Acta Med. 2009, 52: 63-68

https://doi.org/10.14712/18059694.2016.106

The Potential Benefit of Intracarpal Pressure Measurement in Endoscopic Carpal Tunnel Syndrome Surgery – An Analysis of EMG Findings and Pressure Values

Martin Kantaa, Edvard Ehlerb, Jan Kremláčekc, Svatopluk Řeháka, David Laštovičkaa, Jaroslav Adamkova, Jiřina Habalováa, Michael Bartoša

aCharles University in Prague, Faculty of Medicine and University Hospital Hradec Králové, Department of Neurosurgery, Hradec Králové, Czech Republic
bRegional Hospital, Department of Neurology, Pardubice, Czech Republic
cCharles University in Prague, Faculty of Medicine and University Hospital Hradec Králové, Department of Pathological Physiology, Hradec Králové, Czech Republic

Received December 1, 2008
Accepted April 1, 2009

References

1. Biyani A, Downes EM. An open twin incision technique of carpal tunnel decompression with reduced incidence of scar tenderness. J Hand Surg [Br] 1993; 18,(3):331–4. <https://doi.org/10.1016/0266-7681(93)90055-K>
2. Concannon MJ, Brownfield ML, Puckett CL. The incidence of recurrence after endoscopic carpal tunnel release. Plast Reconstr Surg. 2000; 105(5):1662–5. <https://doi.org/10.1097/00006534-200004050-00010>
3. Davies BW, Pennington GA, Fritz AM. Two-portal endoscopic carpal tunnel release: an outcome analysis of 333 hands. Ann Plast Surg. 1998; 40(5):542–8. <https://doi.org/10.1097/00000637-199805000-00019>
4. Gelberman RH, Hergenroeder PT, Hargens AR, Lundborg GN, Akeson WH. The carpal tunnel syndrome. A study of carpal canal pressures. J Bone Joint Surg Am 1981; 63(3):380–3. <https://doi.org/10.2106/00004623-198163030-00009>
5. Hamanaka I, Okutsu I, Shimizu K, et al. Evaluation of carpal canal pressure in carpal tunnel syndrome. J Hand Surg [Am] 1995; 20(5):848–54. <https://doi.org/10.1016/S0363-5023(05)80442-3>
6. Hashizume H, Nanba Y, Shigeyama Y, et al. Endoscopic carpal tunnel pressure measurement: a reliable technique for complete release. Acta Med Okayama 1997; 51(2):105–10.
7. Ikeda K, Osamura N, Tomita K. Segmental carpal canal pressure in patients with carpal tunnel syndrome. J Hand Surg [Am] 2006; 31(6):925–9. <https://doi.org/10.1016/j.jhsa.2006.03.004>
8. Jimenez DF, Gibbs SR, Clapper AT. Endoscopic treatment of carpal tunnel syndrome: a critical review. J Neurosurg 1998; 88(5): 817–26. <https://doi.org/10.3171/jns.1998.88.5.0817>
9. Menon J. Endoscopic carpal tunnel release: a single-portal technique. Contemp Orthop 1993; 26(2):109–16.
10. Muller LP, Rudig L, Degreif J, Rommens PM. Endoscopic carpal tunnel release: results with special consideration to possible complications. Knee Surg Sports Traumatol Arthrosc 2000; 8(3):166–72.
11. Nygaard OP, Trumpy JH, Mellgren SI. Recovery of sensory function after surgical decompression in carpal tunnel synrome. Acta Neurol Scand 1996; 94:253–7. <https://doi.org/10.1111/j.1600-0404.1996.tb07061.x>
12. Okutsu I, Hamanaka I, Tanabe T, et al. Complete endoscopic carpal canal decompression. Am J Orthop 1996; 25(5):365–8.
13. Okutsu I. Operative treatment for carpal tunnel syndrome. Brain Nerve 2007; Nov 59(11): 1239–45.
14. Padua L, Padua R, Monaco M, et al. Natural history of carpal tunnel syndrome according to the neurophysiologic classification. Ital J Neurol Sci 1998; 19: 357–61. <https://doi.org/10.1007/BF02341782>
15. Sekiya H, Sugimoto N, Kariya Y, Hoshino Y. Carpal tunnel pressure in patients with carpal tunnel syndrome due to long-term hemodialysis. Int Orthop. 2002; 26(5):274–7.
16. Shinya K, Lanzetta M, Conolly WB. Risk and complications in endoscopic carpal tunnel release. J Hand Surg [Br] 1995; 20(2):222–7. <https://doi.org/10.1016/S0266-7681(05)80056-7>
17. Thoma A, Veltri K, Haines T, Duku E. A meta-analysis of randomized controlled trials comparing endoscopic and open carpal tunnel decompression. Plast Reconstr Surg. 2004 Oct; 114(5):1137–46. <https://doi.org/10.1097/01.PRS.0000135850.37523.D0>
18. Uchiyama S, Toriumi H, Nakagawa H, et al. Postoperative nerve conduction changes after open and endoscopic carpal tunnel release. Clin Neurophysiol. 2002; 113(1):64–70. <https://doi.org/10.1016/S1388-2457(01)00719-2>
19. Watson BV, Brown WF, Doherty TJ. Frequency-dependent conduction block in carpal tunnel syndrome. Muscle Nerve 2006; 33:619–26. <https://doi.org/10.1002/mus.20513>
20. Weber RA, Sanders WE. Flexor carpi radialis approach for carpal tunnel release. J Hand Surg [Am] 1997; 22(1):120–6. <https://doi.org/10.1016/S0363-5023(05)80191-1>
21. Werner R, Armstrong TJ, Bir MS. Intracarpal canal pressures: the role of finger, hand, wrist and forearm position. Clinical Biomechanice 1997; 12(1): 44–51. <https://doi.org/10.1016/S0268-0033(96)00044-7>
22. Yoshida A, Okutsu I, Hamanaka I. Is complete release of all volar carpal structures necessary for complete decompression in endosckopic carpal tunnel release? J Hand Surg Eur Vol. 2007 Oct; 32(5): 537–42. <https://doi.org/10.1016/j.jhse.2007.04.002>
front cover

ISSN 1211-4286 (Print) ISSN 1805-9694 (Online)

Open access journal

Archive