CARPAL TUNNEL SYNDROME: STATE OF THE ART | Issues of reconstructive and plastic surgery. 2018. № 2 (65). DOI: 10.17223/1814147/65/02

CARPAL TUNNEL SYNDROME: STATE OF THE ART

The carpal tunnel syndrome is compression neuropathy of the median nerve at the carpal level. It is the most common tunnel syndrome of the upper limb. The paper describes risk factors and modern principles of diagnostic, conservative and surgical treatment. The surgical treatment demonstrates good functional results in long terms (six and more months). At the same time, no one of the proposed surgical method is studied from the position of early postoperative period. The study of early signs of reconstruction of the median nerve structure in the carpal tunnel after its decompression and comparison with functional manifestations will allow the period of temporary disability of a patient to be shortened and the result of treatment to be predicted.

Download file

Counter downloads: 600

Keywords

синдром запястного канала, синдром карпального канала, срединный нерв, декомпрессия, кисть, carpal tunnel syndrome, median nerve, decompression, palm

Authors

Name	Organization	E-mail
Baytinger A.V.	V.F. Voyno-Yasenetsky State Medical University; Scientific Research Institute of Microsurgery	drbaitinger@gmail.com
Cherdantsev D.V.	V.F. Voyno-Yasenetsky State Medical University

Всего: 2

References

Management of carpal tunnel syndrome. Evidence-based clinical practice guideline. 2016. American Academy of Orthopaedic Surgeons. URL: https://www.aaos.org/uploadedFiles/PreProduction/Quality/Guidelines_and_Reviews/ guidelines/CTS%20CPG_2.29.16.pdf. (дата обращения: 22.02.2018).

Morbidity and Mortality Weekly Report, 2011. Centers for Disease Control and Prevention. URL: https://www.cdc.gov/mmwr/preview/ mmwrhtml/mm6049a4.htm?s_cid=mm6049a4_w. (дата обращения: 22.02.2018).

Dale A.M., Harris-Adamson C., Rempel D. et al. Prevalence and incidence of carpal tunnel syndrome in US working populations: pooled analysis of six prospective studies. Scand. J. Work. Environ. Health. 2013;(39):495-505.

Nonfatal occupational injuries and illnesses requiring days away from work. 2015. United States Department of Labor, Bureau of Labor Statistics. URL: https://www.bls.gov/news. release/osh2.nr0.htm. (дата обращения: 22.02.2018).

Zyluk A., Puchalski P. A comparison of the results of carpal tunnel release in patients in different age groups. Neurol Neurochir Pol. 2013;May-Jun;47(3):241-246.

Toosi K.K., Hogaboom N.S., Oyster M.L. et al. Computer keyboarding biomechanics and acute changes in median nerve indicative of carpal tunnel syndrome. Clin Biomech (Bristol, Avon). 2015;(30):546-550.

Pourmemari M.H., Shiri R. Diabetes as a risk factor for carpal tunnel syndrome: a systematic review and meta-analysis. Diabet Med. 2016;(33):10-16.

Shiri R., Pourmemari M.H., Falah-Hassani K. et al. The effect of excess body mass on the risk of carpal tunnel syndrome: a meta-analysis of 58 studies. Obes Rev. 2015;(16):1094-1104.

Szabo R.M., Madison M. Carpal tunnel syndrome. Orthop Clin North Am. 1992;Jan;23(1):103-109.

Durkan J.A. A new diagnostic test for carpal tunnel syndrome. J Bone Joint Surg Am. 1991;(73):535-538.

Goldberg G., Zeckser J.M., Mummaneni R., Tucker J.D. Electrosonodiagnosis in carpal tunnel syndrome: a proposed diagnostic algorithm based on an analytical literature review. PM R. 2016;May;8(5):463-474.

Wilder-Smith E.P., Rajendran K., Therimadasamy A.K. High-resolution Ultrasonography for Peripheral Nerve Diagnostics: A Guide for Clinicians Involved in Diagnosis and Management of Peripheral Nerve Disorders. World Scientific, 2009:60 p.

