Neurolysis of the Median Nerve to the Carpal Canal by the Way Mini-Open: Review of 68 Files at Brazzaville University Hospital — Oak Academic Publishing
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Neurolysis of the Median Nerve to the Carpal Canal by the Way Mini-Open: Review of 68 Files at Brazzaville University Hospital
Multipurpose Surgery Department, Brazzaville University Hospital, Brazzaville, Congo
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Multipurpose Surgery Department, Brazzaville University Hospital, Brazzaville, Congo
Objective: To evaluate the results of neurolysis of the median nerve to the carpal tunnel in patients operated by the mini-open technique. Methods: The prospective study included 68 patients (16 men and 52 women) aged 43 to 80 years (mean age: 64 years). Patients were evaluated in pre- and post-operative by a questionnaire. The mini open technique with cutaneous approach to the heel of the hand following the 4th ray was performed in all patients under local, locoregional or general anesthesia. Results: The results were evaluated in 3 consultations, in the 1st, 3rd and 6th month. We obtained very good results in 54.4% of the cases (n = 37) and 30.9% (n = 21) of good results and 14.70% (n = 10) of poor results. No vascular, tendinous or neurological complications were noted. Two patients were reoperated for incomplete resection of the carpal ring ligament. The mini-open technique has achieved good results in all neurolysis despite the delay in surgical management. Conclusion: The results of the surgical treatment of the carpal tunnel syndrome depend on the precocity of the diagnosis and the surgical indication.
Marie, P. and Foix, C. (1913) Atrophie isolée de l’éminence thénar d’origine névritique. Rôle du ligament annulaire antérieur du carpe dans la pathogénie de la lésion. Revue Neurologique, 26, 647-649.
Benquet, B., Fabre, T. and Durandeau, A. (2000) Neurolyse du nerf médian au canal carpien par voie mini-invasive. A propos d’une série prospective de 138 cas. Chirurgie de la Main, 19, 86-93. https://doi.org/10.1016/S1297-3203(00)73465-2
Samson, P. (2004) Le syndrome du canal carpien. Chirurgie de la Main, 23, 165-177. https://doi.org/10.1016/j.main.2004.10.016
Tuppin, P., Blotière, P.O., Weill, A., Ricordeau, P. and Allemand, H. (2011) Syndrome du canal carpien opéré en France en 2008 : Caractéristiques des malades et de leur prise en charge. Revue Neurologique, 167, 905-915. https://doi.org/10.1016/j.neurol.2011.05.010
Petiot, P. and Bernard, E. (2011) Pièges diagnostiques du syndrome du canal carpien. Revue Neurologique, 167, 64-71. https://doi.org/10.1016/j.neurol.2010.08.009
Heim, D., Stricker, U. and Rohrer, G. (2002) Carpal Tunnel Syndrome after Trauma. Swiss Surgery, 8, 15-20. https://doi.org/10.1024/1023-9332.8.1.15
Wright, P.E. (1992) Carpal Tunnel and Ulnar Tunnel Syndromes and Stenosing Tenosynovitis. In: Crenshaw, A.H., Ed., Campbell’s Operative Orthopaedics, 8th Edition, Mosby, St. Louis, MO, 3435-3437.
Buchberger, W., Schon, G., Strasser, K. and Jungwith, W. (1991) High Resolution Ultrasonography of the Carpal Tunnel. Journal of Ultrasound in Medicine, 10, 531-537. https://doi.org/10.7863/jum.1991.10.10.531
Graham, R.G., Hudson, D.A, Solomons, M. and Singer, M. (2004) A Prospective Study to Assess the Outcome of Steroid Injections and Wrist Splinting for the Treatment of Carpal Tunnel Syndrome. Plastic and Reconstructive Surgery, 113, 550-556. https://doi.org/10.1097/01.PRS.0000101055.76543.C7
McConnell, J.R. and Bush, D.C. (1990) Intraneural Steroid Injection as a Complication in the Management of Carpal Tunnel Syndrome. Clinical Orthopaedics and Related Research, 250, 181-184.
Gelberman, R.H., Rydevick, B.L., Pess, G.M., Szabo, R.M. and Sundborg, G. (1988) Carpal Tunnel Syndrome: A Scientific Basis for Clinical Care. Orthopedic Clinics of North America, 19, 115-124.
