Endoscopic carpal tunnel release surgery: a case study in Vietnam

Dung Tran Trung,Thanh Ma Ngoc,Son Dinh Ngoc,Son Le Manh,Minh Do Van,Du Hoang Gia,Long Nguyen Hoang,Toan Duong Dinh,Thanh Dao Xuan

doi:10.1186/s13018-019-1192-z

Abstract

BackgroundThis study aims at investigating the outcome and electrophysiologic recovery of 150 carpal tunnel syndrome hands after single-portal endoscopic surgery.MethodsPatients with the cross-sectional area of the median nerve being 13–15 mm2 on ultrasound or abnormal sensory nerve conduction velocity on EMG are assigned to endoscopic surgery that cuts the decompressing transverse ligament to avoid the emergence of severe symptoms, such as muscular atrophy and loss of hand function.ResultsSingle-portal endoscopic release is a safe and efficacious option for carpal tunnel release. The findings demonstrate encouraging results.ConclusionThe endoscopic carpal tunnel release with the placement of a MicroAire system is a safe and effective method for treating carpal tunnel syndrome.

Highlights

The carpal tunnel syndrome (CTS) is a common problem that affects the hand and wrist
The carpal tunnel syndrome is manifested by hypoesthesia, paresthesia, and pain in the affected area
The purpose of this study is to evaluate the outcomes of single-portal endoscopic carpal tunnel release surgery in Hanoi Medical University Hospital, to assess the efficacy of this method and the prospects of introducing it as a surgical treatment option for patients with CTS in Vietnam

Summary

Introduction

The carpal tunnel syndrome (CTS) is a common problem that affects the hand and wrist. The syndrome results from compression or non-inflammatory ischemia of the median nerve. This pathology occurs in 1.5–3% of the adult population and in 5% of specific risk groups (smoking people, people with obesity, rheumatoid arthritis, diabetes, hypothyroidism, multiple sclerosis) [1]. The carpal tunnel syndrome is manifested by hypoesthesia, paresthesia, and pain in the affected area. These manifestations are followed by the thenar hypertrophy and a sharp decrease in hand function. This study aims at investigating the outcome and electrophysiologic recovery of 150 carpal tunnel syndrome hands after single-portal endoscopic surgery. Methods: Patients with the cross-sectional area of the median nerve being 13–15 mm on ultrasound or abnormal sensory nerve conduction velocity on EMG are assigned to endoscopic surgery that cuts the decompressing transverse ligament to avoid the emergence of severe symptoms, such as muscular atrophy and loss of hand function

Objectives

Methods

Discussion

Conclusion