Two-port Endoscopic Surgery for Carpal Tunnel Syndrome – A Prospective Cohort Study
INTRODUCTION: Carpal tunnel syndrome (CTS) is one of the most common peripheral neuropathies affecting patients' life. Performing endoscopic carpal tunnel release is now a new technique that is being gradually applied in Vietnam. This paper seeks to investigate the effectiveness of Chow’s metho...
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ftdoajarticles:oai:doaj.org/article:43cbee7534834934bcdcc126e2b51294 2023-05-15T16:02:07+02:00 Two-port Endoscopic Surgery for Carpal Tunnel Syndrome – A Prospective Cohort Study Nguyen TT Duong K Tran SQ Dang KD Ly HHV Nguyen BTT 2022-07-01T00:00:00Z https://doi.org/10.5704/MOJ.2207.007 https://doaj.org/article/43cbee7534834934bcdcc126e2b51294 EN eng Malaysian Orthopaedic Association http://morthoj.org/2022/v16n2/endoscopic-carpal-tunnel.pdf https://doaj.org/toc/1985-2533 https://doaj.org/toc/2232-111X doi:10.5704/MOJ.2207.007 1985-2533 2232-111X https://doaj.org/article/43cbee7534834934bcdcc126e2b51294 Malaysian Orthopaedic Journal, Vol 16, Iss 2, Pp 55-62 (2022) carpal tunnel syndrome endoscopic carpal tunnel release transverse carpal ligament thenar atrophy repetitive wrist use Orthopedic surgery RD701-811 article 2022 ftdoajarticles https://doi.org/10.5704/MOJ.2207.007 2022-12-30T22:52:00Z INTRODUCTION: Carpal tunnel syndrome (CTS) is one of the most common peripheral neuropathies affecting patients' life. Performing endoscopic carpal tunnel release is now a new technique that is being gradually applied in Vietnam. This paper seeks to investigate the effectiveness of Chow’s method for CTS treatment. MATERIALS AND METHODS: This is a prospective cohort study involving seventy-seven patients with CTS who underwent Chow’s endoscopic method at our hospital from March 2019 to January 2020. The Boston Carpal Tunnel Questionnaire and electromyography (EMG) were used primarily to evaluate surgical decompression pre-operatively, one week, three weeks, three months, and six months after surgery. We also recorded incision length, pain at the scar, the improvement of symptoms and thenar atrophy and return-to-work time after surgery. RESULTS: A total of 85.7% of the patients were women. A moderate severity of EMG was seen in 64.9% of cases. Six-month post-operative functional status scale (FSS) (1.05±0.1) and symptom severity scale (SSS) (1.05±0.1) showed significant improvement when compared with pre- operative FSS (2.8±0.5) and SSS (3.2±0.5). Post-operative EMG showed the distal sensory latency (DSL) and distal motor latency (DML) had returned to the norm in 88% and 89.3%, respectively. The average incision length was 12.1±1.2mm. Six months after surgery, numbness and hand pain had resolved in 97.4%, a painless scar was seen in 94.7%, but full recovery of thenar atrophy was only seen in 9.1%. Patients could get back to work after 10.2±2.4 days. CONCLUSION: Chow’s endoscopic carpal tunnel release is a safe and effective procedure for patients suffering from carpal tunnel syndrome that showed promising outcomes on clinical symptoms and functions on EMG with minimal pain and scarring, and early return to work. Article in Journal/Newspaper DML Directory of Open Access Journals: DOAJ Articles Malaysian Orthopaedic Journal 16 2 55 62 |
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Directory of Open Access Journals: DOAJ Articles |
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English |
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carpal tunnel syndrome endoscopic carpal tunnel release transverse carpal ligament thenar atrophy repetitive wrist use Orthopedic surgery RD701-811 |
