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10.6 μm CO2 Laser Endoscopic Carpal Tunnel Release

  • Charles E. Kollmer

Abstract

Popularization of the conventional endoscopic technique of carpal tunnel release started with the work of Chow (1989, 1990, 1993) and Okutsu (1989). The benefits of this technique include a rapid return to work, small incisions, little loss of pinch and grip strength, and visualization of the ligament for this limited-incision procedure. New systems are emerging for both single portal and bi-portal endoscopic carpal tunnel release. The addition of the laser for endoscopic carpal tunnel release (ECTR) provides benefits for hemostasis and decreasing mechanical manipulation during surgery (Strohecker and Piotrowski, 1985).

Keywords

Median Nerve Carpal Tunnel Syndrome Carpal Tunnel Carpal Tunnel Release Palmar Arch 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.

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References

  1. Bergman RS (1988) Clinical experience with the CO2 laser during carpal tunnel decompression. Plastic Reconstr Surg 81:933–938CrossRefGoogle Scholar
  2. Blair SJ (1988) Avoiding complications of surgery for nerve compression syndromes. Orthop Clin North Am, 19:125–130PubMedGoogle Scholar
  3. Cho DS (1989) The electrodiagnosis of the carpal tunnel syndrome. SDJ Med 42(7):5–8Google Scholar
  4. Chow JC (1990) Endoscopic release of the carpal ligament for carpal tunnel syndrome: 22 month clinical result. Arthroscopy 6:288–296PubMedCrossRefGoogle Scholar
  5. Chow JC (1989) Endoscopic release of the carpal ligament: a new technique for carpal tunnel syndrome. Arthroscopy 5:19–24PubMedCrossRefGoogle Scholar
  6. Chow JC (1993) The Chow technique of endoscopic release of the carpal ligament for carpal tunnel syndrome: four years of clinical results. Arthroscopy 9:301–314PubMedCrossRefGoogle Scholar
  7. Cotton P (1991) Symptoms may return after carpal tunnel surgery [news]. JAMA 265:1922, 1925PubMedCrossRefGoogle Scholar
  8. Durkan JA (1991) A new diagnostic test for carpal tunnel syndrome. J Bone Joint Surg [Am] 73:535–538Google Scholar
  9. Franklin GM, Haug N, Checkoway H (1991) Occupational carpal tunnel syndrome in Washington State, 1984–1988. Am J Public Health 81:741–746PubMedCrossRefGoogle Scholar
  10. Hagberg M, Nystrom A, Zetterlund B (1991) Recovery from symptoms after carpal tunnel syndrome surgery in males in relation to vibration exposure. J Hand Surg [Am] 16:66–71CrossRefGoogle Scholar
  11. Kollman HB (1985) Carpal tunnel syndrome: causes, symptoms, therapy [English translation]. Wien Med Wochenschr 135:517–521Google Scholar
  12. Kuschner SH, Ebramzedah E, Johnson D (1992) Tinel’s sign and Phalen’s test in carpal tunnel syndrome. Orthopedics 15:1297–1302PubMedGoogle Scholar
  13. Langloh N, Linscheid R (1972) Recurrent and unrelieved carpal tunnel syndrome. Clin Orthop 83:41–44PubMedCrossRefGoogle Scholar
  14. Lanz U (1977) Anatomical variations of the median nerve in the carpal tunnel. J Hand Surg [Am] 2:44Google Scholar
  15. Lilly CJ, Magnell T (1985) Severance of the thenar branch of the median nerve as a complication of carpal tunnel release. J Hand Surg [Am] 10:399–402Google Scholar
  16. Louis DS, Greene TL (1985) Complications of carpal tunnel surgery. J Neurosurg 62:352PubMedCrossRefGoogle Scholar
  17. Lourie GM (1990) Distal rupture of the palmaris longus tendon and fascia as a cause of acute carpal tunnel syndrome. J Hand Surg [Am] 15:367–369CrossRefGoogle Scholar
  18. May JW, Rosen H (1981) Division of the sensory ramus communicans between the ulnar and median nerves: a complication following carpal tunnel release. J Bone Joint Surg [Am] 63:836–838Google Scholar
  19. Okutsu I (1989) Measurement of pressure in the carpal canal before and after endoscopic management of carpal tunnel syndrome. J Bone Joint Surg [Am] 71:679–683Google Scholar
  20. Okutsu I, Nimomiya S (1989) Endoscopic management of carpal tunnel syndrome. Arthroscopy 5:11–18PubMedCrossRefGoogle Scholar
  21. Osterman AL (1988) The double crush syndrome. Orthop Clin North Am 19:147–155PubMedGoogle Scholar
  22. Phalen GS (1970) Reflections on 21 years experience with carpal tunnel syndrome. JAMA 212:1365–1367PubMedCrossRefGoogle Scholar
  23. Richman JA, Gelberman RH, Rydevik BL, et al (1989) Carpal tunnel syndrome: morphologic changes after release of the transverse carpal ligament. J Hand Surg [Am] 14:852–857CrossRefGoogle Scholar
  24. Strohecker J, Piotrowski N (1985) Ultrastructural findings after use of the CO2 laser in carpal tunnel syndrome. Lasers Surg Med 5:123–128PubMedCrossRefGoogle Scholar

Copyright information

© Springer-Verlag New York Inc. 1995

Authors and Affiliations

  • Charles E. Kollmer

There are no affiliations available

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