Die endoskopische Karpaltunnelspaltung im monoportalen Verfahren

 

 Buy Article Permissions and Reprints

Zusammenfassung

Das Karpaltunnelsyndrom stellt eines der häufigsten Beschwerdebilder in der Handchirurgie dar. Therapie der Wahl ist beim neurophysiologisch gesicherten Karpaltunnelsyndrom die operative Spaltung des Retinaculum musculorum flexorum. Die minimalinvasive endoskopische Karpaltunnelspaltung kann eine verbesserte Rekonvaleszenz bei gleichzeitig hoher Patientensicherheit gegenüber klassischen offenen Verfahren vorweisen. In der vorliegenden Videopublikation stellen wir das Operationsverfahren zur Karpaltunnelspaltung im monoportalen endoskopischen Vorgehen dar. Zudem berichten wir unsere Therapieerfahrungen in über 800 Fällen.

Abstract

Carpal tunnel syndrome is a very common condition in hand surgery. The gold standard in therapy is the surgical release of the flexor retinaculum. Endoscopic carpal tunnel release provides superior convalescence and patient safety. In this video paper, we demonstrate endoscopic carpal tunnel release via a monoportal approach and report our experience in treating over 800 cases.

• Literatur

• 1 Mondelli M, Giannini F, Giacchi M. Carpal tunnel syndrome incidence in a general population. Neurology 2002; 58: 289-294
  CrossrefPubMedGoogle Scholar
• 2 Hessenauer MET, Arkudas A, Ludolph I. et al. [The Value of Endoscopic Decompression in Surgical Therapy of Carpal Tunnel Syndrome]. Zentralbl Chir 2018; 143: 74-80 doi:10.1055/s-0043-117494
  Article in Thieme ConnectPubMedGoogle Scholar
• 3 Gerritsen AA, de Vet HC, Scholten RJ. et al. Splinting vs. surgery in the treatment of carpal tunnel syndrome: a randomized controlled trial. JAMA 2002; 288: 1245-1251
  CrossrefPubMedGoogle Scholar
• 4 Horch R. A new device for safe and easy dilatation of the carpal canal in endoscopic surgical treatment of the carpal tunnel syndrome. Minim Invasive Neurosurg 1996; 39: 60-62 doi:10.1055/s-2008-1052218
  Article in Thieme ConnectPubMedGoogle Scholar
• 5 Noszczyk BH, Krzesniak N, Nowak M. Superficial plane endoscopy for carpal tunnel release. Wideochir Inne Tech Maloinwazyjne 2014; 9: 262-266 doi:10.5114/wiitm.2014.41632
  CrossrefPubMedGoogle Scholar
• 6 Agee JM, McCarroll jr. HR, Tortosa RD. et al. Endoscopic release of the carpal tunnel: a randomized prospective multicenter study. J Hand Surg Am 1992; 17: 987-995
  CrossrefPubMedGoogle Scholar
• 7 Vasiliadis HS, Nikolakopoulou A, Shrier I. et al. Endoscopic and Open Release Similarly Safe for the Treatment of Carpal Tunnel Syndrome. A Systematic Review and Meta-Analysis. PloS One 2015; 10: e0143683 doi:10.1371/journal.pone.0143683
  CrossrefPubMedGoogle Scholar
• 8 Goldhahn J, Pfluger D, Zollmann P. [Preissler endoscopic carpal ligament release. Experiences from 1000 operations]. Zentralbl Chir 2000; 125: 772-775 doi:10.1055/s-2000-10658
  Article in Thieme ConnectPubMedGoogle Scholar
• 9 Haase J. Carpal tunnel syndrome – a comprehensive review. Adv Tech Stand Neurosurg 2007; 32: 175-249
  PubMedGoogle Scholar