作者: Vwaire Orhurhu , Sebastian Orman , Jacquelin Peck , Ivan Urits , Mariam Salisu Orhurhu
DOI: 10.5812/AAPM.112291
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摘要: Context: Carpal tunnel syndrome (CTS) is the most frequent peripheral compression-induced neuropathy observed in patients worldwide. Surgery necessary when conservative treatments fail and severe symptoms persist. Traditional Open carpal release (OCTR) with visualization of considered gold standard for decompression. However, Endoscopic (ECTR), a less invasive technique than OCTR emerging as care recent years. Evidence Acquisition: Criteria this systematic review were derived from Preferred Reporting Items Systematic Reviews Meta-Analyses (PRISMA). Two authors searched PubMed, MEDLINE, Cochrane Database May 2018 using following MeSH terms 1993-2016: â��carpal syndrome,' â��median nerve neuropathy,' â��endoscopic release,' surgery,' â��open surgery.' Additional sources, including Google Scholar, added. Also, based on bibliographies consultation experts, appropriate publications identified. The primary outcome measure was pain relief. Results: For analysis, 27 studies met inclusion criteria. Results indicate that ECTR produced superior post-operative outcomes during short-term follow-up. Of meeting criteria 17 evaluated or secondary outcome, 15 pain, pillar tenderness, incision tenderness at Most employed VAS assessment, majority reported intervals ranging one hour up to 12 weeks. Several additional equivalent follow-up early week. No study inferior ECTR. Conclusions: produce satisfactory results relief, symptom resolution, patient satisfaction, time return work, adverse events. There growing body evidence favoring endoscopic functional outcomes, least period, even if difference disappears over time. have demonstrated quicker work activities daily living technique. © 2020, Author(s).