Endoscopic carpal tunnel release: results with special consideration to possible complications
Single-portal endoscopic carpal tunnel release (Agee technique) was carried out in 148 patients. Of these, 100 were examined clinically and electrophysiologically 1 day before surgery and 1 and 3 months thereafter. Ten patients experienced transient ulnar neuropraxia and two patients complained post...
Gespeichert in:
| Veröffentlicht in: | Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA sports traumatology, arthroscopy : official journal of the ESSKA, 2000-05, Vol.8 (3), p.166-172 |
|---|---|
| Hauptverfasser: | , , , |
| Format: | Artikel |
| Sprache: | eng |
| Schlagworte: | |
| Online-Zugang: | Volltext |
| Tags: |
Tag hinzufügen
Keine Tags, Fügen Sie den ersten Tag hinzu!
|
| container_end_page | 172 |
|---|---|
| container_issue | 3 |
| container_start_page | 166 |
| container_title | Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA |
| container_volume | 8 |
| creator | Müller, L P Rudig, L Degreif, J Rommens, P M |
| description | Single-portal endoscopic carpal tunnel release (Agee technique) was carried out in 148 patients. Of these, 100 were examined clinically and electrophysiologically 1 day before surgery and 1 and 3 months thereafter. Ten patients experienced transient ulnar neuropraxia and two patients complained postoperatively of intense pain in the middle and ring fingers. Three patients suffered residual symptoms. In one of these an incomplete release of the distal portion of the retinaculum flexorum was suspected and later confirmed by magnetic resonance imaging. Another patient had applied for pension due to problems associated with a vertebral fracture in addition to his carpal tunnel symptoms. A third patient with residual symptoms was rheumatic, and upon reexamination 6 months later he was virtually symptom free. Five of the 148 operations were converted to an open procedure due to poor visualization. A review of literature on carpal tunnel release (biportal Chow technique and uniportal Agee technique) uncovered 31 intra- and postoperative complications, including 14 affecting nerve structures, 2 tendon structures, 2 bony structures, and 9 the surrounding tissues. We discuss the most common complications, considering in particular the anatomical characteristics in the carpal tunnel region. |
| doi_str_mv | 10.1007/s001670050209 |
| format | Article |
| fullrecord | <record><control><sourceid>proquest_cross</sourceid><recordid>TN_cdi_proquest_miscellaneous_954645693</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sourcerecordid>954645693</sourcerecordid><originalsourceid>FETCH-LOGICAL-c348t-4825e38274a48fbc128d6154de5772ffe04fc81b88ab2ef536bfa9adcdf304c3</originalsourceid><addsrcrecordid>eNp90U1LxDAQBuAgiruuHr1K8aCnar7aJN5k8QsWvHi2pOkEI9mmJi3ivze6e1APnmZgHl4YXoSOCb4gGIvLhDGpBcYVpljtoDnhjJWCcbGL5lhxWlJc1TN0kNIrzqrmah_NCJaScarm6Pmm70IyYXCmMDoO2hfj1PfgiwgedIKrvKTJj6l4d-NLkQYwLiMT-uQ6iHp0oS_GUAwhJdd6yJf14J35PqRDtGe1T3C0nQv0dHvztLwvV493D8vrVWkYl2PJJa2ASSq45tK2hlDZ1aTiHVRCUGsBc2skaaXULQVbsbq1WunOdJZhbtgCnW9ihxjeJkhjs3bJgPe6hzClRlW85lWtWJZn_0pBKBOUqwxP_8DXMMU-P9EoSoWoBftC5QaZmN-PYJshurWOHw3BzVc9za96sj_Zhk7tGrofetMH-wR_W4uD</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>922776739</pqid></control><display><type>article</type><title>Endoscopic carpal tunnel release: results with special consideration to possible complications</title><source>MEDLINE</source><source>Wiley Online Library Journals Frontfile Complete</source><source>SpringerLink Journals - AutoHoldings</source><creator>Müller, L P ; Rudig, L ; Degreif, J ; Rommens, P M</creator><creatorcontrib>Müller, L P ; Rudig, L ; Degreif, J ; Rommens, P M</creatorcontrib><description>Single-portal endoscopic carpal tunnel release (Agee technique) was carried out in 148 patients. Of these, 100 were examined clinically and electrophysiologically 1 day before surgery and 1 and 3 months thereafter. Ten patients experienced transient ulnar neuropraxia and two patients complained postoperatively of intense pain in the middle and ring fingers. Three patients suffered residual symptoms. In one of these an incomplete release of the distal portion of the retinaculum flexorum was suspected and later confirmed by magnetic