrist. Orthopaedic Rev: 955–959.

    Google Scholar 

  17. Davlin LB, Aulicino PL, Bergfield TL (1991) Sensory neural loop of the median nerve at the carpal tunnel. J Hand Surg 16A: 863–865.

    Article  CAS  Google Scholar 

  18. Engber WD, Gmeiner JG (1980) Palmar cutaneous branch of the ulnar nerve. J Hand Surg 11: 26–29.

    Google Scholar 

  19. Erdman MWH (1994) Endoscopic carpal tunnel decompression. J Hand Surg 19B: 5–13.

    Google Scholar 

  20. Evans D (ed.) (1994) Endoscopic carpal tunnel release—The hand doctor’s dilemma. Brit J Hand Surg 19B (1): 3–4.

    Google Scholar 

  21. Feinstein PA (1993) Endoscopic carpal tunnel release in a community-based series. J Hand Surg 18A: 451–454.

    Article  CAS  Google Scholar 

  22. Gelberman RH, Pfeffer GB, Galbraith RT, Szabo RM, Rydevik B, Dimick M (1987) Results of treatment of severe carpal-tunnel syndrome without internal neurolysis of the median nerve. J Bone Joint Surg 69A: 896–903.

    Google Scholar 

  23. Goto S, Kojima T (1993) An anomalous lumbrical muscle with an independent muscle belly associated with carpal tunnel syndrome. Handchir Mikrochir Plast Chir 25: 72–74.

    PubMed  CAS  Google Scholar 

  24. Kelly CP, Pulisetti D, Jamieson AM (1994) Early experience with the endoscopic carpal tunnel release. J Hand Surg 19B: 18–21.

    CAS  Google Scholar 

  25. Kerr CD, Sybert DR, Albarracin NS (1992) An analysis of the flexor synovium in idiopathic carpal tunnel syndrome: Report of 625 cases. J Hand Surg 17A: 10281030.

    Google Scholar 

  26. Kulick MI, Gordillo G, Javidi T, Kilgore ES, Newmeyer WL (1986) Long-term analysis of patients having surgical treatment for carpal tunnel syndrome. J Hand Surg 11A: 59–66.

    CAS  Google Scholar 

  27. Lee DH, Masear VR, Meyer RD, Stevens DM, Colgin S (1992) Endoscopie carpal tunnel release: A cadaveric study. J Hand Surg 17A: 1003–1008.

    Google Scholar 

  28. Levy HL, Soifer TB, Kleinbart FA, Lemac LJ, Bryk E (1993) Endoscopie carpal tunnel release: An anatomic study. Arthroscopy 9 (1): 1–4.

    Article  PubMed  CAS  Google Scholar 

  29. Lowry WE, Follender AB (1988) Interfascicular neurolysis in the severe carpal tunnel syndrome. Clin Orthop 227: 251–254.

    PubMed  Google Scholar 

  30. MacDonald RI, Lichtman DM, Hanlon JJ, Wilson JN (1978) Complications of surgical release for carpal tunnel syndrome. J Hand Surg 3 (1): 70–76.

    CAS  Google Scholar 

  31. Mackinnon SE, McCabe S, Murray JF, Szalai JP, Kelly L, Novak C (1991) Internal neurolysis fails to improve the results of primary carpal tunnel decompression. J Hand Surg 16A: 211–218.

    Article  CAS  Google Scholar 

  32. May Jr JW, Rosen H (1981) Division of the sensory ramus communicans between the ulnar and median nerves: A complication following carpal tunnel release. J Bone Joint Surg 63-A: 836–838.

    Google Scholar 

  33. Meals RA, Shaner M (1983) Variations in digital sensory patterns: A study of the ulnar nerve-median nerve palmar communicating branch. J Hand Surg 8: 411–414.

    Google Scholar 

  34. Murphy Jr RX, Chernofsky MA, Osborne MA, Wolson AH (1993) Magnetic resonance imaging in the evaluation of persistent carpal tunnel syndrome. J Hand Surg 18A: 113–120.

    Article  Google Scholar 

  35. Murphy RX, Jennings JF, Wukich DK (1994) Major neurovascular complications of endoscopic carpal tunnel release. J Hand Surg 19A: 114–118.

    Article  Google Scholar 

  36. Naff N, Dellon AL, Mackinnon SE (1993) The anatomical course of the palmar cutaneous branch of the median nerve, including a description of its own unique tunnel. J Hand Surg 18B: 316–317.

    Article  CAS  Google Scholar 

  37. Okutsu I, Ninomiya S, Hamanaka I, Kuroshima N, Inanami H (1989) Measurement of pressure in the carpal canal before and after endoscopic management of carpal tunnel syndrome. J Bone Joint Surg 71A: 679–683.

    PubMed  CAS  Google Scholar 

  38. Okutsu I, Ninomiya S, Takatori Y, Ugawa Y (1989) Endoscopie management of carpal tunnel syndrome. Arthroscopy 5: 11–18.

    Article  PubMed  CAS  Google Scholar 

  39. Paget J (1853) Lectures on surgical pathology. Longman, London, S. 43–48.

    Google Scholar 

  40. Palmer DH, Paulson CJ, Lane-Larson CL, Peulen VK, Olson JD (1993) Endoscopie carpal tunnel release: A comparison of two techniques with open release. Arthroscopy 9: 498–508.

