Author/Editor		Fokter, Samo K; Glavnik, Metod
Title		Zdravljenje sindroma zapestnega prehoda z endoskopsko metodo
Translated title		Endoscopic treatment of carpal tunnel syndrome
Type		članek
Source		Zdrav Vestn
Vol. and No.		Letnik 70, št. Suppl 1
Publication year		2001
Volume		str. I-39-41
Language		slo
Abstract		Background. Carpal tunnel syndrome (CTS) is a frequent cause of hand pain, numbness and paresthesias. Clinical outcome studies have been shown that endoscopic transverse carpal ligament release is an effective operation for treating idiopathic CTS. This retrospective study was designed to determine the one-to five-year outcome of endoscopic surgery for this disease. Methods. Single portal endoscopic carpal tunnel release (ECTR) was performed on 68 hands in 48 patients who had clinical signs and symptoms consistent with CTS confirmed with electrodiagnostic studies. Charts were reviewed and the following data were obtained: age, duration of symptoms, time of hospitalisation and complications. 57 cases (40 patients) responded to a questionnaire and follow-up nerve conduction studies were available in 44 cases (65%) of the entire cohort. The data of electrodiagnostic studies before treatment and at follow-up were statistically compared. Results. In two cases symptoms persisted and open surgery was performed two months after endoscopic procedure. Majority of hands (49 out of 57; 86%) were pain-free at the final follow-up. Electrodiagnostic studies confirmed significant difference in nerve conduction latencies, action potentials (p<0.01) and sensory conduction velocities (p<0.05). Conclusions. ECTR offers safe decompression of the median nerve. The resumption of activities of daily living is short and many patients are allowed to return to work soon.
Summary		Izhodišča. Sindrom zapestnega prehoda (SZP) je pogost vzrok bolečin, odrevenelosti in mravljinčenja v roki. S kliničnimi študijami so dokazali, da je endoskopska sprostitev volarnega karpalnega ligamenta uspešna metoda zdravljenja idiopatskega SZP. V pričujoči retrospektivni študiji prikazujemo rezultate tovrstnega zdravljenja SZP z opazovalno dobo enega do petih let. Metode. Endoskopsko sprostitev karpalnega ligamenta (ESKL) smo opravili na 68 rokah pri 48 bolnikih s kliničnimi znaki in simptomi SZP, potrjenimi z elektrofiziološkimi meritvami. Iz dokumentacije vseh bolnikov smo povzeli podatke o starosti, trajanju težav, času hospitalizacije in zapletih. V 57 primerih (40 bolnikov) smo prejeli odgovor na vprašalnik in v 44 primerih (65% celotne skupine) opravili kontrolne meritve prevajanja medianega živca. Rezultate elektrofizioloških meritev pred zdravljenjem in po njem smo med seboj statistično primerjali. Rezultati. V dveh primerih so se težave po endoskopski operaciji nadaljevale, zato je bil dva meseca kasneje potreben odprti operativni poseg. V večini primerov (49 od 57; 86%) je bolečina v roki izginila. Elektrofiziološke meritve so potrdile statistično značilno razliko v latencah nevrogramov, akcijskih potencialih (p<0,01) in senzorični prevodni hitrosti (p<0,05). Zaključki. ESKL omogoča varno sprostitev medianega živca. Bolniki so kmalu sposobni samostojno opravljati dnevne aktivnosti, mnogi se tudi hitro vrnejo na delo.
Descriptors		CARPAL TUNNEL SYNDROME ARTHROSCOPY TREATMENT OUTCOME ELECTROMYOGRAPHY