resonance imaging. Another patient had applied for pension due to problems associated with a vertebral fracture in addition to his carpal tunnel symptoms. A third patient with residual symptoms was rheumatic, and upon reexamination 6 months later he was virtually symptom free. Five of the 148 operations were converted to an open procedure due to poor visualization. A review of literature on carpal tunnel release (biportal Chow technique and uniportal Agee technique) uncovered 31 intra- and postoperative complications, including 14 affecting nerve structures, 2 tendon structures, 2 bony structures, and 9 the surrounding tissues. We discuss the most common complications, considering in particular the anatomical characteristics in the carpal tunnel region.</description><identifier>ISSN: 0942-2056</identifier><identifier>EISSN: 1433-7347</identifier><identifier>DOI: 10.1007/s001670050209</identifier><identifier>PMID: 10883429</identifier><language>eng</language><publisher>Germany: Springer Nature B.V</publisher><subject>Carpal Tunnel Syndrome - surgery ; Decompression, Surgical - adverse effects ; Decompression, Surgical - methods ; Endoscopy ; Endoscopy - adverse effects ; Female ; Fingers ; Humans ; Knees ; Ligaments ; Literature reviews ; Magnetic resonance imaging ; Male ; Median Nerve - injuries ; Middle Aged ; Neural Conduction - physiology ; Patient satisfaction ; Patients ; Postoperative Complications ; Rupture - etiology ; Scanning ; Sports ; Surgery ; Techniques ; Tendon Injuries - etiology ; Ulnar Artery - injuries ; Ulnar Nerve - injuries ; Visualization</subject><ispartof>Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA, 2000-05, Vol.8 (3), p.166-172</ispartof><rights>Springer-Verlag Berlin Heidelberg 2000</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c348t-4825e38274a48fbc128d6154de5772ffe04fc81b88ab2ef536bfa9adcdf304c3</citedby></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,777,781,27905,27906</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/10883429$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Müller, L P</creatorcontrib><creatorcontrib>Rudig, L</creatorcontrib><creatorcontrib>Degreif, J</creatorcontrib><creatorcontrib>Rommens, P M</creatorcontrib><title>Endoscopic carpal tunnel release: results with special consideration to possible complications</title><title>Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA</title><addtitle>Knee Surg Sports Traumatol Arthrosc</addtitle><description>Single-portal endoscopic carpal tunnel release (Agee technique) was carried out in 148 patients. Of these, 100 were examined clinically and electrophysiologically 1 day before surgery and 1 and 3 months thereafter. Ten patients experienced transient ulnar neuropraxia and two patients complained postoperatively of intense pain in the middle and ring fingers. Three patients suffered residual symptoms. In one of these an incomplete release of the distal portion of the retinaculum flexorum was suspected and later confirmed by magnetic resonance imaging. Another patient had applied for pension due to problems associated with a vertebral fracture in addition to his carpal tunnel symptoms. A third patient with residual symptoms was rheumatic, and upon reexamination 6 months later he was virtually symptom free. Five of the 148 operations were converted to an open procedure due to poor visualization. A review of literature on carpal tunnel release (biportal Chow technique and uniportal Agee technique) uncovered 31 intra- and postoperative complications, including 14 affecting nerve structures, 2 tendon structures, 2 bony structures, and 9 the surrounding tissues. We discuss the most common complications, considering in particular the anatomical characteristics in the carpal tunnel region.