Endoscopic treatment of carpal tunnel syndrome: A critical review

David F. Jimenez, Scott R. Gibbs, Adam T. Clapper

Research output: Contribution to journalArticle

65 Citations (Scopus)

Abstract

Object. The goal of this paper is to present a critical review of the endoscopic procedures currently in use for the treatment of carpal tunnel syndrome. Endoscopic techniques and outcomes are discussed. Methods. An extensive review of published articles on the subject of endoscopic carpal tunnel release surgery is presented, encompassing six endoscopic techniques used to treat carpal tunnel syndrome. Since the first report in 1987, 7091 patients have undergone 8068 operations. The overall success rate has been 96.52%, with a complication rate of 2.67% and a failure rate of 2.61%. The mean time to return to work in patients not receiving Workers' Compensation was 17.8 days, ranging between 10.8 and 22.3 days. The most common complications were transient paresthesias of the ulnar and median nerves. Other complications included superficial palmar arch injuries, reflex sympathetic dystrophy, flexor tendon lacerations, and incomplete transverse carpal ligament division. In many studies in which open and endoscopic techniques were compared, it was reported that patients in the latter group experienced significantly less pain and returned to work and activities of daily living earlier. Conclusions. Success and complication rates of endoscopic carpal tunnel release surgery are similar to those for standard open procedures.

Original languageEnglish (US)
Pages (from-to)817-826
Number of pages10
JournalJournal of Neurosurgery
Volume88
Issue number5
StatePublished - May 1998
Externally publishedYes

Fingerprint

Carpal Tunnel Syndrome
Wrist
Reflex Sympathetic Dystrophy
Workers' Compensation
Ulnar Nerve
Return to Work
Paresthesia
Lacerations
Median Nerve
Activities of Daily Living
Ligaments
Tendons
Therapeutics
Pain
Wounds and Injuries

Keywords

  • Carpal ligament
  • Carpal tunnel
  • Endoscopy

ASJC Scopus subject areas

  • Clinical Neurology
  • Neuroscience(all)

Cite this

Jimenez, D. F., Gibbs, S. R., & Clapper, A. T. (1998). Endoscopic treatment of carpal tunnel syndrome: A critical review. Journal of Neurosurgery, 88(5), 817-826.

Endoscopic treatment of carpal tunnel syndrome : A critical review. / Jimenez, David F.; Gibbs, Scott R.; Clapper, Adam T.

In: Journal of Neurosurgery, Vol. 88, No. 5, 05.1998, p. 817-826.

Research output: Contribution to journalArticle

Jimenez, DF, Gibbs, SR & Clapper, AT 1998, 'Endoscopic treatment of carpal tunnel syndrome: A critical review', Journal of Neurosurgery, vol. 88, no. 5, pp. 817-826.
Jimenez DF, Gibbs SR, Clapper AT. Endoscopic treatment of carpal tunnel syndrome: A critical review. Journal of Neurosurgery. 1998 May;88(5):817-826.
Jimenez, David F. ; Gibbs, Scott R. ; Clapper, Adam T. / Endoscopic treatment of carpal tunnel syndrome : A critical review. In: Journal of Neurosurgery. 1998 ; Vol. 88, No. 5. pp. 817-826.
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