РЕКОНСТРУКЦИЯ ПОПЕРЕЧНОЙ ЗАПЯСТНОЙ СВЯЗКИ В ЛЕЧЕНИИ СИНДРОМА ЗАПЯСТНОГО КАНАЛА. ОБЗОР ЛИТЕРАТУРЫ

Abstract

Introduction. Carpal tunnel syndrome is a compression of the median nerve at the wrist, a common compression neuropathy of the upper extremities in medical practice. The most effective treatment for this condition is considered to be surgical and the most common approach is either dissecting the carpal ligament without subsequent stitching or reconstructing it. A study of the efficacy of transverse carpal ligament reconstruction approaches helps in the search for treatment improvement. The aim of the study is to compare the effectiveness and safety of different surgical techniques according to Russian and foreign literature sources containing information on the immediate and long-term results of treatment of patients with carpal tunnel syndrome using the transverse carpal ligament reconstruction method. Materials and methods. Scientific publications on the topic for 2013-2023 were studied. Results and discussion. It was found out that reconstruction of the transverse carpal ligament contributes not only to the increase of carpal tunnel volume, but also to normalization of biomechanics of carpal movements after the operation. Conclusion. Currently, there is no unequivocal evidence of significant advantages of reconstructing the transverse carpal ligament. The majority of authors consider reconstructive surgery effective in conditions of morphologically distorted median nerve or carpal tunnel as well as peculiarities of the patient history, which may require earlier restoration of the upper extremity functional state and ability to work.