</description><subject>Carpal Tunnel Syndrome - surgery</subject><subject>Decompression, Surgical - adverse effects</subject><subject>Decompression, Surgical - methods</subject><subject>Endoscopy</subject><subject>Endoscopy - adverse effects</subject><subject>Female</subject><subject>Fingers</subject><subject>Humans</subject><subject>Knees</subject><subject>Ligaments</subject><subject>Literature reviews</subject><subject>Magnetic resonance imaging</subject><subject>Male</subject><subject>Median Nerve - injuries</subject><subject>Middle Aged</subject><subject>Neural Conduction - physiology</subject><subject>Patient satisfaction</subject><subject>Patients</subject><subject>Postoperative Complications</subject><subject>Rupture - etiology</subject><subject>Scanning</subject><subject>Sports</subject><subject>Surgery</subject><subject>Techniques</subject><subject>Tendon Injuries - etiology</subject><subject>Ulnar Artery - injuries</subject><subject>Ulnar Nerve - injuries</subject><subject>Visualization</subject><issn>0942-2056</issn><issn>1433-7347</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2000</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>ABUWG</sourceid><sourceid>AFKRA</sourceid><sourceid>BENPR</sourceid><sourceid>CCPQU</sourceid><recordid>eNp90U1LxDAQBuAgiruuHr1K8aCnar7aJN5k8QsWvHi2pOkEI9mmJi3ivze6e1APnmZgHl4YXoSOCb4gGIvLhDGpBcYVpljtoDnhjJWCcbGL5lhxWlJc1TN0kNIrzqrmah_NCJaScarm6Pmm70IyYXCmMDoO2hfj1PfgiwgedIKrvKTJj6l4d-NLkQYwLiMT-uQ6iHp0oS_GUAwhJdd6yJf14J35PqRDtGe1T3C0nQv0dHvztLwvV493D8vrVWkYl2PJJa2ASSq45tK2hlDZ1aTiHVRCUGsBc2skaaXULQVbsbq1WunOdJZhbtgCnW9ihxjeJkhjs3bJgPe6hzClRlW85lWtWJZn_0pBKBOUqwxP_8DXMMU-P9EoSoWoBftC5QaZmN-PYJshurWOHw3BzVc9za96sj_Zhk7tGrofetMH-wR_W4uD</recordid><startdate>20000501</startdate><enddate>20000501</enddate><creator>Müller, L P</creator><creator>Rudig, L</creator><creator>Degreif, J</creator><creator>Rommens, P M</creator><general>Springer Nature B.V</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7QO</scope><scope>7RV</scope><scope>7TS</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>8AO</scope><scope>8FD</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>BENPR</scope><scope>CCPQU</scope><scope>FR3</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>K9.</scope><scope>KB0</scope><scope>M0S</scope><scope>M1P</scope><scope>NAPCQ</scope><scope>P64</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>7X8</scope></search><sort><creationdate>20000501</creationdate><title>Endoscopic carpal tunnel release: results with special consideration to possible complications</title><author>Müller, L P ; Rudig, L ; Degreif, J ; Rommens, P M</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c348t-4825e38274a48fbc128d6154de5772ffe04fc81b88ab2ef536bfa9adcdf304c3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2000</creationdate><topic>Carpal Tunnel Syndrome - surgery</topic><topic>Decompression, Surgical - adverse effects</topic><topic>Decompression, Surgical - methods</topic><topic>Endoscopy</topic><topic>Endoscopy - adverse effects</topic><topic>Female</topic><topic>Fingers</topic><topic>Humans</topic><topic>Knees</topic><topic>Ligaments</topic><topic>Literature reviews</topic><topic>Magnetic resonance imaging</topic><topic>Male</topic><topic>Median Nerve - injuries</topic><topic>Middle Aged</topic><topic>Neural Conduction - physiology</topic><topic>Patient satisfaction</topic><topic>Patients</topic><topic>Postoperative Complications</topic><topic>Rupture - etiology</topic><topic>Scanning</topic><topic>Sports</topic><topic>Surgery</topic><topic>Techniques</topic><topic>Tendon Injuries - etiology</topic><topic>Ulnar Artery - injuries</topic><topic>Ulnar Nerve - injuries</topic><topic>Visualization</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Müller, L P</creatorcontrib><creatorcontrib>Rudig, L</creatorcontrib><creatorcontrib>Degreif, J</creatorcontrib><creatorcontrib>Rommens, P M</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>Biotechnology Research Abstracts</collection><collection>Nursing & Allied Health Database</collection><collection>Physical Education Index</collection><collection>Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Medical Database (Alumni Edition)</collection><collection>ProQuest Pharma Collection</collection><collection>Technology Research Database</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>ProQuest Central (Alumni Edition)</collection><collection>ProQuest Central UK/Ireland</collection><collection>ProQuest Central</collection><collection>ProQuest One Community College</collection><collection>Engineering Research Database</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Nursing & Allied Health Database (Alumni Edition)</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>Medical