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ISSN 2992-8559 (Electronic)
ISSN 1405-0625 (Print)

2004, Number 1

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Cir Plast 2004; 14 (1)

Surgical decompression of the median nerve by minimal incision and direct view in the carpal tunnel syndrome

Martínez RSC, Sánchez VL, Apis HZ, Rodríguez CF

Language: Spanish
References: 19
Page: 14-20
PDF size: 142.15 Kb.


ABSTRACT

Carpal tunnel syndrome is the most common nerve compression disorder of the upper extremity. This syndrome affects 1% percent of the general population and 5% of the working population who must undergo repetitive use of their hands and wrists in daily living. Decompression of the median nerve is the most frequent surgery of the hand and wrist in the United States. The optimal method for releasing the volar carpal ligament remains controversial. The surgical treatments used include conventional open carpal tunnel release, endoscopic techniques and short incision techniques. This study was carried out at No. 26 IMSS General Hospital in order to evaluate the division of the transverse carpal ligament to release the median nerve through a short transverse skin incision in the wrist flexion crease without the use of endoscope. Between 1998 to 2002 a total of 20 wrists in 18 patients: 15 women and 3 men, an average age of 47.3 ± 8 years. Operations were performed under local anesthesia in 8 patients and with regional axilar block in 12 patients. Surgical time was 18 ± 6 minutes. Clinical and EMG pre and post surgical variables were analyzed The nocturnal paresthesia was the first clinical manifestation to be corrected and the last one grip strength, continued in 5 patients during the 2-year follow up. We concluded that surgical decompression of median nerve by short incision technique is an easy and safe procedure for the treatment of carpal tunnel syndrome. It has a high success rate in relieving the symptoms at a lower cost.


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