Clinical Results of Open Versus Endoscopic Carpal Tunnel Release

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Journal of the Korean Society for Surgery of the Hand 2003;8(4):165-170.
Published online December 1, 2003.

Chung Shik Shin, Young Il Son, Jun-Mo Lee, Chang Eun Yu

개방적 방법과 내시경적 방법에 의한 수근관 절개술의 비교평가

신충식, 손용일, 이준모, 유창은

Abstract

Purpose
We would like to compare and analyze between open and endoscopic carpal tunnel release in treatment of carpal tunnel syndrome. Materials and Methods: From Jan 1994 to May 1998 there were total 39 cases of either open or endoscopic carpal tunnel release in 27 patients. They were who can be traced their rating of subjective and objective improvements of the symptoms, returning to routine life and electrophysiologic results. There were 20 cases of open release in 16 patients and 19 cases of endoscopic release in 11 patients. Results: There were no significant difference between open and endoscopic method in treatment of carpal tunnel syndrome. Endoscopic release group showed a little bit better results in the aspect of early return to work and postoperative scar and pillar pain. Postoperative complications. in open release group was a persistent scar tenderness (1 case) and those of endoscopic release group were a common digital nerve injury (1 case) and hematoma formation (1 case). Conclusion: Although endoscopic carpal tunnel release has a few more advantages in carpal tunnel release compared with open method, the overall clinical results were not significantly different between two groups. Thus, more consideration should be taken in chooing endoscopic method because its inherent risk.

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