Bohan XIONG, Yihua QIN, Ziwen NING, Xu WANG, Zhengliang SHI, Xiaojun LU, Yaozhang ZHANG, Kun WANG. Effect Analysis of Single Channel Carpal Tunnel Release under Carpal Arthroscopy in the Treatment of Carpal Tunnel Syndrome[J]. Journal of Kunming Medical University, 2022, 43(10): 57-61. doi: 10.12259/j.issn.2095-610X.S20221019
Citation: Bohan XIONG, Yihua QIN, Ziwen NING, Xu WANG, Zhengliang SHI, Xiaojun LU, Yaozhang ZHANG, Kun WANG. Effect Analysis of Single Channel Carpal Tunnel Release under Carpal Arthroscopy in the Treatment of Carpal Tunnel Syndrome[J]. Journal of Kunming Medical University, 2022, 43(10): 57-61. doi: 10.12259/j.issn.2095-610X.S20221019

Effect Analysis of Single Channel Carpal Tunnel Release under Carpal Arthroscopy in the Treatment of Carpal Tunnel Syndrome

doi: 10.12259/j.issn.2095-610X.S20221019
  • Received Date: 2022-07-16
    Available Online: 2022-10-09
  • Publish Date: 2022-10-31
  •   Objective   To review the data of carpal tunnel release surgery in the treatment of carpal tunnel syndrome (CTS) with carpal arthroscopy, and to explore the clinical effect of this operation.   Methods   47 patients with carpal tunnel syndrome admitted in our department between December 2020 and December 2021 as the object in this study. All patients were treated with carpal tunnel syndrome by single-channel carpal tunnel release surgery under carpal arthroscopy, and all patients were followed up at least for 6 months. The recovery of symptoms and function before and after surgery was compared using the Modified Boston Carpal Tunnel Syndrome Score Scale (SSS score and FSS score).   Results  After follow-up investigation, the symptoms of hand anesthesia and function in 47 patients were significantly improved compared with those before surgery, and the incidence of postoperative wrist pain was small. SSS score was (47.53±2.2) before and (82.13±9.42) after surgery, and the difference was statistically significant (P < 0.05). FSS score was (10.00±1.12) before and (30.76±2.64) after surgery, and the difference was statistically significant (P < 0.05) .   Conclusion  Carpal arthroscopy single channel carpal tunnel release in the treatment of carpal tunnel syndrome can achieve reliable clinical efficacy, can significantly relieve patients with hand anesthesia and other symptoms, can reduce complication of postoperative pain and improve hand function, is worth popularizing in clinical use.
  • [1]
    Padua L,Coraci D,Erra C,et al. Carpal tunnel syndrome:clinical features,diagnosis,and management[J]. Lancet Neurol,2016,15(12):1273-1284. doi: 10.1016/S1474-4422(16)30231-9
    [2]
    Talebi G A,Saadat P,Javadian Y,et al. Manual therapy in the treatment of carpal tunnel syndrome in diabetic patients:a randomized clinical trial[J]. Caspian J Intern Med,2018,9(3):283-289.
    [3]
    吴亮,罗建光,唐贤翱,等. 腕管综合征复发7例分析[J]. 骨科,2022,13(1):8-11. doi: 10.3969/j.issn.1674-8573.2022.01.003
    [4]
    Vihlborg P,Pettersson H,Makdoumi K,et al. Carpal tunnel syndrome and hand-arm vibration:a Swedish national registry case-control study[J]. J Occup Environ Med,2022,64(3):197-201. doi: 10.1097/JOM.0000000000002451
    [5]
    Teng X,Xu J,Yuan H,et al. Comparison of wrist arthroscopy,small incision surgery,and conventional surgery for the treatment of carpal tunnel syndrome:a retrospective study at a single center[J]. Med Sci Monit,2019,25:4122-4129.