Database</collection><collection>Nursing & Allied Health Premium</collection><collection>Biotechnology and BioEngineering Abstracts</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central China</collection><collection>MEDLINE - Academic</collection><jtitle>Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Müller, L P</au><au>Rudig, L</au><au>Degreif, J</au><au>Rommens, P M</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Endoscopic carpal tunnel release: results with special consideration to possible complications</atitle><jtitle>Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA</jtitle><addtitle>Knee Surg Sports Traumatol Arthrosc</addtitle><date>2000-05-01</date><risdate>2000</risdate><volume>8</volume><issue>3</issue><spage>166</spage><epage>172</epage><pages>166-172</pages><issn>0942-2056</issn><eissn>1433-7347</eissn><abstract>Single-portal endoscopic carpal tunnel release (Agee technique) was carried out in 148 patients. Of these, 100 were examined clinically and electrophysiologically 1 day before surgery and 1 and 3 months thereafter. Ten patients experienced transient ulnar neuropraxia and two patients complained postoperatively of intense pain in the middle and ring fingers. Three patients suffered residual symptoms. In one of these an incomplete release of the distal portion of the retinaculum flexorum was suspected and later confirmed by magnetic resonance imaging. Another patient had applied for pension due to problems associated with a vertebral fracture in addition to his carpal tunnel symptoms. A third patient with residual symptoms was rheumatic, and upon reexamination 6 months later he was virtually symptom free. Five of the 148 operations were converted to an open procedure due to poor visualization. A review of literature on carpal tunnel release (biportal Chow technique and uniportal Agee technique) uncovered 31 intra- and postoperative complications, including 14 affecting nerve structures, 2 tendon structures, 2 bony structures, and 9 the surrounding tissues. We discuss the most common complications, considering in particular the anatomical characteristics in the carpal tunnel region.</abstract><cop>Germany</cop><pub>Springer Nature B.V</pub><pmid>10883429</pmid><doi>10.1007/s001670050209</doi><tpages>7</tpages></addata></record> |
| fulltext | fulltext |
| identifier | ISSN: 0942-2056 |
| ispartof | Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA, 2000-05, Vol.8 (3), p.166-172 |
| issn | 0942-2056 1433-7347 |
| language | eng |
| recordid | cdi_proquest_miscellaneous_954645693 |
| source | MEDLINE; Wiley Online Library Journals Frontfile Complete; SpringerLink Journals - AutoHoldings |
| subjects | Carpal Tunnel Syndrome - surgery Decompression, Surgical - adverse effects Decompression, Surgical - methods Endoscopy Endoscopy - adverse effects Female Fingers Humans Knees Ligaments Literature reviews Magnetic resonance imaging Male Median Nerve - injuries Middle Aged Neural Conduction - physiology Patient satisfaction Patients Postoperative Complications Rupture - etiology Scanning Sports Surgery Techniques Tendon Injuries - etiology Ulnar Artery - injuries Ulnar Nerve - injuries Visualization |
| title | Endoscopic carpal tunnel release: results with special consideration to possible complications |
| url | https://sfx.bib-bvb.de/sfx_tum?ctx_ver=Z39.88-2004&ctx_enc=info:ofi/enc:UTF-8&ctx_tim=2025-01-19T16%3A29%3A51IST&url_ver=Z39.88-2004&url_ctx_fmt=infofi/fmt:kev:mtx:ctx&rfr_id=info:sid/primo.exlibrisgroup.com:primo3-Article-proquest_cross&rft_val_fmt=info:ofi/fmt:kev:mtx:journal&rft.genre=article&rft.atitle=Endoscopic%20carpal%20tunnel%20release:%20results%20with%20special%20consideration%20to%20possible%20complications&rft.jtitle=Knee%20surgery,%20sports%20traumatology,%20arthroscopy%20:%20official%20journal%20of%20the%20ESSKA&rft.au=M%C3%BCller,%20L%20P&rft.date=2000-05-01&rft.volume=8&rft.issue=3&rft.spage=166&rft.epage=172&rft.pages=166-172&rft.issn=0942-2056&rft.eissn=1433-7347&rft_id=info:doi/10.1007/s001670050209&rft_dat=%3Cproquest_cross%3E954645693%3C/proquest_cross%3E%3Curl%3E%3C/url%3E&disable_directlink=true&sfx.directlink=off&sfx.report_link=0&rft_id=info:oai/&rft_pqid=922776739&rft_id=info:pmid/10883429&rfr_iscdi=true |