Lane L.B., Starecki M., Olson A. et al. Carpal tunnel syndrome diagnosis and treatment: a survey of members of the American Society for Surgery of the Hand. J Hand Surg Am. 2014;(39):2181-2187.

Hall B., Lee H.C., Fitzgerald H. et al. Investigating the effectiveness of full-time wrist splinting and education in the treatment of carpal tunnel syndrome: a randomized controlled trial. Am J Occup Ther. 2013;(67):448-459.

Manente G., Torrieri F., De Blasio F. et al. Aninnovative handbrace for carpal tunnel syndrome: a randomized controlled trial. Muscle Nerve. 2001;(24):1020-1025.

Atroshi I., Flondell M., Hofer M. et al. Methylprednisolone injections for the carpal tunnel syndrome: a rando-mized, placebo-controlled trial. Ann Intern Med. 2013;(159):309-317.

Blazar P.E., Floyd W.E. 4th, Han C.H. et al. Prognostic indicators for recurrent symptoms after a single cortico-steroid injection for carpal tunnel syndrome. J Bone Joint Surg Am. 2015;(97):1563-1570.

De Angelis M.V., Pierfelice F., Di Giovanni P. et al. Efficacy of a soft hand brace and a wrist splint for carpal tunnel syndrome: a randomized controlled study. Acta Neurol Scand. 2009;(119):68-74.

Andreu J.L., Ly-Pen D., Milla´n I. et al. Local injection versus surgery in carpal tunnel syndrome: neurophy-siologic outcomes of a randomized clinical trial. Clin Neurophysiol. 2014;(125):1479-84.

Dammers J.W., Veering M.M., Vermeulen M. Injection with methylprednisolone proximal to the carpal tunnel: randomised double bind trial. BMJ. 1999;(319):884-886.

Jenkins P.J., Duckworth A.D., Watts A.C. et al. Corticosteroid injection for carpal tunnel syndrome: a 5-year survivorship analysis. Hand (N Y). 2012;(7):151-156.

Meys V., Thissen S., Roseman S. et al. Prognostic factors in carpal tunnel syndrome treated with a corticosteroid injection. Muscle Nerve. 2011;(44):763-768.

Berger M., Vermeulen M., Koelman J.H. et al. The long-term follow-up of treatment with corticosteroid injections in patients with carpal tunnel syndrome. When are multiple injections indicated? J Hand Surg Eur. 2013;(38):634-639.

Kaplan S.J., Glickel S.Z., Eaton R.G. Predictive factors in the non-surgical treatment of carpal tunnel syndrome. J Hand Surg Br. 1990;(15):106-108.

Cha S.M., Shin H.D., Ahn J.S. et al. Differences in the postoperative outcomes according to the primary treatment options chosen by patients with carpal tunnel syndrome: conservative versus operative treatment. Ann Plast Surg. 2016;(77):80-84.

Gerritsen A.A., de Vet H.C., Scholten R.J. et al. Splinting vs surgery in the treatment of carpal tunnel syndrome: a randomized controlled trial. JAMA. 2002;(288):1245-1251.

Hui A.C., Wong S., Leung C.H. et al. A randomized controlled trial of surgery vs steroid injection for carpal tunnel syndrome. Neurology. 2005;(64):2074-2078.

Local steroid injection or carpal tunnel release for carpal tunnel syndrome - which is more effective? J Postgrad Med Instit. 2013. URL: http://www.jpmi.org.pk/index.php/jpmi/article/view/ 1497 (дата обращения: 27.03.2018).

Jarvik J.G., Comstock B.A., Kilot M. et al. Surgery versus non-surgical therapy for carpal tunnel syndrome: a randomised parallel-group trial. Lancet. 2009;(374):1074-1081.

Ly-Pen D., Andre´u J.L. Treatment of carpal tunnel syndrome. Med Clin. 2005;(125):585-589.

