Endoscopic Carpal Tunnel Surgery
Patients with Carpal tunnel disease complain about numbness,tingling sensation and pain in the hands.They usually have pain and tingling at nights. As Carpal tunnel becomes more chronic and severe patients may have weekness in hand grib and may drop objects while carrying them in their hands.
Which reason carpal tunnel disease occurs?
Carpal tunnel disease is common in the persons using their hands and wrists actively as a part of their occupation. Therefore, secretary, typist, keyboard, users, musicians, vibrating device users may develop wrist transverse carpal ligament thickening in time. Thickened transverse ligament may cause compression of median nerve within the carpal tunnel. Also, wrist fractures, rheumatic diseases, tenosynovitis and extreme obesity may lead reduction in the volume of the carpal tunnel and compress the median nerve.
How should the diagnosis of carpal tunnel disease?
Definitive diagnosis is usually done with Physical exam ant EMG (nerve conduction measurement) .MRI and other radiological tests may be required in some of the cases.
How is the treatment of Carpal Tunnel?
Wrist splints and anti-emflamatuary medicine may be used in early-stages of the disease. Surgical treatment is recommended in the Intermediate and advanced stages.
What kind of surgery implemented in carpal tunnel disease?
In the carpal tunnel disease release of thickened transverse carpal ligamen to decompress the median nerve. Surgery can be done by open incision or arthroscopy.
How is Endoscopic carpal tunnel surgery implemented?
Endoscopic carpal tunnel surgery is performed with general or regional anesthesia. Endoscopic carpal tunnel release is done via two 1-cm long portals.
What are the advantages of Endoscopic Carpal Tunnel Surgery ?
Since, it is performed through two small holes, the incision heals quickly. Patient can use his hand in a couple days following surgery.
What are the disadvantages of Endoscopic Carpal Tunnel Surgery?
The most important disadvantages of endoscopic carpal tunnel surgery are requirement of special tools, surgical set-up. Also, the surgeon should be experienced in this surgery.
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