    [6]
    Orhurhu V,Orman S,Peck J,et al. Carpal tunnel release surgery- a systematic review of open and endoscopic approaches[J]. Anesth Pain Med,2020,10(6):e112291.
    [7]
    van den Broeke LR,Theuvenet WJ,van Wingerden JJ. Effectiveness of mini-open carpal tunnel release:An outcome study[J]. Arch Plast Surg,2019,46(4):350-358. doi: 10.5999/aps.2018.00535
    [8]
    曹维涵,梁红敏,朱梅,等. 超声对正常腕部神经干的检查价值[J]. 昆明医科大学学报,2016,37(9):120-124. doi: 10.3969/j.issn.1003-4706.2016.09.029
    [9]
    王丹,韦焘,段尉梅,等. 副肿瘤性周围神经病的神经电生理特点[J]. 昆明医科大学学报,2018,39(6):66-70. doi: 10.3969/j.issn.1003-4706.2018.06.014
    [10]
    金雷,肖海军,陆义安,等. 开放腕管松解术与关节镜下腕管松解术治疗腕管综合征的疗效比较[J]. 中国骨与关节损伤杂志,2021,36(7):763-765. doi: 10.7531/j.issn.1672-9935.2021.07.032
    [11]
    Jiménez-Del-Barrio S,Cadellans-Arróniz A,Ceballos-Laita L,et al. The effectiveness of manual therapy on pain,physical function,and nerve conduction studies in carpal tunnel syndrome patients:a systematic review and meta-analysis[J]. Int Orthop,2022,46(2):301-312. doi: 10.1007/s00264-021-05272-2
    [12]
    Zaralieva A,Georgiev G P,Karabinov V,et al. Physical therapy and rehabilitation approaches in patients with carpal tunnel syndrome[J]. Cureus,2020,12(3):e7171.
    [13]
    Multanen J,Ylinen J,Karjalainen T,et al. Reliability and validity of the finnish version of the Boston Carpal Tunnel Questionnaire among surgically treated carpal tunnel syndrome patients[J]. Scand J Surg,2020,109(4):343-350. doi: 10.1177/1457496919851607
    [14]
    Multanen J,Uimonen M M,Repo J P,et al. Use of conservative therapy before and after surgery for carpal tunnel syndrome[J]. BMC Musculoskelet Disord,2021,22(1):484. doi: 10.1186/s12891-021-04378-3
    [15]
    Schäfer L,Maffulli N,Baroncini A,et al. Local corticosteroid injections versus surgical carpal tunnel release for carpal tunnel syndrome:systematic review and meta-analysis[J]. Life (Basel).,2022,12(4):533-544. doi: 10.3390/life12040533
    [16]
    Ayache A,Unglaub F,Langer M F,et al. Surgical treatment of carpal tunnel syndrome:open release of the flexor retinaculum and hypothenar fat flap for revision surgery[J]. Oper Orthop Traumatol,2020,32(3):219-235. doi: 10.1007/s00064-020-00662-y
    [17]
    霍星辰,李永利,徐涛,等. 掌心联合腕部有限切开治疗中重度腕管综合征的临床应用[J]. 大连医科大学学报,2021,43(4):334-337.
    [18]
    王小龙,韩超前,温树正,等. 三种小切口腕管松解术治疗腕管综合征的对比研究[J]. 中华手外科杂志,2020,36(2):106-110. doi: 10.3760/cma.j.cn311653-20190527-00156
    [19]
    Karamanos E,Jillian B Q,Person D. Endoscopic carpal tunnel release:indications,technique,and outcomes[J]. Orthop Clin North Am,2020,51(3):361-368. doi: 10.1016/j.ocl.2020.02.001
    [20]
    Chen Z,Liu J,Yuan T B,et al. Comparison of clinical outcomes between open and modified endoscopic release for carpal tunnel syndrome[J]. Exp Ther Med,2021,22(2):861-868. doi: 10.3892/etm.2021.10293
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