    Google Scholar 

  41. Phalen GS, Gardner W, Laloude A (1950) Neuropathy of the median nerve due to compression beneath the transverse carpal ligament. J Bone Joint Surg 32: 109–112.

    Google Scholar 

  42. Price BA, Miller G (1992) Internal neurolysis. J Foot Surg 31: 250–259.

    PubMed  CAS  Google Scholar 

  43. Resnik CT, Miller BW (1991) Endoscopie carpal tunnel release using the subligamentous two-portal technique. Contemp Orthop 22: 269–277.

    Google Scholar 

  44. Rotman MB, Manske PR (1993) Anatomic relationships of an endoscopic carpal tunnel device to surrounding structures. J Hand Surg 18A: 442–450.

    Article  CAS  Google Scholar 

  45. Schlenker JD, Koulis ChP, Kho LK (1993) Synovialectomy and reconstruction of the retinaculum flexorum in median nerve decompression: Technique and early results. Handchir Mikrochir Plast Chir 25: 66–71.

    Google Scholar 

  46. Schwartz JT, Waters PM, Simmons BP (1993) Endoscopic carpal tunnel release: A cadaveric study. Arthroscopy 9: 209–213.

    Google Scholar 

  47. Scoggin JF, Whipple TL (1992) A potential complication of endoscopic carpal tunnel release. Arthroscopy 8: 363–365.

    Article  PubMed  CAS  Google Scholar 

  48. Seiler III JG, Barnes K, Gelberman RH, Chalidapong P (1992) Endoscopic carpal tunnel release: An anatomic study of the two-incision method in human cadavers. J Hand Surg 17A: 996–1002.

    Google Scholar 

  49. Shinya K, Lanzetta M, Conolly WB (1995) Risk and complications in endoscopic carpal tunnel release. J Hand Surg 20B: 222–227.

    CAS  Google Scholar 

  50. Siegl JL, Davlin LB, Aulicino PL (1993) An anatomical variation of the palmar cutaneous branch of the median nerve. J Hand Surg 18B: 182–183.

    Google Scholar 

  51. Skoff HD, Sklar R (1994) Endoscopic median nerve decompression: Early experiences. Plast Reconstr Surg 94: 691–694.

    Google Scholar 

  52. Szabo RM (1991) Carpal-tunnel syndrome-general. In: Gelberman RH (ed) Operative Nerve Repair and Reconstruction, Vol II/60. Lippincott, Philadelphia, S. 869888.

    Google Scholar 

  53. Viegas SF, Pollard A, Kaminski K (1992) Carpal arch alteration and related clinical status after endoscopic carpal tunnel release. J Hand Surg 17A: 1012–1016.

    Article  CAS  Google Scholar 

  54. Worseg AP, Pelinka H (1994) Endoscopic carpal tunnel release with the Acufex Uni-Cut system. Orthop Prod News July/Aug/Sept: S. 38–39.

    Google Scholar 

  55. Worseg AP, Kuzbari R, Korak K, Höcker W, Tschabitscher M, Holle J (1996) Endoscopic release of the carpal ligament using a single-portal carpal tunnel system. Brit J Plast Surg 49: 1–10.

    Article  PubMed  CAS  Google Scholar 

  56. Worseg AP, Hoflehner H, Kuzbari R, Pierer G, Schlenz I, Koncilia H, Tschabitscher M, Metz K, Holle J (1995) Endoskopische Karpaltunnelspaltung. ACA 5 /6: 277–283.

    Google Scholar 

  57. Zenn MR, Hoffman L, Latrenta G, Hotchkiss R (1992) Variations in digital nerve anatomy. J Hand Surg 17A: 1033–1036.

    Article  CAS  Google Scholar 

  58. Zöch G (1992) Über die Anpassung der peripheren Nerven an die Bewegung der Extremitäten durch Gleiten and Dehnen: Untersuchungen am Nervus medianus. Acta Chir Austriaca Supp196: 3–16.

    Google Scholar 

Download references

Author information

Authors and Affiliations

  1. Abteilung für Plastische und Wiederherstellungschirurgie, Ludwig-Boltzmann-Institut für endoskopische Weichteilchirurgie, Wilhelminenspital, Montleartstraße 37, A-1171, Wien, Österreich

    Univ.-Doz. Dr. Artur P. Worseg

Authors
  1. Univ.-Doz. Dr. Artur P. Worseg
    View author publications

    You can also search for this author in PubMed Google Scholar

Editor information

Editors and Affiliations

  1. Sonderkrankenanstalt für Neurologie, Bad Pirawarth, Österreich

    Udo A. Zifko

  2. Abteilung für Plastische Chirurgie, Ludwig-Boltzmann-Institut für Endoskopische Weichteilchirurgie, Wilhelminenspital, Wien, Österreich

    Artur P. Worseg

Rights and permissions

Reprints and permissions

Copyright information

© 1999 Springer-Verlag Wien

About this chapter

Cite this chapter

Worseg, A.P. (1999). Endoskopische Karpaltunnelspaltung. In: Zifko, U.A., Worseg, A.P. (eds) Das Karpaltunnelsyndrom. Springer, Vienna. https://doi.org/10.1007/978-3-7091-3741-3_11

Download citation

  • DOI: https://doi.org/10.1007/978-3-7091-3741-3_11

  • Publisher Name: Springer, Vienna

  • Print ISBN: 978-3-211-83214-1

  • Online ISBN: 978-3-7091-3741-3

  • eBook Packages: Springer Book Archive

Publish with us

Policies and ethics

Search

Navigation