Abstract

KAFURY GOETA, Álvaro Antonio et al. Endoscopic management of the carpal tunnel syndrome, an experience of 5 years. Rev. Univ. Ind. Santander. Salud [online]. 2016, vol.48, n.2, pp.206-212. ISSN 0121-0807.  https://doi.org/10.18273/revsal.v48n2-2016005.

Introduction: The carpal tunnel syndrome affects 1% of the population, remain the most common compression neuropathy, endoscopic release is a technique that gives good results, although not without complications. The aim of the study is to determine the prevalence of complications in an experience of 5 years. Methodology: Cross-sectional study in patients diagnosed with carpal tunnel undergoing endoscopic release over a period of 5 years, where all neurological, vascular complications and infection was documented. Results: We included 175 hands in 139 patients with an average age of 52 years; 89.2% of cases occurred in women. Comorbidities found: hypertension 31.6%, 29.5% hypothyroidism, diabetes 5% and 11% cigarette consumption. The prevalence of complications was 5.7% (10 cases), of which the neurologic injury was 0.6% classified as neuropraxia of the ulnar nerve, 1.7% had hematoma that resolved without surgery and 3.4% had infection threated with oral antibiotics. All complications had a satisfactory recovery. 99% of patients experienced resolution of symptoms. Conclusions: The technique of endoscopic carpal tunnel release is a safe technique, low complication rate was found and is comparable to other series.

Keywords : Endoscopy; carpal tunnel syndrome; complications.

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