Endoscopic Release in Carpal Tunnel
Syndrome: Analysis of Clinical Results in 200 Cases
L. Serra1, K. Panagiotopoulos1, A. Bucciero1, F.
K. Mehrabi2, G.
1 Department of Neurosurgery,
“Federico II” University School of Medicine, Naples, Italy 2 Section of Neurosurgery, “Casa di Cura Pineta
Grande”, Castelvolturno, Italy
Carpal tunnel syndrome is the most common peripheral neuropathy. Conventional
carpal tunnel surgery has been performed as a primary procedure for the
decompression of the median nerve at the wrist in patients who have idiopathic
carpal tunnel syndrome. While the results have been excellent, this surgical
procedure has been reported to be related to high postoperative morbidity and
extended length of recovery time. Over the past decade, endoscopic release of
the transverse carpal ligament has been developed as a new, alternative method
to the open procedures. Endoscopic carpal tunnel release has been reported to
ensure less postoperative morbidity, more rapid recovery of strength, with
earlier return to work, reduced disability time and a better cosmetic result.
The authors present a surgical series of 200 hands in 164 patients (36
bilaterals) with idiopathic carpal tunnel syndrome, who underwent a
single-portal endoscopic carpal tunnel release (Agee technique), with regards to
the clinical outcome and complications occurred after 4-months follow-up.