Baron, D. (2007) Prise en charge locale des syndromes canalaires. Revue Du Rhumatisme, 74, 427-433. https://doi.org/10.1016/j.rhum.2007.02.022
Chamas, M. (2014) Carpal Tunnel Syndrome. Chirurgie de la Main, 33, 75-94. https://doi.org/10.1016/j.main.2013.11.010
Levine, D.W., Simmons, B.P., Koris, M.J., Daltroy, L.H. and Katz, J.N. (1993) A Self Administered Questionnaire for the Assessment of Severity of Symptoms and Functional Status in Carpal Tunnel Syndrome. The Journal of Bone & Joint Surgery, 75, 1585-1592.
Alnot, J.Y. and Frajman, J.M. (1992) Syndrome de compression chronique du nerf ulnaire au niveau du coude. Annales De Chirurgie De La Main, 11, 5-13.
Herisson, O., Dury, M., Rapp, E. and Marin-Braun, F. (2016) Bilateral Carpal Tunnel Surgery in On Operation: Retrospective Study. Hand Surgery and Rehabilitation, 35, 199-202. https://doi.org/10.1016/j.hansur.2015.12.012
Bouchaud-Chabot, A. and Roulot, E. (2007) Syndrome du Canal Carpien. Revue Du Rhumatisme, 74, 371-375. https://doi.org/10.1016/j.rhum.2007.02.003
Leduc, A., Perrot, P., Truffandier, M.V., Bellier-Waast, F. and Duteille, F. (2014) Syndrome du Canal Carpien chez l’enfant. A propos de 10 cas cliniques. Annales De Chirurgie Plastique Et Esthetique, 59, 155-160. https://doi.org/10.1016/j.anplas.2013.12.001
Yasser, El., Miedany, Ashour, S., Sally, Y., Mehana, A., Fatma, A. and Meky (2008) Diagnostic Clinique du syndrome du canal carpien: Un regard neuf sur d’anciennes manoeuvres. Revue Du Rhumatisme, 75, 632-639. https://doi.org/10.1016/j.rhum.2007.09.016
Krom, M.C., Knipschild, P.G. and Kester, A.D. (1992) Carpal Tunel Syndrome: Prevalence in the General Population. Journal of Clinical Epidemiology, 45, 373-376. https://doi.org/10.1016/0895-4356(92)90038-O
Remérand, F., Gaillaud, J., Laulan, J., Palud, M., Baud, A., Couvret, C., Favard, L., Lafon, M., Bouakaz, A., Velut, S. and Fusciardi, J. (2012) Tolérance et efficacité des blocs nerveux périphériques pour la chirurgie du canal carpien. Annales Françaises d’Anesthésie et de Réanimation, 31, 34-40. https://doi.org/10.1016/j.annfar.2011.09.006
Atanassoff, P.G., Ocampo, C.A., Bande, M.C., Hartmannsgruber, M.W. and Halaszynski, T.M. (2001) Ropivacaïne 0.2% and lidocaïne 0.5% for Intravenuous Regional Anesthesiain Outpatient Surgery. Anesthesiology, 95, 623-627. https://doi.org/10.1097/00000542-200109000-00013
Sinha, A., Chan, V. and Anastakis, D.J. (2003) Anesthesia for Carpal Tunnel Release. Canadian Journal of Anesthesia, 50, 323-327. https://doi.org/10.1007/BF03021026
Baeckelmans, Y., Colling, E., Galeazzi, J.P. and Welter, J. (1992) Anesthésie locorégionale du membre supérieur. La main traumatique-l’urgence. 3rd Edition, Elsevier Masson, Paris, 1-20.
Deleuze, A. and Gentili, M.E. (2006) Blocs régionaux au coude, au poignet et de la main. Annales Françaises d’Anesthésie et de Réanimation, 25, 242-248. https://doi.org/10.1016/j.annfar.2005.08.011
Dupre, L.J. (2006) Blocs des branches du plexus brachial au canal brachial. Annales Françaises d’Anesthésie et de Réanimation, 25, 237-234. https://doi.org/10.1016/j.annfar.2005.08.010
Altissimi, M. and Mancini, G.B. (1988) Surgical Release of the Median Nerve under Local Anaesthesia for Carpal Tunnel Syndrome. Journal of Hand Surgery, 13, 395-396. https://doi.org/10.1016/0266-7681(88)90163-5