Endoscopic Carpal Tunnel Release

Elizabeth Moran1, Neal Naff2
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Abstract

Endoscopic carpal tunnel release in an effective method to relieve compression of the median nerve at the carpal tunnel. The effectiveness in terms of relief of symptoms is comparable to the effectiveness of open carpal tunnel release. When performed correctly the procedure is reliably safe, but there are numerous procedural details that must be attended to in order to perform the procedure safely and effectively. Those procedural details are outlined in the following chapter. The risk of a significant complication is higher than that associated with an open carpal tunnel release due to the more limited visualization. When performed without a complication, endoscopic carpal tunnel release is better tolerated than an open procedure due to decreased wound pain and earlier return to full activities.
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内窥镜腕管松解术
内镜下腕管松解术是缓解腕管正中神经压迫的有效方法。在缓解症状方面的效果与开放式腕管松解术的效果相当。如果操作正确,该过程是可靠安全的,但是为了安全有效地执行该过程,必须注意许多程序细节。这些程序细节将在下一章中概述。明显并发症的风险比开放式腕管松解术高,因为可见性更有限。在无并发症的情况下,内窥镜下腕管释放术比开放手术耐受性更好,因为伤口疼痛减轻,可以更早地恢复完全活动。
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