A Novel Supraretinacular Endoscopic Carpal Tunnel Release: Surgical Technique, Clinical Efficacy and Safety (A Series of 48 Consecutive Cases).

Content Provider	Europe PMC
Author	Teh, Kok Kheng Gunasagaran, Jayaletchumi Choo, Ch’ng Hwei Ahmad, Tunku Sara
Copyright Year	2021
Abstract	PurposeEndoscopic carpal tunnel release has been shown to have a shorter recovery period than open surgery. This study was aimed at assessing the efficacy and possible clinical complications of a novel supraretinacular endoscopic carpal tunnel release technique.MethodsA total of 50 cases involving 46 patients were evaluated in this prospective study, in which all surgeries were performed by a single surgeon between 2016 and 2018. The patients were evaluated preoperatively; at 3, 7, and 14 days after surgery; and at 1, 3, and 6 months after surgery. The effectiveness of the surgery was evaluated using pinch and grip strengths, modified table test, visual analog scale pain score, the Disabilities of the Arm, Shoulder and Hand, the Boston Carpal Tunnel Questionnaire symptom severity scale, and the Boston Carpal Tunnel Questionnaire functional status scale. The Friedman test and Wilcoxon signed-rank test were used for a statistical analysis.ResultsAt 6 months after the surgery, all measured parameters showed improvements. The pinch strength score improved from 2.29 kg before the surgery to 2.96 kg 6 months after the surgery (P = .003), the grip strength score improved from 12.10 kg to 13.98 kg (P = .028), the modified table test score increased from 6.55 kg to 8.76 kg (P < .001), the visual analog scale score decreased from 6.31 to 0.52 (P < .001), the Disabilities of the Arm, Shoulder and Hand score reduced from 41.66 to 14.10 (P < .001), and the Boston Carpal Tunnel Questionnaire symptom severity scale and the Boston Carpal Tunnel Questionnaire functional status scale scores reduced from 2.68 to 1.51 (P < .001) and from 2.56 to 1.44 (P < .001), respectively. There were no serious injuries or complications reported in this series.ConclusionsThis new supraretinacular endoscopic carpal tunnel release technique was shown to be efficacious in this series.Type of study/level of evidenceTherapeutic IV.
Related Links	https://europepmc.org/backend/ptpmcrender.fcgi?accid=PMC8991636&blobtype=pdf
Journal	Journal of Hand Surgery Global Online [J Hand Surg Glob Online]
Volume Number	3
DOI	10.1016/j.jhsg.2021.06.011
PubMed Central reference number	PMC8991636
Issue Number	6
PubMed reference number	35415581
e-ISSN	25895141
Language	English
Publisher	Elsevier
Publisher Date	2021-08-13
Access Restriction	Open
Rights License	This is an open access article under the CC BY license (http://creativecommons.org/licenses/by/4.0/). © 2021 The Authors
Subject Keyword	Carpal tunnel surgery Carpal tunnel syndrome Endoscopic carpal tunnel release Endoscopic surgery Supraretinacular endoscopic carpal tunnel release
Content Type	Text
Resource Type	Article
Subject	Rehabilitation Orthopedics and Sports Medicine Surgery