Munns J.J., Awan H.M. Trends in carpal tunnel surgery: an online survey of members of the American Society for Surgery of the Hand. J Hand Surg Am. 2015;(40):767-771.

Leblanc M.R., Lalonde J., Lalonde D.H. A detailed cost and efficiency analysis of performing carpal tunnel surgery in the main operating room versus the ambulatory setting in Canada. Hand (N Y). 2007;(2): 173-178.

Chatterjee A., McCarthy J.E., Montagne S.A. et al. A cost, profit, and efficiency analysis of performing carpal tunnel surgery in the operating room versus the clinic setting in the United States. Ann Plast Surg. 2011;(66):245-248.

Nguyen C., Milstein A., Hernandez-Boussard T. et al. The effect of moving carpal tunnel releases out of hospitals on reducing United States health care charges. J Hand Surg Am. 2015;(40):1657-1662.

Rhee P.C., Fischer M.M., Rhee L.S. et al. Cost savings and patient experience of a clinic-based, wide awake hand surgery program at a military medical center: a critical analysis of the first 100 procedures. J Hand Surg Am. 2017;(42):139-147.

Davison P.G., Cobb T., Lalonde D.H. The patient’s perspective on carpal tunnel surgery related to the type of anesthesia: a prospective cohort study. Hand (N Y). 2013;(8):47-53.

Sørensen A.M., Dalsgaard J., Hansen T.B. Local anaesthesia versus intravenous regional anaesthesia in endoscopic carpal tunnel release: a randomized controlled trial. J Hand Surg Eur Vol. 2013;(38):481-484.

Amadio P.C. The first carpal tunnel release? J Hand Surg Br. 1995;Feb;20(1):40-41.

Okutsu I., Ninomiya S., Takatori Y., Ugawa Y. Endoscopic management of carpal tunnel syndrome. Arthroscopy. 1989;5(1):11-18.

Louie D.L., Earp B.E., Collins J.E. et al. Outcomes of open carpal tunnel release at a minimum of ten years. J Bone Joint Surg Am. 2013;(95):1067-1073.

Means K.R. Jr, Dubin N.H., Patel K.M. et al. Long-term outcomes following single-portal endoscopic carpal tunnel release. Hand (N Y). 2014;(9):384-388.

Larsen M.B., Sørensen A.I., Crone K.L. et al. Carpal tunnel release: a randomized comparison of three surgical methods. J Hand Surg Eur. 2013;(38):646-650.

Aslani H.R., Alizadeh K., Eajazi A. et al. Comparison of carpal tunnel release with three different techniques. Clin Neurol Neurosurg. 2012;(114):965-968.

Calotta N.A., Lopez J., Deune E.G. Improved surgical outcomes with endoscopic carpal tunnel release in patients with severe median neuropathy. Hand (N Y). 2017;(12):252-257.

Gumustas S.A., Ekmekci B., Tosun H.B. et al. Similar effectiveness of the open versus endoscopic technique for carpal tunnel syndrome: a prospective randomized trial. Eur J Orthop Surg Traumatol. 2015;(25):1253-1260.

Sayegh E.T., Strauch R.J. Open versus endoscopic carpal tunnel release: a meta-analysis of randomized controlled trials. Clin Orthop Relat Res. 2015;473(3):1120-1132.

Vasiliadis H.S., Georgoulas P., Shrier I. et al. Endoscopic release for carpal tunnel syndrome. Cochrane Database Syst Rev. 2014;(1):CD008265.

Neuhaus V., Christoforou D., Cheriyan T. et al. Evaluation and treatment of failed carpal tunnel release. Orthop Clin North Am. 2012(43):439-447.

Rozanski M., Neuhaus V., Thornton E. et al. Symptoms during or shortly after isolated carpal tunnel release and problems within 24 hours after surgery. J Hand Microsurg. 2015;(7):30-35.

Faucher G.K., Daruwalla J.H., Seiler J.G. 3rd. Complications of surgical release of carpal tunnel syndrome: a systematic review. J Surg Orthop Adv. 2017;(26):18-24.