A method of surgical treatment of carpal tunnel syndrome

Mykhaylo Vasilinets, Sergey Goloborod'ko

Abstract


The purpose of the present work was to describe a method of surgical treatment for carpal tunnel syndrome. The method consists in retinaculotomy and turning of the edges of the dissected retinaculum of flexors towards the plantar side and ectad. The operation was made in 12 patients on 13 hands. Results of the treatment were good in 10 patients, and assessed as satisfactory in two patients (3 hands). No complications and relapses were observed. On the basis of the surgical treatment outcomes, a conclusion was drawn that the authors’ method of the surgical treatment for carpal tunnel syndrome produced positive results and prevented development of the disease relapses.


Keywords


surgery; carpal tunnel syndrome

References


Aroori S. Carpal tunnel syndrome: review [Text] / S. Aroori, R. A. J. Spence // Ulster Med. J. — 2008. — Vol. 77, N 1. — P. 6–17.

Exploration tomodensitometrique des modifications anato-miques du poignet entrainess par la section du ligament annulaire anterieur [Text] / F. Chaise, B. Roger, M. Laval-Jeantet, Ph. Alhomme // Revue de Chir. Orthop. — 1986. — Vol. 72. — P. 297–302.

Georgiew F. Provocative tests used in the diagnosis of carpal tunnel syndrome [Text] / F. Georgiew // Med. Rehab. — 2007. — Vol. 11, N 4. — P. 7–17.

Giele H. Evidence-based treatment of carpal tunnel syndrome [Text] / H. Giele // Current Orthop. — 2001. — Vol. 15. — P. 249–255.

Goloborod’ko S. A. A surgical method for treatment of the carpal tunnel syndrome [Text] / S. A. Goloborod’ko // Indian Journal Orthop. — 2000. — Vol. 34, N 1. — P. 35–38.

Goloborod’ko S. A. Provocative test for carpal tunnel syndrome [Text] / S. A. Goloborod’ko // J. Hand Ther. (Am.). — 2004. — Vol. 17, N 3. — P. 344–348.

Goodyear-Smith F. Can family physicians offer patients with carpal tunnel syndrome other than surgery? A systematic review of nonsurgical management [Text] / F. Goodyear-Smith, B. Arroll // Ann. Fam. Med. — 2004. — Vol. 2, N 3. — P. 267–273.

Langlon N. D. Recurrent and unrelieved carpal-tunnel syndrome [Text] / N. D. Langlon, R. L. Linscheid // Clin. Orthop. Relat. Res. — 1972. — Vol. 83. — P. 41–47.

Lluch A. Reconstruction of the flexor retinaculum [Text] / Luchetti R., Amadio P. [eds.] // Carpal Tunnel Syndrome. — Berlin, Heidelberg: Springer-Verlag, 2007. — P. 226–238.

Carpal tunnel syndrome: a historical perspective [Text] / S. L. Lo, K. Raskin, H. Lester, B. Lester // Hand Clin. — 2002. — Vol. 18. — P. 211–217.

Naito M. Carpal tunnel syndrome in chronic renal dialysis patients: clinical evaluation of 62 hands and results of operative treatment [Text] / M. Naito, K. Ogata, T. Goya // J. Hand Surg. — 1987. — Vol. 12B, N 3. — P. 366–374.

Long-term results of carpal tunnel release [Text] / M. P. Nancollas, C. A. Peimer, D. R. Wheeler, F. S. Sherwin // J. Hand Surg. — 1995. — Vol. 20B. — P. 470–474.

Sotereanos D. G. Vein wrapping of the median nerve [Text] / D. G. Sotereanos, N. A. Darlis // Carpal Tunnel Syndrome. — Berlin, Heidelberg: Springer-Verlag, 2007. — P. 333–337.

Steyers C. M. Recurrent carpal tunnel syndrome [Text] / C. M. Steyers // Hand Clin. — 2002. — Vol. 18. — P. 339–345.

Taleisnik J. The palmar cutaneous branch of the median nerve and the approach to the carpal tunnel. (An anatomical study) [Text] / J. Taleisnik // J. Bone Joint Surg. — 1973. — Vol. 55A, N 6. — P. 1212–1217.




DOI: https://doi.org/10.15674/0030-59872010137-40

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Copyright (c) 2014 Mykhaylo Vasilinets, Sergey Goloborodko

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