HOMEPRODUCTSCOMPANYCONTACTFAQResearchDictionaryPharmaSign Up FREE or Login

Endoscopically assisted nerve decompression of rare nerve compression syndromes at the upper extremity.

AbstractBACKGROUND:
Besides carpal tunnel and cubital tunnel syndrome, other nerve compression or constriction syndromes exist at the upper extremity. This study was performed to evaluate and summarize our initial experience with endoscopically assisted decompression.
MATERIALS AND METHODS:
Between January 2011 and March 2012, six patients were endoscopically operated for rare compression or hour-glass-like constriction syndrome. This included eight decompressions: four proximal radial nerve decompressions, and two combined proximal median nerve and anterior interosseus nerve decompressions. Surgical technique and functional outcomes are presented.
RESULTS:
There were no intraoperative complications in the series. Endoscopy allowed both identifying and removing all the compressive structures. In one case, the proximal radial neuropathy developed for 10 years without therapy and a massive hour-glass nerve constriction was observed intraoperatively which led us to perform a concurrent complementary tendon transfer to improve fingers and thumb extension. Excellent results were achieved according to the modified Roles and Maudsley classification in five out of six cases. All but one patient considered the results excellent. The poorest responder developed a CRPS II and refused post-operative physiotherapy.
CONCLUSION:
Endoscopically assisted decompression in rare compression syndrome of the upper extremity is highly appreciated by patients and provides excellent functional results. This minimally invasive surgical technique will likely be further described in future clinical studies.
AuthorsFranck Marie P Leclère, Dietmar Bignion, Torsten Franz, Lukas Mathys, Esther Vögelin
JournalArchives of orthopaedic and trauma surgery (Arch Orthop Trauma Surg) Vol. 133 Issue 4 Pg. 575-82 (Apr 2013) ISSN: 1434-3916 [Electronic] Germany
PMID23417113 (Publication Type: Journal Article)
Topics
  • Adult
  • Aged
  • Decompression, Surgical
  • Endoscopy
  • Female
  • Humans
  • Male
  • Median Nerve (surgery)
  • Middle Aged
  • Nerve Compression Syndromes (surgery)
  • Neurosurgical Procedures (methods)
  • Radial Nerve (surgery)
  • Retrospective Studies
  • Upper Extremity (innervation, surgery)
  • Young Adult

Join CureHunter, for free Research Interface BASIC access!

Take advantage of free CureHunter research engine access to explore the best drug and treatment options for any disease. Find out why thousands of doctors, pharma researchers and patient activists around the world use CureHunter every day.
Realize the full power of the drug-disease research graph!


Choose Username:
Email:
Password:
Verify Password:
Enter Code Shown: