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Órgano Oficial del Colegio Mexicano de Ortopedia y Traumatología

2004, Number 3

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Acta Ortop Mex 2004; 18 (3)

Endoscopic release of the carpal tunnel. Preliminary report

Valdés MML, Torres RF, Vega HR, Rojas MHA, Longo MM

Language: Spanish
References: 18
Page: 115-118
PDF size: 774.52 Kb.


ABSTRACT

Methods. We studied 22 patients with diagnosis of carpal tunnel syndrome, a total of 27 surgeries. All patients was made a full clinical history included positive signs Tinel, Phalen, and electromiographic study for confirmation. All the patients were treated with endoscopic release. The patients were followed up from 6 to 18 months, and the evaluation was made for an external doctor. Results. The dominant hand was right 18 (66.6%) 19 women and 3 men; 15 (55.5%) patients were workers, and 12 (44.4%) home workers, just two patients had a previous illness like diabetes mellitus and hypothyroidism. The electromyographic preoperative study showed 20 (74%) neuropraxies y 7 (25.9%) axonotmesis, and the final control showed 12 (60%) normal, just one axonotmesis was changed to neuropraxie, and other axonotmesis was reported normal. The satisfaction of the patients was valorated with an analogous scale and the results: 3 (11.1%) surgeries were excellent, 18 (66.6%) with good results, 3 (11.1%) regular and 3 (11.1%) with poor results. Conclusion. We observed the endoscopic release is a good technique, is effective, reduces the morbility. And it reduces the complications of open surgery and the satisfaction of the patients is good.


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