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carpal tunnel syndrome endoscopic carpal tunnel release transverse carpal ligament thenar atrophy repetitive wrist use Orthopedic surgery RD701-811 Nguyen TT Duong K Tran SQ Dang KD Ly HHV Nguyen BTT Two-port Endoscopic Surgery for Carpal Tunnel Syndrome – A Prospective Cohort Study |
topic_facet |
carpal tunnel syndrome endoscopic carpal tunnel release transverse carpal ligament thenar atrophy repetitive wrist use Orthopedic surgery RD701-811 |
description |
INTRODUCTION: Carpal tunnel syndrome (CTS) is one of the most common peripheral neuropathies affecting patients' life. Performing endoscopic carpal tunnel release is now a new technique that is being gradually applied in Vietnam. This paper seeks to investigate the effectiveness of Chow’s method for CTS treatment. MATERIALS AND METHODS: This is a prospective cohort study involving seventy-seven patients with CTS who underwent Chow’s endoscopic method at our hospital from March 2019 to January 2020. The Boston Carpal Tunnel Questionnaire and electromyography (EMG) were used primarily to evaluate surgical decompression pre-operatively, one week, three weeks, three months, and six months after surgery. We also recorded incision length, pain at the scar, the improvement of symptoms and thenar atrophy and return-to-work time after surgery. RESULTS: A total of 85.7% of the patients were women. A moderate severity of EMG was seen in 64.9% of cases. Six-month post-operative functional status scale (FSS) (1.05±0.1) and symptom severity scale (SSS) (1.05±0.1) showed significant improvement when compared with pre- operative FSS (2.8±0.5) and SSS (3.2±0.5). Post-operative EMG showed the distal sensory latency (DSL) and distal motor latency (DML) had returned to the norm in 88% and 89.3%, respectively. The average incision length was 12.1±1.2mm. Six months after surgery, numbness and hand pain had resolved in 97.4%, a painless scar was seen in 94.7%, but full recovery of thenar atrophy was only seen in 9.1%. Patients could get back to work after 10.2±2.4 days. CONCLUSION: Chow’s endoscopic carpal tunnel release is a safe and effective procedure for patients suffering from carpal tunnel syndrome that showed promising outcomes on clinical symptoms and functions on EMG with minimal pain and scarring, and early return to work. |
format |
Article in Journal/Newspaper |
author |
Nguyen TT Duong K Tran SQ Dang KD Ly HHV Nguyen BTT |
author_facet |
Nguyen TT Duong K Tran SQ Dang KD Ly HHV Nguyen BTT |
author_sort |
Nguyen TT |
title |
Two-port Endoscopic Surgery for Carpal Tunnel Syndrome – A Prospective Cohort Study |
title_short |
Two-port Endoscopic Surgery for Carpal Tunnel Syndrome – A Prospective Cohort Study |
title_full |
Two-port Endoscopic Surgery for Carpal Tunnel Syndrome – A Prospective Cohort Study |
title_fullStr |
Two-port Endoscopic Surgery for Carpal Tunnel Syndrome – A Prospective Cohort Study |
title_full_unstemmed |
Two-port Endoscopic Surgery for Carpal Tunnel Syndrome – A Prospective Cohort Study |
title_sort |
two-port endoscopic surgery for carpal tunnel syndrome – a prospective cohort study |
publisher |
Malaysian Orthopaedic Association |
publishDate |
2022 |
url |
https://doi.org/10.5704/MOJ.2207.007 https://doaj.org/article/43cbee7534834934bcdcc126e2b51294 |
genre |
DML |
genre_facet |
DML |
op_source |
Malaysian Orthopaedic Journal, Vol 16, Iss 2, Pp 55-62 (2022) |
op_relation |
http://morthoj.org/2022/v16n2/endoscopic-carpal-tunnel.pdf https://doaj.org/toc/1985-2533 https://doaj.org/toc/2232-111X doi:10.5704/MOJ.2207.007 1985-2533 2232-111X https://doaj.org/article/43cbee7534834934bcdcc126e2b51294 |
op_doi |
https://doi.org/10.5704/MOJ.2207.007 |
container_title |
Malaysian Orthopaedic Journal |
container_volume |
16 |
container_issue |
2 |
container_start_page |
55 |
op_container_end_page |
62 |
_version_ |
1766397732671455232 |