Minim Invasive Neurosurg 2003; 46(1): 11-15
DOI: 10.1055/s-2003-37966
Original Article
© Georg Thieme Verlag Stuttgart · New York

Endoscopic Release in Carpal Tunnel Syndrome: Analysis of Clinical Results in 200 Cases

L.  Serra1 , K.  Panagiotopoulos1 , A.  Bucciero1 , F.  K.  Mehrabi2 , G.  Pescatore2 , M.  Santangelo2 , L.  Vizioli1
  • 1Department of Neurosurgery, “Federico II” University School of Medicine, Naples, Italy
  • 2Section of Neurosurgery, “Casa di Cura Pineta Grande”, Castelvolturno, Italy
Further Information

Publication History

Publication Date:
17 March 2003 (online)

Abstract

Carpal tunnel syndrome is the most common peripheral neuropathy. Conventional carpal tunnel surgery has been performed as a primary procedure for the decompression of the median nerve at the wrist in patients who have idiopathic carpal tunnel syndrome. While the results have been excellent, this surgical procedure has been reported to be related to high postoperative morbidity and extended length of recovery time. Over the past decade, endoscopic release of the transverse carpal ligament has been developed as a new, alternative method to the open procedures. Endoscopic carpal tunnel release has been reported to ensure less postoperative morbidity, more rapid recovery of strength, with earlier return to work, reduced disability time and a better cosmetic result. The authors present a surgical series of 200 hands in 164 patients (36 bilaterals) with idiopathic carpal tunnel syndrome, who underwent a single-portal endoscopic carpal tunnel release (Agee technique), with regards to the clinical outcome and complications occurred after 4-months follow-up.

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Dr. L. Serra

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80121 Naples, Italy

Fax: +39-081-7646342

Email: lucaserra1@hotmail.com

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