Evaluation of patients with carpal tunnel syndrome treated by endoscopic technique

Objective:To evaluate the postoperative results of patients with carpal tunnel syndrome by the endoscopic release technique with single portal.Methods:78 patients (80 wrists) were evaluated preoperatively and postoperatively at 1, 3 and 6 months by the Boston questionnaire, the visual analogue scale...

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Bibliographic Details
Authors: Okamura, Aldo, Meirelles, Lia Miyamoto, Fernandes, Carlos Henrique, Raduan Neto, Jorge, Santos, João Baptista Gomes dos [UNIFESP], Faloppa, Flávio [UNIFESP]
Format: article
Status:Published version
Publication Date:2014
Country:Brasil
Institution:Universidade Federal de São Paulo (UNIFESP)
Repository:Repositório Institucional da UNIFESP
Language:English
OAI Identifier:oai:repositorio.unifesp.br:11600/8181
Online Access:http://dx.doi.org/10.1590/S1413-78522014000100005
http://repositorio.unifesp.br/handle/11600/8181
Access Level:Open access
Keyword:Carpal tunnel syndrome/surgery
Median nerve
Treatment outcome
Hand strength
Description
Summary:Objective:To evaluate the postoperative results of patients with carpal tunnel syndrome by the endoscopic release technique with single portal.Methods:78 patients (80 wrists) were evaluated preoperatively and postoperatively at 1, 3 and 6 months by the Boston questionnaire, the visual analogue scale (VAS) for pain, monofilament test sensitivity, grip strength, lateral pinch, pulp to pulp pinch and tripod pinch.Results:Statistical analysis was significant (p <0.05) in the progressive decline of pain and improved function (Boston) during follow-up. The sensitivity significantly improved comparing the data pre and postoperatively. The grip strength, lateral pinch, pulp to pulp pinch and tripod pinch decreased in the first month after surgery, returning to preoperative values around the third month postoperatively.Conclusion:The technique proved to be safe and effective in improving pain, function, and return sensitivity and strength. Level of Evidence II, Prospective study