Document Detail


How I developed the world's first evidence-based endoscopic management of carpal tunnel syndrome.
MedLine Citation:
PMID:  21089186     Owner:  NLM     Status:  In-Process    
Abstract/OtherAbstract:
Carpal tunnel syndrome has been surgically treated by release of the transverse carpal ligament (flexor retinaculum of the hand) using a blind procedure since 1930 or by an open procedure since 1946. The blind procedure has the possibility of unreliable results and ensuing complications, hence, the open procedure was developed. The open procedure, however, also resulted in various complications as reported in the 1970s. At the end of the 1970s, I had many questions regarding accepted surgical procedures for treatment of carpal tunnel syndrome. These included: "Why should any healthy tissue be injured?"; "How can I make operations as minimally invasive as possible?"; and "How can I shorten postoperative fixation periods that cause declines in activities of daily living?" This paper describes how I developed the world's first evidence-based endoscopic management procedure for carpal tunnel syndrome using local anaesthesia without a pneumatic tourniquet on an outpatient basis.
Authors:
Ichiro Okutsu
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Hand surgery : an international journal devoted to hand and upper limb surgery and related research : journal of the Asia-Pacific Federation of Societies for Surgery of the Hand     Volume:  15     ISSN:  1793-6535     ISO Abbreviation:  Hand Surg     Publication Date:  2010  
Date Detail:
Created Date:  2010-11-22     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  9602613     Medline TA:  Hand Surg     Country:  Singapore    
Other Details:
Languages:  eng     Pagination:  149-55     Citation Subset:  IM    
Affiliation:
Okutsu Minimally Invasive Orthopaedic Clinic, Tokyo 106-0047, Japan. okutsu@mtg.biglobe.ne.jp
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